麻醉护理一体化管理模式用于高血压手术患者麻醉复苏室中的作用分析

An Analysis of Anesthesia and Nursing Integrated Management for Hypertension Patients in the Postanesthesia Care Unit

目的分析麻醉护理一体化管理模式在高血压手术患者麻醉复苏室期间的作用。方法回顾性分析安阳市肿瘤医院2020年1月至2021年10月收治72例高血压手术患者麻醉复苏情况,将所有患者根据管理模式差异分为两组,其中对照组(36例)采取常规护理管理,研究组(36例)实施麻醉护理一体化管理。对比分析两组生命体征情况、各项麻醉复苏时间、护理质量、术后并发症发生率、住院时间及住院费用。结果术毕两组各项生命体征差异无统计学意义(P>0.05);苏醒期研究组平均动脉压(MAP)、心率(HR)及血氧饱和度(SpO2)均高于对照组,差异有统计学意义(P<0.05)。研究组各项麻醉复苏时间均短于对照组,研究组各项护理质量评分均高于对照组,研究组术后并发症发生率(5.56%)低于对照组(19.44%);相比对照组,研究组住院时间更短,住院费用更低,差异有统计学意义(P<0.05)。结论高血压手术患者麻醉复苏室期间,通过实施麻醉护理一体化管理,复苏期间生命体征更加稳定,缩短各项苏醒时间,护理质量明显提高,有效控制术后并发症发生率,住院时间较短,值得应用。

Objective To analyze the effects of anesthesia and nursing integrated management for hypertension patients in the postanesthesia care unit(PACU).Methods Retrospective analysis of 72 patients with hypertensive surgery undergoing anesthesia resuscitation admitted to Anyang Cancer Hospital from January 2020 to October 2021.According to different management modes,36 cases receiving the conventional nursing management were included in the control group;36 cases receiving the anesthesia and nursing integrated management were included in the research group.The vital signs,anesthesia recovery time,nursing quality,postoperative complication rate,hospital stays and hospitalization costs were compared between two groups.Results After completion of surgery,the vital signs between groups were not significantly different(P>0.05).In the resuscitation stage,the mean arterial pressure(MAP),heart rate(HR)and partial pressure of oxygen(SpO2)in the research group were higher than those in the control group,with statistically significant differences(P<0.05).The anesthesia recovery time in the research group was shorter than that in the control group;the nursing quality scores were higher than those in the control group;the total complication rate in the research group(5.56%)was lower than control group(19.44%);Compared with control group,the hospital stays and hospitalization costs in the research group were obviously reduced,with statistically significant differences(P<0.05).Conclusion In the postanesthesia care unit,the anesthesia and nursing integrated management can stabilize the patient’s vital signs in the resuscitation stage,reduce the wake up time,increase the nursing quality,effectively control postoperative complication rate,with shorter hospital stays.It is worthy of application.