中医五行音乐结合PDCA循环管理对全身麻醉患者苏醒躁动的影响

Effect of traditional Chinese medicine five elements music combined with PDCA circulation management on awakening agitation of patients under general anesthesia

目的:探讨中医五行音乐结合PDCA循环(PDCA Cycle)管理对全身麻醉患者苏醒躁动的影响。方法:结合研究要求,研究人员从2018年1月-2019年1月入院行全身麻醉手术患者,选取符合入组以及排除标准的患者210例,采用随机数字分组的方式,将210例患者分为分别有105例患者的对照组以及研究组,对照组患者接受研究人员给予的常规护理,研究组接受中医五行音乐结合PDCA循环管理,在不同的治疗方法下,对比两组患者的苏醒期躁动评分以及不良事件发生率。结果:苏醒期躁动评分对比,评分为0分时,研究组人数(89例)多于对照组(59例),评分为1分、2分、3分时,研究组人数(10例、6例、0例)低于对照组(25例、15例、6例);意外拔管、坠床、伤口出血等不良事件发生率对比,研究组1.90%(21/105)均低于对照组9.52%(10/105),两组患者的组间数据对比,差异均具有统计学意义(P <0.05)。结论:护理人员给予全身麻醉患者中医五行音乐结合PDCA循环管理,患者的苏醒期躁动评分降低,苏醒躁动状况得到改善,同时还能有效降低不良事件发生率,临床护理效果较为显著,值得在临床上进行推广。

Objective: To explore the effect of traditional Chinese medicine five elements music combined with PDCA circulation management on awakening agitation of patients under general anesthesia. Methods: According to the research requirements, the researchers selected 210 patients who met the admission and exclusion criteria from January 2018 to January 2019 and divided 210 patients into a control group with 105 patients and a research group with 105 patients. The patients in the control group received routine care from the researchers. The research group received traditional Chinese medicine five elements music combined with PDCA circulation management. Under different treatment methods, the restlessness scores and the incidence of adverse events in the recovery period of the two groups were compared. Results: The score of restlessness in the waking period was compared: The number of patients in the study group(89 cases) was higher than that in the control group(59 cases), with 1 point, 2 points and 3 points. The number of patients in the study group(10 cases, 6 cases and 0 cases) was lower than that in the control group(25 cases, 15 cases and 6 cases). The incidence rate of adverse events such as accidental extubation, falling bed and wound hemorrhage in the study group 1.90%(2/105) was lower than that in the control group 9.52%(10/105). The comparison of data between the two groups showed that the study had statistical significance(P<0.05). Conclusion: For patients suffering from restlessness after awakening from general anesthesia, the nursing staff give traditional Chinese medicine five elements music combined with PDCA circulation management. The restlessness score of patients during the awakening period decreases with the improvement of restlessness status. Meanwhile, the incidence rate of adverse events can be effectively reduced. The clinical nursing effect is significant and is worthy of clinical promotion.