前馈控制护理对麻醉苏醒期苏醒质量及并发症的影响

Effects of feedforward control nursing on recovery quality and complications during anesthesia recovery period

目的探讨前馈控制护理对麻醉苏醒期苏醒质量及其并发症的影响。方法选取2020年1—8月解放军陆军第七十三集团军医院收治的行外科手术接受全麻患者144例,采用随机数字表法分为观察组和对照组,每组各72例。对照组采用常规手术护理干预,观察组实施前馈控制的护理干预。观察两组患者的麻醉情况,对比两组患者各项麻醉苏醒指标,记录两组并发症发生情况。结果两组患者麻醉时间、手术时间相比,差异无统计学意义(P>0.05);观察组患者的拔管时间、睁眼时间、麻醉苏醒观察时间明显短于对照组,差异有统计学意义(P<0.001)。观察组患者的意识可唤醒占比(97.22%)、轻微或无痛占比(90.28%)、未给药占比(79.17%),均明显高于对照组的87.50%、73.61%、62.50%,差异有统计学意义(P<0.05)。观察组患者的并发症总发生率明显低于对照组(2.78%vs.12.50%),差异有统计学意义(P<0.05)。结论前馈控制护理干预用于麻醉苏醒期患者有利于患者早期苏醒,提高其苏醒质量,减少呕吐、躁动、呼吸抑制等并发症发生,值得临床推广使用。

Objective To explore the effects of feedforward control nursing on recovery quality and complications during anesthesia recovery period.Methods A total of 144 patients undergoing surgery and receiving general anesthesia in 73rd Army Group Military Hospital of PLA from January to August 2020 were selected and divided into the observation group and the control group by the random number table method,with 72 patients in each group.The control group was treated with the conventional operation nursing intervention,and the observation group was treated with the feedforward control nursing intervention.The anesthesia of the two groups of patients was observed;the indicators of anesthesia recovery in the two groups were compared;the incidences of complications in the two groups were recorded.Results No significant differences were observed in anesthesia time and operation time between the 2 groups(P>0.05).The extubation time,eye opening time and anesthesia wake observation time in the observation group were significantly shorter than those in the control group(P<0.001).The proportions of wakeable consciousness(97.22%),mild or painless consciousness(90.28%)and no medication(79.17%)in the observation group were significantly higher than those of 87.50%,73.61%and 62.50%in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was significantly lower than that in control group(2.78%vs.12.50%),and the difference was statistically significant(P<0.05).Conclusion Feedforward control nursing intervention for patients in the anesthesia recovery period is conducive to early recovery of patients,improve the recovery quality and reduce vomiting,restlessness,respiratory depression and other complications,which is worthy of clinical use.