Analysis of risk factors for wake-up agitation during anesthesia and comprehensive nursing intervention
苏醒期躁动危险因素及综合护理干预分析

摘要

目的 分析麻醉苏醒期躁动的危险因素及综合护理干预效果。方法 选取2025年1月-2025年12月我院收治并接受全身麻醉手术的100例患者为研究对象，按护理方案分为对照组与观察组，每组50例。对照组实施常规麻醉复苏护理，观察组实施基于危险因素评估的综合护理干预；同时根据是否发生苏醒期躁动分为躁动组与非躁动组，分析危险因素。比较两组躁动发生率、复苏质量、管路相关事件和护理满意度。结果 100例患者苏醒期躁动发生率为22.00%。年龄≥60岁、术后疼痛评分≥4分、留置管路刺激、苏醒期低氧血症和术前焦虑是苏醒期躁动的独立危险因素（P<0.05）。观察组躁动发生率、拔管/管路牵拉事件和PACU停留时间均低于对照组，满意度高于对照组（P<0.05）。结论 麻醉苏醒期躁动与年龄、疼痛、管路刺激、低氧和焦虑等因素有关，基于危险因素的综合护理可降低躁动风险并改善复苏安全。

Abstract

Objective To analyze the risk factors for wake-up agitation during anesthesia and the effect of comprehensive nursing intervention.
Methods A total of 100 patients who underwent general anesthesia surgery and were admitted to our hospital from January 2025 to December 2025 were selected as the research subjects. They were divided into the control group and the observation group according to the nursing plan, with 50 cases in each group. The control group received routine anesthesia recovery nursing, while the observation group received comprehensive nursing intervention based on risk factor assessment; at the same time, the patients were divided into the agitation group and the non-agitation group according to whether wake-up agitation occurred, and the risk factors were analyzed. The incidence of wake-up agitation, recovery quality, pipeline-related events and nursing satisfaction were compared between the two groups.
Results The incidence of wake-up agitation in 100 patients was 22.00%. Age≥60 years old, postoperative pain score≥4 points, catheter-related irritation, wake-up hypoxemia and preoperative anxiety were independent risk factors for wake-up agitation (P<0.05). The incidence of agitation, catheter dislodgement events and PACU stay time in the observation group were lower than those in the control group, and the satisfaction rate was higher than that in the control group (P<0.05).
Conclusion   Wake-up agitation during anesthesia is related to age, pain, catheter-related irritation, hypoxia and anxiety, and comprehensive nursing based on risk factors can reduce the risk of agitation and improve recovery safety.