麻醉前心理护理干预对全身麻醉苏醒期躁动的影响

Influence of psychological nursing intervention before anesthetization on emergence agitation by general anesthesia

目的 观察麻醉前心理护理干预对全麻苏醒期躁动（EA）的影响,为手术患者平稳渡过全麻苏醒期提供借鉴。方法 选择我院2014年9~12月行腹腔镜子宫全切除术且实施气管插管全麻的患者120例,将其随机分为对照组和观察组,每组60例。对照组给予术前常规护理,观察组在术前常规护理的基础上实施麻醉前心理护理干预,观察两组患者在全麻苏醒时的血压、心率、躁动情况。结果 观察组患者在全麻苏醒时的血压、心率、躁动程度均低于对照组,差异有统计学意义（P〈0.05）。结论 麻醉前的心理护理干预能有效缓解EA的发生,使全麻手术患者苏醒时的血压及心率更平稳,值得临床推广借鉴。

Objective To observe the influence of psychological nursing intervention before anesthetization on emer- gence agitation （EA） by general anesthesia,and to provide reference for surgical patients through the recovery period of general anesthesia. Methods 120 patients with laparoscopic hysterectomy and general anesthesia in our hospital from September to December in 2014 were selected.They were randomly divided into control group and observation group, with 60 cases in each group.In the control group,conventional nursing before surgery was applied,while in the observa- tion group,on the basis of the conventional nursing,psychological nursing intervention before anesthetization was provid- ed. The blood pressure,heart rate and emergence agitation in the two groups was observed during general anesthesia. Results The blood pressure,heart rate and restlessness during recovery in observation group was lower than the control group,the difference between two groups was significant （P〈0.05）. Conclusion Psychological nursing intervention before anesthesia can effectively alleviate the occurrence of EA,and anesthesia surgery patients＇ blood pressure and heart rate are more stable when awakening,which is worthy of clinical reference and promotion.