基于循证理论的预见性护理对气管插管全麻患者的影响

Influence of Predictive Nursing Based on Evidence-based Theory on Patients with Tracheal Intubation under General Anesthesia

目的:探讨基于循证理论的预见性护理对气管插管全麻患者的影响。方法:选取2021年1月—2021年10月河南医学高等专科学校附属医院收治的100例行气管插管全麻外科手术患者作为研究对象,按照随机数表法分为研究组与对照组,每组各50例。对照组患者予以常规护理模式干预,研究组患者予以基于循证理论的预见性护理干预。比较两组患者的血流动力学指标、麻醉苏醒质量及并发症发生情况。结果:两组患者静息期的心率(HR)、舒张压(DBP)、收缩压(SBP)比较,差异无统计学意义(t=-0.134、-0.093、-0.233,P>0.05);两组患者苏醒期的HR、DBP、SBP均较静息期明显升高,差异有统计学意义(t=8.206、6.688、-13.571、3.690、3.673、-8.023,P<0.05);研究组患者苏醒期的HR、DBP、SBP显著低于对照组同期,差异有统计学意义(t=-5.644、-3.571、5.074,P<0.05)。研究组患者的自主呼吸恢复时间、拔管时间、苏醒时间均显著短于对照组,差异有统计学意义(t=-6.010、-3.953、-4.145,P<0.05)。Steward评分、警觉与镇静评分法(Observer Assessment of Sedation,OAAS)评分高于对照组,差异有统计学意义(t=9.246、4.421,P<0.05)。研究组患者的并发症发生率显著低于对照组,差异有统计学意义(χ^(2)=5.107,P<0.05)。结论:基于循证理论的预见性护理可有效维持气管插管全麻患者苏醒期的血流动力学稳定,提高其麻醉苏醒质量,有利于预防并减少并发症发生。

Objective:To explore the influence of predictive nursing based on evidence-based theory on patients with tracheal intubation under general anesthesia.Methods:100 cases of tracheal intubation general anesthesia surgery admitted to the hospital from January 2021 to October 2021 were selected as the study subjects and divided into study and control groups according to the random number table method,with 50 cases in each group.The control group was given a conventional nursing model intervention,and the study group was given an anticipatory nursing intervention based on evidence-based theory.Hemodynamic indices,quality of anesthesia awakening and complications were compared in both groups.Results:There was no statistically significant difference in heart rate(HR),diastolic blood pressure(DBP),and systolic blood pressure(SBP)between the two groups at rest(t=-0.134,-0.093,-0.233,P>0.05).HR,DBP,and SBP were significantly higher in both groups during the awakening period compared with the resting period,with statistically significant differences(t=8.206,6.688,-13.571,3.690,3.673,-8.023,P<0.05).HR,DBP,and SBP in the study group during the awakening period were significantly lower than those in the control group during the same period,with statistically significant differences(t=-5.644,-3.571,5.074,P<0.05).The time to recovery of sponta⁃neous breathing,time to extubation,and time to awakening were significantly shorter in the study group than in the control group,with statistically significant differences(t=-6.010,-3.953,-4.145,P<0.05).The Steward score and the Observer Assessment of Sedation(OAAS)score were significantly higher than those of the control group,with statistically significant differences(t=9.246,4.421,P<0.05).The incidence of complications was significantly lower in the study group than in the control group,with a statisti⁃cally significant difference(χ^(2)=5.107,P<0.05).Conclusion:Anticipatory care based on evidence-based theory can effectively maintain the hemodynamic stability of tracheally intubated patients under general anesthesia during the awakening period,improve the quality of their anesthesia awakening,and help prevent and reduce the occurrence of complications,.