手术室护理干预对全麻苏醒期患者心理状况及躁动的影响
Effect of nursing intervention on psychological status and occurrence rate of restlessness in the operation room during resuscitation period of general anesthesia
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摘要: 目的 探讨全麻苏醒期手术室护理干预对患者心理状况及躁动发生率的影响.方法 选择行全麻醉术(妇科腹腔镜术)治疗的120例患者随机分为常规组与干预组各60例,常规组采用传统管理法,干预组则在常规组管理办法基础上采用优质护理干预办法,比较2组患者在术前1d与苏醒期的心率、血压、躁动发生率以及全麻苏醒用时指标.结果 在全麻苏醒期,干预组的躁动评分分布与常规组差异显著(P<0.05),且干预组的躁动发生率显著低于常规组(P<0.05).术前1d,2组间收缩压、舒张压和心率比较,差异无统计学意义(P>0.05);苏醒期,2组的收缩压、舒张压、心率均较术前1d显著上升(P<0.05),但干预组的血压及心率显著低于常规组(P<0.05).干预组术前与术后12 h的焦虑评分均显著低于常规组(P<0.05).干预组苏醒用时显著少于常规组(P<0.05).结论 对全麻苏醒期患者实施手术室优质护理干预,可改善患者心理状况,降低躁动发生率,并保持患者全麻恢复期间血压、心率指标相对稳定,促进其安全度过全麻苏醒期,值得临床推广.Abstract: Objective To analyze influence of nursing intervention on the psychological status and the incidence of restlessness in the operation room during resuscitation period of general anesthesia.Methods A total of 120 patients with general anesthesia after laparoscopic surgery in our hospital were randomly divided into conventional group and intervention group,with 60 cases in each group,given traditional management and high quality nursing based on traditional management,respectively.The rate of heart rate,blood pressure,restlessness rate and the index of general anesthesia in the two groups were compared.Results There was significant difference in restlessness score distribution in intervention group compared with conventional group (P < 0.05),and the incidence of restlessness was significantly lower than that of the conventional group (P < 0.05).The systolic blood pressure,diastolic blood pressure and heart rate were significantly increased compared with that of the first preoperative day before intervention,but heart rate and blood pressure of the intervention group were significantly lower than the conventional group(P <0.05).Anxiety score before and after 12 h of operation in the intervention group was significantly lower,and resuscitation time was shorter than the conventional group (P < 0.05).Conclusion High quality nursing intervention can improve psychological status,reduce the incidence of restlessness for patients with general anesthesia,maintain stability of the blood pressure and heart rate and safety of resuscitation period of general anesthesia,so it is worthy of clinical promotion.