AIDET沟通模式对七氟烷麻醉术后躁动的影响

Influnce of AIDET communication mode on agitation during the recovery period after the general anesthesia of sevoflurane

目的探讨AIDET沟通模式对肝癌患者七氟烷麻醉苏醒期躁动的影响。方法七氟烷麻醉下行肝癌手术患者共80例,随机分为AIDET组(A组)、对照组(C组),每组40例。按术前常规访视方法对C组进行访视,A组在C组的基础上运用AIDET沟通模式进行访视,观察两组患者拔管后15 min、30 min、60 min疼痛VAS评分和躁动RS评分,并记录拔管时间和苏醒时间;比较两组患者SAS评分和对护理工作满意度。结果两组患者的VAS评分、拔管时间、苏醒时间无统计学意义(P>0.05);A组拔管后SAS评分、RS评分低于C组(P<0.05);A组的患者满意度高于C组,差异有统计学意义(P<0.05)。结论术前运用AIDET沟通模式进行访视可减少肝癌患者七氟烷麻醉后苏醒期躁动的发生率。

Objective To explore influnce of AIDET communication mode on agitation during the recovery period after the general anesthesia of sevoflurane. Methods A total of 80 patients with treatment of liver cancer were randomly di- vided into two groups： the AIDET group（group A）and control group（group C）, 40 cases each group, group C received conventional methods of preoperative visit, while group A received AIDET communication mode additionally. VAS score and RS score at 15, 30, 60 minutes after extubation were compared between two groups, and the extubation time, awak- ing time were recorded; SAS score and nursing satisfaction were compared. Results There were no statistically signifi- cant about VAS score, extubation and awaking time between two groups （P〉0.05）. Compared with the group C, the SAS score and RS score in group A were significantly lower after extubation （P〈0.05）. The nursing satisfaction of group A was significantly higher（P〈0.05）. Conclusion Using AIDET communication mode for liver cancer patients with preop- erative visit helps to reduce the degree of agitation in sevoflurane anesthesia recovery period.