身心化护理在急性下肢动脉栓塞溶栓术后护理中应用分析

目的：研究身心化护理在急性下肢动脉栓塞溶栓术后护理应用效果。方法方便选择2012年2月—2015年6月来该院治疗急性下肢动脉栓塞的患者50例,随机将其分成两组,每组25例。对照组给予常规护理,治疗组在对照组基础上采用身心化护理,分析比较两组护理效果、手术前后焦虑及抑郁评分、并发症发生率及护理满意度。结果治疗组护理有效率为96.00%,显著高于对照组60.00%,差异有统计学意义(P﹤0.05)；手术前,两组患者SAS及SDS评分比较差异无统计学意义(P﹥0.05),经过护理后,治疗组SAS评分为(31.04±3.12)低于对照组(40.57±4.88),SDS评分中,治疗组为(41.23±3.87)低于对照组(49.62±3.54),治疗组SAS及SDS评分均优于对照组,差异有统计学意义(P﹤0.05)；治疗组并发症发生率为20.00%,显著低于对照组72.00%,差异有统计学意义(P﹤0.05)；对照组总满意度64.00%,低于治疗组96.00%,差异有统计学意义(P﹤0.05)。结论急性下肢动脉栓塞患者给予身心化护理可以提高护理质量,降低并发症发生率,减少不良情绪的产生,促进患者术后康复,增进患护关系,临床护理工作中值得推广。

Analysis of Nursing Care of Patients with Acute Lower Limb Arterial Em-bolism by Physical and Mental Nursing

Objective To study the physical and mental nursing in patients with acute arterial embolism after thrombolysis nursing application effect. Methods Convenient selection 50 cases of patients in February 2012—June 2015 in our hospital for treatment of acute lower limb arterial embolism, were randomly divided into two groups, 25 cases in each group. The control group was given routine nursing, the treatment group in the control of the physical and mental nursing group based on the analysis and comparison of two groups of nursing effect, anxiety and depression scores before and after operation, complications and nursing satisfaction. Results In the treatment group, the total effective rate was 96%, significantly higher than 60% in the control group, significant difference (P < 0.05); before the surgery, there is no significant difference be-tween two groups of patients with SAS and SDS score (P > 0.05), after treatment, the SAS score of treatment group was (31.04± 3.12) is lower than that of control group (40.57 ± 4.88), SDS score, the treatment group (41.23± 3.87) is lower than that of control group (49.62 ± 3.54), treatment group SAS and SDS were better than that of According to group, and the dif-ference is significant (P< 0.05); treatment group complications occurrence rate was 20.00%, significantly lower than the control group 72.00%, and the difference is significant (P< 0.05); the control group, the total satisfaction 64.00% below 96.00% in the treatment group, and the difference is significant (P< 0.05). Conclusion Acute lower limb arterial embolism were given mental nursing can improve the quality of care, reduce the incidence of complications, reduce the bad mood, help patients with postoperative rehabilitation and improve the relationship between nurses and patients, the clinical nursing work is worthy to be popularized.