NBASS-APS护理干预在全麻恢复期患者中的应用

Application of NBASS-APS Nursing Intervention Mode in Convalescent Patients with General Anesthesia

目的研究以护士为基础、以麻醉医师和专科为指导的急性疼痛服务(NBASS-APS)模式护理干预对全麻恢复期患者的影响。方法选取郑州大学第一附属医院2020年11月至2022年11月麻醉复苏室(PACU)118例全麻恢复期患者作为研究对象,采用随机信封法分为对照组(59例)、观察组(59例),对照组接受常规护理模式,观察组在此基础上接受NBASS-APS模式护理干预。比较两组术后恢复指标、并发症(寒战、躁动)发生率、疼痛护理满意度及不同时间点视觉模拟评分(VAS)、负性情绪[Beck抑郁量表21项(BDI-21)、Beck焦虑量表(BAI)]。结果观察组拔管时间、苏醒时间、出PACU时间、肠道功能恢复时间较对照组短(P<0.05);观察组寒战、躁动发生率(1.69%、5.08%)均低于对照组(15.25%、20.34%)(P<0.05);苏醒60 min后观察组VAS评分较对照组降低(P<0.05);苏醒60 min后观察组BDI-21、BAI评分较对照组降低(P<0.05);观察组疼痛护理满意度(96.61%)较对照组(79.66%)高(P<0.05)。结论NBASS-APS模式的护理干预能预防寒战、躁动发生,有利于减轻全麻恢复期患者疼痛,改善患者负性情绪,促进患者康复,提升患者疼痛护理满意度。

Objective To study the effect of nurse-based anesthesiologist-supervised acute pain service(NBASS-APS)mode in convalescent patients with general anesthesia.Methods A total of 118 convalescent patients with general anesthesia in the anesthesia and resuscitation room(PACU)of the First Affiliated Hospital of Zhengzhou University from November 2020 to November 2022 were selected as the research objects,and were divided into control group(59 cases)and observation group(59 cases)by random envelope method.The control group was treated with routine nursing mode,and the observation group was treated with NBASS-APS nursing intervention on the basis.Postoperative recovery indicators,incidence of complications(chills,agitation),pain nursing satisfaction,visual analogue scale(VAS)at different time points,negative emotions[Beck depression scale 21 items(BDI-21),Beck anxiety scale(BAI)]were compared between the two groups.Results The extubation time,recovery time,PACU time and intestinal function recovery time in the observation group were shorter than those in the control group(P<0.05).The incidence of chills and agitation in the observation group(1.69%and 5.08%)were lower than those in the control group(15.25%and 20.34%)(P<0.05).The VAS score of the observation group was lower than that of the control group 60 minutes after awakening(P<0.05).The scores of BDI-21 and BAI in the observation group were lower than those in the control group 60 minutes after awakening(P<0.05).The satisfaction of pain nursing in the observation group(96.61%)was higher than that(79.66%)in the control group(P<0.05).Conclusion Nursing intervention of NBASS-APS mode can prevent the occurrence of chills and agitation,which is conducive to reducing the pain of convalescence patients of general anesthesia,and then improve the negative emotions of patients,promote the rehabilitation of patients,and also help to improve the satisfaction of patients with pain nursing.