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预见性护理在活体肝移植手术护理配合中的应用及效果评价
引用本文:陈信芝,刘光娥,徐燕娇,周少丽.预见性护理在活体肝移植手术护理配合中的应用及效果评价[J].中国实用护理杂志,2011,27(30).
作者姓名:陈信芝  刘光娥  徐燕娇  周少丽
作者单位:中山大学附属第三医院手术麻醉中心, 广州,510630
摘    要:目的 探讨预见性护理在活体肝移植手术护理配合中的应用效果.方法 选取我院肝移植科择期行活体肝移植手术的患者40例,随机分为干预组和对照组各20例.对照组只接受护士提供活体肝移植的常规术中护理配合,干预组则运用预见性护理进行术中护理配合.观察比较2组患者的手术时间、供体肝脏的冷缺血时间、术中护理并发症的发生率、手术费用以及手术配合的满意度.结果 与对照组相比,干预组在手术时间、供体肝脏的冷缺血时间、手术费用、术中护理并发症发生率等方面均明显降低,手术配合满意度评分则明显增高.结论 预见性护理可优化护理配合质量,提高手术及护理的效果,降低并发症的发生,有利于手术的顺利进行,并提高手术医生和麻醉医生对护理配合的满意度.

关 键 词:预见性护理  活体肝移植术  护理质量

Effect evaluation and application of predictive nursing in nursing cooperation of living donor liver transplantation
CHEN Xin-zhi,LIU Guang-e,XU Yan-jiao,ZHOU Shao-li.Effect evaluation and application of predictive nursing in nursing cooperation of living donor liver transplantation[J].Chinese Journal of Practical Nursing,2011,27(30).
Authors:CHEN Xin-zhi  LIU Guang-e  XU Yan-jiao  ZHOU Shao-li
Abstract:Objective To investigate the effect of predictive nursing on the living donor liver transplantation.Methods Forty patients undergoing living donor liver transplantation were divided into the intervention group and the control group with 20 patients in each group randomly.We gave routine nursing cooperation to the control group while predictive nursing besides routine nursing cooperation to the intervention group.The operation time,cold ischemia time of donor liver,nursing complication,cost of surgery and satisfaction degree of surgery cooperation were recorded.Results Compared with the control group,the operation time,cold ischemia time of donor liver,nursing complication,cost of surgery were all decreased,and the satisfaction degree of surgery cooperation was improved.Conclusions Predictive nursing can improve nursing operation quality,raise the efficiency of nursing and surgery,reduce the incidence of complication,which is beneficial to smooth progress of operation and increase satisfaction degree of doctors and nurses to nursing cooperation.
Keywords:Predictive nursing  Living donor liver transplantation  Nursing quality
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