术前不同导尿时机配合手术室护理干预对全身麻醉手术患者的影响

Effects of Preoperative Catheterization Time Combined with Operating Room Nursing on Patients with General Anesthesia

目的:探讨术前不同导尿时机配合手术室护理干预对全身麻醉手术患者的影响。方法:将115例择期手术并行全身麻醉患者根据术前导尿时机不同分为A组36例、B组30例、C组39例。A组于术日晨在病房进行导尿; B组术前1 d器械护士访视患者,于麻醉前在手术室进行导尿; C组于麻醉平稳后由巡回护士进行导尿。比较三组效果。结果:三组麻醉时间、术中输液量、术中出血量、苏醒时间比较差异无统计学意义(P> 0. 05)。A组躁动程度显著高于C组(P <0. 05)。A组术后尿道适应度低于B、C组(P <0. 05)。A组护理满意度评分低于B、C组(P <0. 05)。结论:麻醉前及麻醉平稳后导尿对全身麻醉手术患者苏醒期躁动影响较小,同时配以手术室护理干预,能缓解术后尿道不适感,提高护理满意度。

Objective：To explore the effect of different preoperative catheterization timing combined with nursing intervention in operating room on patients undergoing general anesthesia operation.Methods：A total of 115 patients with elective surgery and general anesthesia were divided into 36 cases in group A,30 cases in group B,and 39 cases in group C according to the timing of preoperative catheterization.Group A was catheterized in the ward on the morning of the operation.In group B,the hand washing nurse visited the patient at one day before the operation,and catheterization was performed in the operating room before anesthesia.In group C,the nurse was instructed to perform catheterization after the anesthesia was stable.Compare the three groups of effects.Results：There were no significant differences in the anesthesia time,intraoperative fluid volume,intraoperative blood loss,and recovery time between the three groups（ P 〉0.05）.The degree of agitation in group A was significantly higher than that in group C（ P 〈0.05）.The urethral fitness of group A was lower than that of group B and C（ P 〈0.05）.The satisfaction score of group A was lower than that of group B and C（ P 〈0.05）.Conclusion：Before anesthesia and after anesthesia,catheterization has little effect on agitation during general anesthesia surgery.At the same time,with operating room nursing intervention,it can alleviate postoperative urinary discomfort and improve nursing satisfaction.