麻醉前后不同时机截石位摆放对全麻手术患者舒适度及摆放时间的影响

The effect of lithotomy positions placement at different times before and after anesthesia on the comfort and placement time of patients undergoing general anesthesia surgery

目的分析麻醉前后不同时机进行截石位摆放在全麻手术患者中的应用效果,分析其对患者术前焦虑、舒适度、压力性损伤情况及摆放时间的影响。方法选取2022年1月—2023年8月在平湖市第一人民医院手术室需在截石位下行全麻手术的210例患者作为研究对象,采用随机数字表法将其分为对照组(105例)和观察组(105例)。对照组患者在全身麻醉诱导插管后进行截石位摆放,观察组患者于麻醉前进行体位宣教及摆放,比较2组患者体位摆放时间及舒适度评分,对比2组患者术前焦虑情况及压力性损伤情况。结果观察组患者体位摆放时间为(6.46±1.75)min,短于对照组的(10.14±2.28)min,观察组舒适度得分为(70.24±6.33)分,高于对照组的(59.55±7.47)分,差异均有统计学意义(P<0.05)。干预后,观察组患者阿姆斯特丹术前焦虑与信息量表(APAIS)各维度得分均明显低于对照组(P<0.05)。观察组患者压力性损伤发生率为3.8%(4/105),低于对照组的11.4%(12/105),差异有统计学意义(P<0.05)。结论全麻手术患者于麻醉前进行截石位体位宣教及摆放能缩短体位摆放时间,减轻患者术前焦虑情况,提高患者舒适度,减少压力性损伤发生率。

Objective Analyze the application effect of lithotomy positions at different times before and after anesthesia in patients undergoing general anesthesia surgery,and analyze their impact on preoperative anxiety,comfort,pressure injury,and placement time.Methods A total of 210 patients who underwent general anesthesia surgery at the lithotomy position in the operating room of the Pinghu First People's Hospital from January 2022 to August 2023 were selected as the study subjects.They were equally divided into a control group and an observation group using a random number table method.The control group patients were placed in the lithotomy position after induction of general anesthesia and intubation,while the observation group patients received posture education and placement before anesthesia.The position placement time,comfort scores,preoperative anxiety,and stress injury of patients in the two groups were compared.Results The positioning time of the observation group patients was(6.46±1.75)min,which was shorter than the control group[(10.14±2.28)min].The comfort score of the observation group was 70.24±6.33,which was higher than the control group(59.55±7.47),with a statistically significant difference(P<0.05).After intervention,the Amsterdam preoperative anxiety information scale(APAIS)was significantly lower than that of the control group,with statistically significant differences(P<0.05).The incidence of pressure injury in the observation group was 3.8%(4/105),significantly lower than the 11.4%(12/105)in the control group(P<0.05).Conclusion Conducting lithotomy position education and placement before general anesthesia surgery can shorten the time for position placement,reduce preoperative anxiety,improve patient comfort,and reduce the incidence of stress injury.