摘要
目的分析前馈控制护理干预对全麻手术患者苏醒期躁动及苏醒质量的影响。方法采取便利抽样法选取全麻手术患者118例,随机分为对照组和观察组,每组59例。对照组采取常规麻醉苏醒期护理干预,观察组采取前馈控制护理干预。比较2组患者苏醒期躁动发生情况、苏醒质量、疼痛情况及护理质量。结果观察组苏醒期躁动发生率为42.37%,低于对照组的69.49%,且观察组Richmond镇静躁动评估量表(RASS)评分、躁动持续时间及躁动次数分别低于、短于及少于对照组,差异有统计学意义(P<0.05):观察组自主呼吸恢复时间、睁眼时间、拔管时间、清醒时间及复苏室停留时间均短于对照组,且观察组Steward苏醒评分高于对照组,差异有统计学意义(P<0.05):观察组术后疼痛评分低于对照组,护理质量得分高于对照组,差异有统计学意义(P<0.05)。结论前馈控制护理干预能减少全麻手术患者苏醒期躁动发生,提高苏醒质量,减轻患者术后疼痛,提高护理质量。
Objective To analyze the impact of feedforward control nursing intervention on emergence agitation and recovery quality in general anesthesia surgery patients.Methods A total of 118 patients undergoing general anesthesia surgery were selected by convenient sampling,and randomly divided into control group and observation group,with 59 patients in each group.The control group received routine nursing intervention during emergence anesthesia,while the observation group received feedforward control nursing intervention.The incidence of emergence agitation,recovery quality,pain condition,and nursing quality were compared between the two groups.Results The incidence of emergence agitation during emergence in the observation group was significantly lower than that in the control group(42.37%versus 69.49%,P<0.05).The Richmond Agitation-Sedation Scale(RASS)scores,duration and frequency of agitation were lower or shorter in the observation group than those in the control group(P<0.05).The observation group exhibited shorter time for spontaneous respiration recovery,eye opening,extubation,full consciousness,and stay in the postanesthesia care unit compared to the control group(P<0.05).The Steward emergence score was higher in the observation group(P<0.05).The postoperative pain score was lower,while nursing quality score was higher in the observation group than those in the control group(P<0.05).Conclusion Feedforward control nursing intervention can reduce the incidence of emergence agitation in general anesthesia surgery patients,improve recovery quality,alleviate postoperative pain,and enhance nursing quality.
作者
陈颖
闫志刚
王庆普
张昊
李月茹
李宁
曹红京
李思
CHEN Ying;YAN Zhigang;WANG Qingpu;ZHANG Hao;LI Yueru;LI Ning;CAO Hongjing;LI Si(Operating Room,Beijing Longfu Hospital,Beijing,100010;the First Orthopedic Department,Beijing Longfu Hospital,Beijing,100010;Department of Musculoskeletal Trauma,the Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing,100029;Department of Anesthesiology and Pain,Beijing Longfu Hospital,Beijing,100010;Nursing Department,Beijing Longfu Hospital,Beijing,100010)
出处
《实用临床医药杂志》
CAS
2024年第19期140-144,共5页
Journal of Clinical Medicine in Practice
基金
国家自然科学基金资助项目(81874475)。
关键词
麻醉苏醒期
前馈控制
全麻手术
躁动
苏醒质量
疼痛
护理质量
anesthesia emergence period
feedforward control
general anesthesia surgery
agitation
recovery quality
pain
nursing quality
