预见性护理对胸腔镜肺叶切除患者全麻苏醒期疼痛及躁动的影响

Effect of predictive nursing on pain and agitation during recovery period from general anesthesia in patients undergoing thoracoscopic lobectomy

目的探讨预见性护理对胸腔镜肺叶切除患者全身麻醉(简称全麻)苏醒期疼痛、躁动及躁动相关不良事件发生情况的影响。方法选择该院2020年9月至2021年3月行胸腔镜肺叶切除术的患者90例,采用区组随机化方法产生随机编码,将其分为对照组和观察组,每组45例。对照组采用常规护理,观察组采用预见性护理。比较两组患者全麻苏醒期疼痛、躁动发生情况及躁动相关不良事件的发生率、患者满意度的差异。结果观察组患者全麻苏醒期的疼痛评分低于对照组(P<0.05),苏醒期躁动的发生率与严重程度及躁动相关不良事件的发生率均低于对照组,差异均有统计学意义(P<0.05)。观察组的体温高于对照组,差异有统计学意义(P<0.05)。结论预见性护理可改善胸腔镜肺叶切除术患者全麻苏醒期的疼痛、躁动及躁动相关不良事件的发生,并提高医疗护理安全。

Objective To explore the effect of predictive nursing on the occurrence of pain,agitation and agitation-related adverse events during recovery period from general anesthesia in the patients with thoracoscopic lobectomy.Methods A total of 90 patients with thoracoscopic pneumonectomy in this hospital from September 2020 to March 2021 were selected,randomly coded by the block randomization,and divided into the control group and observation group,45 cases in each group.The control group adopted the routine nursing,and the observation group received the predictive nursing.The differences in pain,agitation,incidence of agitation-related adverse events,and patient satisfaction during recovery period from general anesthesia were compared between the two groups.Results The pain score during the recovery period from general anesthesia in the observation group was lower than that in the control group(P<0.05),and the incidence rate and severity of agitation and the incidence rate of agitation-related adverse events during the recovery period were lower than those in the control group,and the differences were statistically significant(P<0.05).The body temperature of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The predictive nursing can improve the occurrence of pain,agitation and agitation-related adverse events during recovery period from general anesthesia in the patients with thoracoscopic lobectomy,and improve the safety of medical care.