全麻术后苏醒期患者躁动高危因素调查及其护理干预

Investigation on the high-risk factors of patients'restlessness during the recovery period after general anesthesia and its nursing intervention

目的探讨全麻术后苏醒期患者躁动的高危因素,由此引起护理人员的高度重视,以防止意外事故的发生。方法采用便利抽样法,选择2017年8月至2019年8月我院收治的全麻术后患者194例作为研究对象,收集患者的相关资料与数据,采用多因素logistic回归分析,确定影响全麻术后苏醒期患者躁动的高危因素。结果194例全麻术后患者中发生苏醒期躁动35例(18.04%)。男性、术后未镇痛、留置导尿管、药物催眠、不同手术类型是影响全麻术后苏醒期患者躁动的独立危险因素(P<0.05)。结论导致全麻术后苏醒期患者躁动高危因素较多,护理人要高度重视,加强预防,杜绝或降低苏醒期躁动潜在风险或不良事件的发生。

Objective To explore the high-risk factors of patients'restlessness during the recovery period after general anesthesia,from this,nursing staff should pay high attention to prevent accidents.Methods We selected 194 cases of patients with general anesthesia admitted to our hospital from August 2017 to August 2019 by using convenience sampling method as the study objects.The relevant information and data of the patients were collected,and the multi-factor logistic regression analysis was used to determine the high-risk factors of restlessness in patients during recovery period after general anesthesia.Results Among the 194 cases of patients undergoing general anesthesia,35cases(18.04%)of patients developed restlessness.The men,postoperative no-analgesia,indwelling catheter,drug hypnosis,and different types of surgery were the independent risk factors affecting the restlessness of patients during the recovery period after general anesthesia(P<0.05).Conclusion There were many high-risk factors leading to restlessness in patients during the recovery period after general anesthesia.The nursing staff should pay great attention to strengthen prevention and completely eradicate or reduce the potential risk of restlessness during recovery period or adverse events.