Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2022; 1: (1) ; 10.12208/j. jacn.20220030 .
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赣南医学院第一附属医学麻醉手术中心 江西赣州
*通讯作者: 徐龙霞,单位:赣南医学院第一附属医学麻醉手术中心 江西赣州;
目的 观察和分析苏醒期心理护理对腹腔镜全麻术后患者的复苏效果。方法 随机入选我院2020年6月-2021年6月期间接受全麻下腹腔镜手术的患者200例为研究对象,采用随机数字表法对患者平均分组,每组100例,患者术后于麻醉复苏室行麻醉复苏护理,常规护理组患者按麻醉复苏室常规护理。心理护理组患者按麻醉复苏室常规护理外,苏醒期给以心理护理干预,护理完成后,对比两组患者临床护理效果。结果 心理护理组患者护理期间的并发症总发生率25例(25%)显著低于常规护理组患者39例(39%),差异有统计学差异,P<0.05;心理护理组平均苏醒时间(38.7±6.2min)短于常规护理组平均苏醒时间(45.1±5.7min),差异有统计学意义(P<0.05)。结论 心理护理是提升全麻术后患者麻醉复苏室护理安全性的重要途径,可以提高腹腔镜全麻术后患者的复苏效果。
Objective To observe and analyze the resuscitation effect of psychological nursing in the recovery period on patients after laparoscopic general anesthesia. Methods 200 patients who underwent laparoscopic surgery under general anesthesia in our hospital from June 2020 to June 2021 were randomly selected as the research objects. The patients were divided into 100 patients in each group by random number table. The patients were given anesthesia resuscitation nursing in the anesthesia resuscitation room after operation, and the patients in the routine nursing group were given routine nursing in the anesthesia resuscitation room. In addition to the routine nursing in the anesthesia and resuscitation room, the patients in the psychological nursing group were given psychological nursing intervention during the recovery period. After the nursing was completed, the clinical nursing effects of the two groups were compared. Results The total incidence of complications in 25 patients (25%) in the psychological nursing group was significantly lower than that in 39 patients (39%) in the routine nursing group (P<0.05); The average recovery time of psychological nursing group (38.7±6.2 min) was shorter than that of routine nursing group (45.1±5.7min), the difference was statistically significant (P<0.05). Conclusion Psychological nursing is an important way to improve the nursing safety of anesthesia resuscitation room after general anesthesia, and can improve the resuscitation effect of patients after laparoscopic general anesthesia.
[1]吴莹莹.腹部手术全麻患者苏醒期躁动的护理预防措施及效果探析[J].实用临床医药杂志,2017,58(20):194-195.
[2]郭瑞娟,陈志惠,刘洁,等.手术室麻醉苏醒期护理对腹部手术患者全身麻醉苏醒期躁动及血压、心率的影响[J].检验医学与临床,2018,15(3):399 -401.
[3]陈振兴.手术室护理干预对全麻苏醒期患者心理状况及躁动研究[J].临床医药文献电子杂志,2017,4(36):7026-7026.
[4]Ariyaratnam P, Ananthasayanam A, Moore J, et al. Prediction of Post operative Outcomes and Long-Term Survival in Cardiac Surgical Patients Using the Intensive Care National Audit & Research Centre Score[J]. J Cardiothorac VascAnesth, 2019, 33(11): 3022-3027.
[5]Schimberg AS, Wellenstein DJ, van den Broek EM ,et al. Office-based vs. operating room-performed laryngoph aryngeal surgery: a review of cost differences[J]. Eur Arch Otorhinolaryngol, 2019, 276 (11): 2963-2973.
[6]曹芳.综合护理干预在手术室麻醉苏醒护理中的应用价值体会[J].中外性健康研究,2019(1):150-151.
[7]Salgado CJ, Gonzalez DI, Wolfe EM, et al. Combined General and Epidural Anesthesia is Associated With Decreased Opioid Consumption and Enhanced Pain Control After Penile Inversion Vaginoplasty in Transwomen [J].Ann Plast Surg, 2019, 83(6): 681-686.
[8]刘雄英,麦少兴,邓亮亮.手术室麻醉苏醒护理在减少腹部手术患者全麻苏醒期躁动中的实际应用分析[J].实用临床护理学电子杂志,2017,2(31):51-52.
[9]李媛媛,冯平霞,朱芬英.手术室护理干预对全麻留置导尿管患者苏醒期躁动的影响[J].临床护理杂志,2019,18(2):67-69.
[10]卓锡芬.腹腔镜手术麻醉苏醒期患者躁动原因分析及护理干预[J].中国地方病防治杂志,2017,58(3):102.