麻醉前认知干预对全麻苏醒期患者躁动的影响

Influence of pre-anesthetic cognitive intervention on the restlessness of general anesthesia patients during recovery

目的探讨麻醉前认知干预措施对全麻苏醒期患者躁动的影响，以减少全麻苏醒期躁动的发生。方法将气管插管全麻患者120例采用随机数字表法分为观察组及对照组各60例，观察组患者由麻醉专科护士于麻醉前1d及麻醉诱导前，对其实施全麻相关知识、全麻过程、全麻苏醒期的感觉和不适、怎样和麻醉医生合作的认知干预，对照组患者由手术室护士常规访视，比较两组患者全麻苏醒期躁动发生情况。结果观察组患者无躁动52例，轻度躁动7例，重度躁动1例，躁动发生率为13．33％，对照组患者无躁动41例，轻度躁动14例，重度躁动5例，躁动发生率为31．67％，两组患者躁动发生率比较，差异有统计学意义（X2=5．783，P〈0．05）。结论麻醉前认知干预可降低全麻苏醒期躁动的发生率，能有效提高麻醉安全性和手术成功率。

Objective To investigate the influence of pre-anesthetic cognitive intervention on the restlessness of general anesthesia patients during recovery, so as to reduce patients＇ restlessness after they regain consciousnesses. Methods Totals of 120 patients with tracheal intubation general anesthesia were randomly divided into the observation group and the control group, each with 60 cases. Observation group received cognitive intervention one day before anesthesia and before induction of anesthesia, including relevant knowledge and process of general anesthesia, feel and discomfort after regaining consciousnesses, as well as how to cooperate with anesthesiologists, while control group received routine visits by nurses. Two groups＇ restlessness was compared during recovery. Results In the observation group, 52 cases had no restlessness, seven had mild restlessness and 1 had severe restlessness, with the rate of 13.33% , while in the control group, 41 had no restlessness, 14 had mild restlessness and 5 had severe restlessness, with the rate of 31.67%. The difference was statistically significant （ X2 = 5. 783, P 〈 0. 05 ）. Conclusions Pre-anesthetic cognitive intervention can reduce patients＇ restlessness during recovery, and improve the safety of anesthesia and successful rate of operation.