全麻手术患者麻醉复苏期的躁动因素分析与护理分析

Analysis of Restless Factors and Nursing Analysis of Patients Undergoing General Anesthesia during Anesthesia Resuscitation

目的分析全麻手术患者麻醉复苏期的躁动因素及护理对策。方法方便选取2017年1月-2018年12月在该院接受全麻手术治疗且在麻醉复苏期出现躁动的107例患者作为研究对象,对其麻醉复苏期影响因素进行分析,探究护理措施。结果年龄≥60岁(47.66%)(χ^(2)=49.610,P<0.001)、手术类型为骨科手术(45.79%)(χ^(2)=28.510,P<0.001)、麻醉方式为气管插管全麻(68.22%)(χ^(2)=28.430,P<0.001)、术后发生疼痛(74.77%)(χ^(2)=52.500,P<0.001)、术后制动不当(62.62%)(χ^(2)=13.630,P<0.001)、留置管道(80.37%)(χ^(2)=78.970,P<0.001)对比差异有统计学意义(P<0.05)。年龄(P=0.030)、手术类型(P=0.030)、麻醉方式(P=0.030)、术后疼痛(P=0.020)、术后心理变化(P=0.020)、术后制动(P=0.010)、留置管(P=0.030)均为全麻手术患者麻醉复苏期躁动的影响多因素,差异有统计学意义(P<0.05),且为影响独立危险因素。结论年龄、手术类型、麻醉方式等多种因素均可造成全麻手术患者麻醉复苏期躁动,临床需要针对各影响因素,开展相应的护理干预,以降低全麻手术患者发生麻醉复苏期躁动的风险。

Objective To analyze the agitation factors and nursing strategies of patients undergoing general anesthesia during anesthesia resuscitation. Methods 107 patients who underwent general anesthesia in the hospital from January 2017 to December 2018 and who appeared restless during the anesthesia resuscitation period were conveniently selected as the research objects. The factors affecting the anesthesia resuscitation period were analyzed and nursing measures were explored. Results Age ≥60 years old(47.66%)(χ^(2)=49.610, P <0.001), the type of operation was orthopedic surgery(45.79%)(χ^(2)=28.510, P<0.001), and the method of anesthesia was tracheal intubation general anesthesia(68.22%)(χ^(2)=28.403, P<0.001), postoperative pain(74.77%)(χ^(2)=52.500, P<0.001), postoperative immobilization improper(62.62%)(χ^(2)=13.60, P<0.001), indwelling pipeline(80.37%)(χ^(2)=78.970, P<0.001) had statistically significant differences(P<0.05). Age(P =0.030), type of operation(P =0.030), method of anesthesia(P =0.030), postoperative pain(P =0.020), postoperative psychological changes(P=0.020), postoperative immobilization(P=0.010) and indwelling tube(P=0.030) were the multifactors that affect restlessness in patients undergoing anesthesia resuscitation during general anesthesia,the difference was statistically significant(P<0.05), and are independent risk factors. Conclusion Various factors such as age, type of operation,method of anesthesia can cause restlessness during anesthesia and resuscitation in patients undergoing general anesthesia. It is necessary to carry out corresponding nursing interventions to reduce the risk of restlessness during anesthesia and resuscitation in patients undergoing general anesthesia.