集束化护理干预对手术室麻醉复苏期患者的影响

Effect of applying cluster nursing intervention for patients in operating room during the period of anesthesia resuscitation

目的探讨集束化护理干预对手术室麻醉复苏期患者的影响。方法将2018年3月至2019年3月在我院接受全麻手术处于麻醉复苏期的75例患者作为观察组,实施围麻醉期集束化护理干预;将2017年1月至2018年2月在我院接受全麻手术处于麻醉复苏期的75例患者设为对照组,实施围麻醉期常规护理。比较两组患者拔除气管导管10 min时Riker镇痛-躁动评分、麻醉恢复评分(PARS)以及不良事件发生率。结果观察组拔除气管导管10 min时Riker镇痛-躁动评分低于对照组(P<0.05),PARS评分高于对照组(P<0.05),非计划拔管、坠床、心率加快、血压升高、切口渗血量增多等不良事件发生率低于对照组(P<0.05)。结论集束化护理干预可有效减少麻醉复苏期患者躁动及不良事件发生率,改善预后。

Objective To investigate the effect of cluster nursing intervention for patients in operating room during the period of anesthesia resuscitation.Methods To select 75 cases of patients undergoing general anesthesia in our hospital during the period of anesthesia resuscitation from March 2018 to March 2019 as an observation group and implement peri-anaesthetic cluster nursing intervention,and 75 cases of patients underwent general anesthesia during the anesthesia recovery period from January 2017 to February 2018 as a control group and implement routine nursing during the anaesthesia period.The Riker analgesia-restlessness score,rates of post-anesthesia recovery score(PARS)and adverse events were compared between the two groups when the tracheal tube was removed for 10 minutes.Results The Riker analgesia-restlessness score after tracheal tube was removed for 10 minutes in the observation group when the tracheal tube was removed for 10 minuteswas significantly lower than that in the control group(P<0.05).The PARS score in the observation group was higher than that in the control group(P<0.05).The incidence of adverse events such as unplanned extubation,falling bed,increased heart rate,increased blood pressure,and increased bleeding volume of incision,etc.in the observation group was lower than those in the control group(P<0.05).Conclusion The application of cluster nursing intervention can effectively reduce the incidence of restlessness and adverse events in patients during the period of anesthesia resuscitation and improve the prognosis.