体位管理联合亲情式语音唤醒服务对全麻手术患者术中压力性损伤和苏醒质量的影响

Impact of posture management combined with family friendly voice wake-up service on intraoperative stress injury and recovery quality in patients undergoing general anesthesia surgery

目的观察体位管理联合亲情式语音唤醒服务对全麻手术患者术中压力性损伤和苏醒质量的影响。方法选取2021年12月至2022年12月江苏省南通市第一人民医院进行全麻手术治疗的110例患者作为研究对象,按抛掷硬币法将其随机分为对照组(辅以常规护理与体位管理)和观察组(在对照组的基础上辅以亲情式语音唤醒服务),各55例。比较两组术中压力性损伤发生率、术后苏醒质量、疼痛度、舒适度。结果观察组术中压力性损伤发生率低于对照组(P<0.05);观察组全麻术后恢复室停留时间、自主呼吸恢复时间、呼之睁眼时间、撤管时间短于对照组(P<0.05);观察组麻醉苏醒期并发症总发生率低于对照组(P<0.05);观察组术后视觉模拟评分法评分低于对照组,舒适状况量表评分高于对照组(P<0.05)。结论对全麻手术患者加强体位管理与亲情式语音唤醒服务,能够显著降低术中压力性损伤风险,改善术后苏醒质量,愉悦患者身心,促进预后转归,临床应用前景广阔。

Objective To observe and explore the impact of posture management combined with family friendly voice wake-up service on intraoperative stress injury and recovery quality in patients undergoing general anesthesia surgery.Methods A total of 110 patients undergoing general anesthesia surgery in the Nantong First People’s Hospital,Jiangsu Province from December 2021 to December 2022 were selected as the study objects,they were randomly divided into control group(supplemented by routine nursing and position management)and observation group(on the basis of the control group,it was supplemented with kinship voice wake-up service),with 55 cases in each group.The incidence of intraoperative stress injury,postoperative recovery quality,pain degree,and comfort level were compared between the two groups.Results The incidence of intraoperative pressure injury in the observation group was lower than that in the control group(P<0.05);the recovery room stay time,spontaneous breathing recovery time,eye opening time after exhalation,and caeheter withdrawal time in observation group were shorter than those in control group(P<0.05);the complications during anesthesia recovery in the observation group was lower than that in the control group(P<0.05);the postoperative visual analogue scale score of the observation group was lower than that of the control group,while the comfort scale score was higher than that of the control group(P<0.05).Conclusion Strengthening posture management and family friendly voice wake-up service for patients undergoing general anesthesia surgery can significantly reduce the risk of intraoperative stress injury,improve postoperative recovery quality,improve patients’physical and mental comfort,promote prognosis,and have broad clinical application prospects.