麻醉复苏室中循证理论下的预见性护理对麻醉术后患者康复水平及苏醒期躁动的影响

The effect of predictive nursing under evidence based theory in anesthesia resuscitation room on the rehabilitation level and awakening period anxiety of patients undergoing anesthesia surgery

目的探究麻醉复苏室中循证理论下的预见性护理对麻醉术后患者康复水平及苏醒期躁动的影响.方法选取2023年1月-2023年9月在海南省人民医院进行手术的170例患者作为此次研究病例,采用随机数字表法将所有患者分为对照组和观察组,每组85例.对照组采用常规护理干预,观察组在循证理论基础上采用预见性护理干预.对比两组全麻术后患者的自主意识恢复时间、自主呼吸恢复时间并对患者的苏醒期躁动情况进行评价,对比两组患者在呼吸道梗阻、非计划性拔管、呕吐物误吸等方面的发生情况,采用该院自制的护理满意度调查表对此次护理进行评估.结果与对照组比较,观察组患者的自主意识恢复时间、自主呼吸恢复时间均降低,具有统计学差异(P<0.05).对照组患者苏醒躁动总发生率为24.71%,观察组为11.76%,组间差异具有统计学意义(P<0.05).对照组患者呼吸道梗阻、非计划性拔管、呕吐物误吸等不良反应的总发生率为15.29%,观察组为5.88%,对照组高于观察组(P<0.05).对照组患者满意度为85.53%,观察组满意度为96.47%,观察组护理满意度较高,两组有明显差异(P<0.05).结论采用循证理论下的预见性护理可提高麻醉复苏室中患者的康复水平,降低患者苏醒期躁动发生率.

Objective To explore the impact of predictive nursing under evidence-based theory in anesthesia and resuscitation rooms on the recovery level and recovery period restlessness of patients after anesthesia surgery.Method 170 patients who underwent surgery in our hospital from January 2023 to September 2023 were selected as the study cases.All patients were randomly divided into a control group and an observation group,with 85 cases per group.The control group received routine nursing intervention,while the observation group received predictive nursing intervention based on evidence-based theory.Compare the recovery time of self-consciousness and spontaneous respiration between two groups of patients after general anesthesia surgery,and evaluate the patient's restlessness during the recovery period.Compare the occurrence of respiratory obstruction,unplanned extubation,and vomit aspiration between the two groups of patients,and use this hospital's self-made nursing satisfaction questionnaire to evaluate this nursing care.Result Compared with the control group,the observation group had lower recovery time for autonomous consciousness and autonomous breathing,with statistical differences(P<0.05).The total incidence of restlessness in the control group was 24.71%,while in the observation group it was 11.76%,with a statistical difference(P<0.05).The total incidence of adverse reactions such as respiratory obstruction,unplanned extubation,and aspiration of vomitus in the control group was 15.29%,compared to 5.88%in the observation group,there was a significant difference between the two groups(P<0.05).The satisfaction rate of patients in the control group was 85.53%,while the satisfaction rate of the observation group was 96.47%,the nursing satisfaction rate of the observation group was higher,and there was a significant difference between the two groups(P<0.05).Conclusion The use of evidence-based predictive care after anesthesia surgery has a certain positive significance in improving patients'rehabilitation level and reducing their restlessness during recovery.