Application Research On Comfortable Nursing Model For Outpatient Operation

Objective:The effect of comfort care model on preoperative anxiety, perioperative blood pressure andheart rate, and postoperative syncope of the patients, as well as their satisfaction with the nursingwork were investigated, so as to provide scientific basis for further implementation of comfortcare model for patients receiving outpatient operation..Methods:Through random sampling method, a total of100patients admitted by the PLA No.208Hospital from June2012to December2013were numbered by the sequence they were admitted,and were divided into an intervention group and a control group by the number in single,double.50cases for each. The baseline date of general information and operation mode werecomparable between the two groups without significant difference (P>0.05). Patients in theintervention group received comfort care model, while the control group received conventionalcare model. The Beck Anxiety Inventory (BAI) was used to access preoperative anxiety of thepatients; a multi-function monitor was used to monitor preoperative, perioperative andpostoperative blood pressure and heart rate; postoperative syncope of the patients was alsoobserved and recorded. After the operation the nurses gave out questionnaire to patients in order toaccess their satisfaction with the nursing work. The data were processed with SPSS17.0statisticalsoftware. Quantitative data were analyzed by t-test or rank sum test, and comparison of qualitativedata between two groups was performed by χ2test. P <0.05was considered statisticallysignificant.Results:1.Before application of comfortable nursing model, blood pressure, heart rate, BAI scoresbetween the intervention group and the control group had no significant difference(P>0.05),being comparable.2.After application of comfortable nursing model, BAI score of the intervention group wassignificantly lower than that of the control group.The difference was statistically significant(P<0.01). 3.After application of comfortable nursing model, the differences between the interventiongroup and the control group in blood pressure and heart rate of patient was significant; bloodpressure values of the intervention group were significantly lower than that of control group(P<0.01).Heart rate of the intervention group was lower than that of control group, the differencestatistically significant (P<0.01).4.After application of comfortable nursing model, the differences between the interventiongroup and the control group in the systolic pressure, diastolic pressure, heart rate showedsignificant differences through statistical analysis (P<0.05).5.After application of comfortable nursing model, the differences between the interventiongroup and the control group in nursing work satisfaction evaluation score from the patients wassignificant (P<0.05).6.Before or after the intervention of comfortable nursing model, the incidences of patientwith syncope had no statistical significance (P>0.05).Conclusions:1.Application of comfort care model,which embodied humanistic care, can reduce the anxietyof patients and keep patients stable in physiological state,so that it is conducive to the operation smoothly.2.Through application of comfortable nursing mode, the nurses provide the patients with sensory and cognitive information before the operation, which helps to improve the patients’ satisfaction to nursing service quality.