风险分层护理模式对全麻插管患者术后咽喉痛和吞咽功能的干预效果

Intervention Effect of Risk Stratification Nursing Mode on Postoperative Sore Throat and Swallowing Function in Patients with General Anesthesia Intubation

目的:探究风险分层护理在丙泊酚全麻插管患者术后咽喉痛中的作用。方法:选择2022年1月—2023年12月我院接受治疗的74例丙泊酚全麻插管患者作为研究对象,采用抽签法随机分为参照组(37例)、研究组(37例)。参照组应用常规护理,研究组应用风险分层护理。比较两组术后咽喉痛发生率、经口进食时间、首次进食量、吞咽功能、睡眠质量。结果:研究组拔管后即刻、拔管后24h的术后咽喉痛发生率均低于参照组(P<0.05);研究组经口进食时间短于参照组,术后首次进食量高于参照组(P<0.05);研究组拔管后即刻、拔管后24h、出院前1天Burke量表评分低于参照组(P<0.05);研究组术后1天、出院前1天SPQI量表评分低于参照组(P<0.05)。结论:风险分层护理可有效降低丙泊酚全麻插管患者术后咽喉痛发生率,缩短经口进食时间,增加术后首次进食量,并改善吞咽功能与睡眠质量,护理效果显著。

Objective:To explore the effect of risk stratification nursing on postoperative sore throat in patients with propofol general anesthesia intubation.Methods:A total of 74 patients with propofol general anesthesia intubation who were treated in our hospital from January 2022 to December 2023 were selected as the research objects.They were randomly divided into reference group(37 patients)and study group(37 patients)by drawing lots.The reference group was given routine nursing,and the study group was given risk stratification nursing.The incidence of postoperative sore throat,oral feeding time,first food intake,swallowing function and sleep quality were compared between the two groups.Results:The incidence of postoperative sore throat in the study group was lower than that in the control group immediately after extubation and 24 h after extubation(P<0.05);the oral feeding time in the study group was shorter than that in the control group,and the amount of food consumed for the first time after surgery was higher than that in the control group(P<0.05);the Burke scale score immediately after extubation,24 hours after extubation and 1 day before discharge in the study group was lower than that of the control group(P<0.05);the SPQI scale score in the study group was lower than that of the control group 1 day after surgery and 1 day before discharge(P<0.05).Conclusion:Risk stratified nursing can effectively reduce the incidence of postoperative sore throat in patients with propofol general anesthesia intubation,shorten the time of oral feeding,increase the amount of first postoperative eating,and improve swallowing function and sleep quality,and the nursing effect is significant.