针对性护理对肿瘤患者手术麻醉苏醒期躁动程度和心率及血压的影响

Effect of targeted nursing on emergence agitation,heart rate and blood pressure in patients with tumors during anesthesia recovery period

目的探讨针对性护理对外科手术全麻肿瘤患者麻醉苏醒期躁动程度、心率以及血压的影响。方法选取2015年4月至2017年4月间在四川省宜宾市第二人民医院行全麻外科手术治疗的88例肿瘤患者,采用随机数表法分成观察组和对照组,每组44例。观察组患者予以针对性的护理方式,对照组患者采用常规护理方式。观察不同护理模式对两组患者麻醉苏醒期躁动程度、心率及血压的影响。结果观察组患者躁动发生率为18.2%,低于对照组患者的38.6%,差异有统计学意义(P<0.05)。两组患者的基础心率、收缩压及舒张压组间比较,差异无统计学意义(P>0.05)。护理后,观察组患者心率苏醒值、收缩压苏醒值和舒张压苏醒值明显低于对照组,差异均有统计学意义(均P<0.05)。结论对全麻外科手术肿瘤患者进行针对性护理干预,能降低患者苏醒期躁动程度与躁动症发生率,并且能减低患者在苏醒期的心率及血压,降低心脏不良事件发生率。

Objective To investigate the effect of targeted nursing on emergence agitation,heart rate and blood pressure in patients with tumors during anesthesia recovery period. Methods Eighty-eight patients undergoing surgery under general anesthesia for cancer at The Second People＇s Hospital of Yibin from April 2015 to April 2017 were selected. The patients were randomly divided into an observation group and a control group with 44 patients in each group. The patients in observation group were given targeted nursing and the control group was given with routine nursing. The effects of different nursing modes on emergence agitation,heart rate and blood pressure during the anesthesia recovery period were observed and compared between the two groups. Results The incidence of agitation was 18. 2% in the observation group which was significantly lower than 38. 6% of the control group（ P〈0. 05）. There no significant difference in the heart rate,systolic blood pressure and diastolic blood pressure at baseline between the two groups（ P〉0. 05）. After nursing,the heart rate recovery value,systolic blood pressure recovery value and diastolic blood pressure recovery in the observation group was significantly lower than in the control group（ P〈0. 05）. Conclusion The targeted nursing intervention can reduce the degree of emergence agitation,dysphoria rate,heart rate,blood pressure,and the incidence of adverse cardiac events in tumor patients undergoing surgery under general anesthesia for cancer.