认知干预对全麻后留置尿管患者苏醒期耐受的影响

THE EFFECTS OF PRE-OPERATIVE COGNITIVE INTERVENTION ON THE TOLERANCE OF PATIENTS TO RETAINED CATHETER IN THE RECOVERY PERIOD AFTER GENERAL ANESTHESIA

目的探讨术前认知干预对全麻后留置尿管患者,麻醉苏醒期尿管耐受的影响。方法将200例全麻后留置尿管的男性患者随机分成对照组和干预组,每组100例,对照组麻醉诱导后进行常规导尿操作;干预组在术前访视时通过简图演示的方法进行有效的认知干预,并于麻醉诱导前再次强化认知。比较两组患者在麻醉苏醒期的尿管耐受情况。结果实施干预前两组患者对留置尿管的认知无明显差异(p>0.05),实施干预后干预组患者麻醉苏醒期对尿管的耐受明显好于对照组(p<0.01),且干预组患者对留置尿管的满意度明显好于对照组(p<0.01)。结论术前对全麻后留置尿管患者进行有效的认知干预,可以明显提高患者麻醉苏醒期对尿管的耐受性,及对留置尿管的满意度。

Objective To explore the effects of pre - operative cognitive intervention on the tolerance of patients to retained catheter in the recovery period after general anesthesia. Methods 200 male patients undergoing retained catheter after general anesthesia were divided randomly into control group and intervention group, with 100 in each. Conventional catheterization was given to the control group after anesthesia induction while effective cognitive intervention was given to the intervention group during the pre - operative interview through graphical demonstration, and then was further strengthened before the anesthesia induction. The tolerance degrees of the two groups in the anesthesia recovery period were compared. Results There was no significant cognitive difference between two groups before the intervention （p 〉0.05） while after the intervention the tolerance of the intervention group was significantly better than the control group in the anesthesia recovery period （p 〈 0.01 ）. Besides, the satisfaction with the retained catheter in the intervention group was significantly greater than the control group （p 〈0.01 ）. Conclusion The effective pre- operative cognitive intervention on patients undergoing retained catheter after general anesthesia can obviously increase the tolerance to retained catheter in the anesthesia recovery period and patients＇ satisfaction with the retained catheter.