前馈控制护理干预在机器人辅助胸腔镜肺癌根治术患者麻醉恢复管理中的应用

Application of feedforward control nursing intervention in anesthesia recovery management of patients undergoing robot-assisted thoracoscopic radical resection for lung cancer

目的探讨前馈控制护理干预在机器人辅助胸腔镜肺癌根治术患者麻醉恢复管理中的应用。方法选取2021年12月至2022年5月山东省聊城市人民医院实施机器人辅助胸腔镜肺癌根治术的64例患者为研究对象,随机将其分为对照组和试验组,每组各32例。对照组患者给予常规护理措施,试验组患者在对照组的基础上采用前馈控制下的护理干预。比较两组患者的护士相关理论知识合格率、围手术期并发症发生情况、护理满意度、护理质量评分、恢复室停留时间、术前及出恢复室时的焦虑自评量表(self-rating anxiety scale,SAS)及抑郁自评量表(self-rating depression scale,SDS)评分。结果试验组患者的护士相关理论知识合格率显著高于对照组(P<0.05);试验组患者的压力性损伤总发生率及液路问题、躁动、低体温发生率均显著低于对照组(P<0.05);试验组患者的护理效果、护理专业性、护理操作、护理态度评分均显著高于对照组,恢复室停留时间显著短于对照组(P<0.05)。出恢复室时,试验组患者的SAS、SDS评分均显著低于本组术前及对照组(P<0.05)。结论前馈控制护理干预应用于机器人辅助胸腔镜肺癌患者麻醉恢复期管理,可有效降低围手术期并发症发生率,缩短麻醉恢复时间,提高护理满意度和护理质量评分,改善患者的术后早期焦虑和抑郁状况,值得临床应用推广。

Objective To explore application of feedforward control nursing intervention in anesthesia recovery management of patients undergoing robot-assisted thoracoscopic radical resection for lung cancer.Methods Sixty-four patients underwent robot-assisted thoracoscopic radical resection for lung cancer at People’s Hospital of Liaocheng City in Shandong Province from December 2021 to May 2022 were selected as research objects.They were randomly divided into control group and experimental group,with 32 cases in each group.Control group received routine nursing measures,while experimental group received nursing intervention under guidance of feedforward control on basis of control group.Pass rate of nurses relevant theoretical knowledge,incidence of perioperative complications,nursing satisfaction,nursing quality score,recovery room stay time,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores before operation and when leaving recovery room were compared between two groups.Results Pass rate of nurses relevant theoretical knowledge in experimental group was significantly higher than that in control group(P<0.05).Total incidence rate of pressure injury,incidence rate of fluid circuit problems,agitation and hypothermia in experimental group were significantly lower than those in control group(P<0.05).Nursing effect,nursing professionalism,nursing operation and nursing attitude scores of experimental group were significantly higher than those of control group,and recovery room stay time of experimental group was significantly shorter than that of control group(P<0.05).When leaving recovery room,SAS and SDS scores of experimental group were significantly lower than those of preoperative in this group and control group(P<0.05).Conclusion Application of feedforward control nursing intervention in robot-assisted thoracoscopic lung cancer patient anesthesia recovery management can effectively reduce incidence of perioperative complications,shorten recovery time,improve nursing satisfaction and nursing quality scores,and improve patients’early postoperative anxiety and depression status,which is worthy of clinical application and promotion.