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精细化护理对手术患者麻醉苏醒期躁动及生命体征的影响

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目的 探讨精细化护理对手术患者麻醉苏醒期躁动及生命体征的影响.方法 方便选取2022年6月—2023年4月厦门大学附属第一医院行全麻手术的患者118例为研究对象,采用随机数表法分为常规组与研究组,每组59例.常规组给予常规护理,研究组在常规组基础上给予精细化护理.对比两组患者的拔管时间、清醒时间、全麻苏醒持续时间、苏醒期躁动情况、苏醒期生命体征、术前及苏醒期的意识状态评分、舒适度评分及血氧饱和度,并统计并发症发生情况.结果 研究组拔管时间、清醒时间、全麻苏醒持续时间均短于常规组,苏醒躁动评分低于常规组,差异有统计学意义(P均<0.05).研究组苏醒期收缩压(Systolic Pressure,SBP)、舒张压(Diastolic Pressure,DBP)及心率(Heart Rate,HR)指标均低于常规组,差异有统计学意义(P均<0.05).研究组苏醒期的意识状态评分、舒适度评分、血氧饱和度均高于常规组,差异有统计学意义(P均<0.05).研究组不良反应总发生率为5.08%,低于常规组的16.95%,差异有统计学意义(χ2=4.236,P<0.05).结论 对手术麻醉苏醒期的患者给予精细化护理可有效稳定生命体征,缩短拔管时间、清醒时间和全麻苏醒持续时间,减少躁动发生,促进意识状态的恢复,提高舒适度及血氧饱和度.
Effect of Fine Nursing on Agitation and Vital Signs of Patients during An-esthesia Recovery
Objective To explore the effect of fine nursing on agitation and vital signs of patients after anesthesia.Methods A total of 118 patients undergoing general anesthesia surgery in the First Affiliated Hospital of Xiamen Uni-versity from June 2022 to April 2023 were conveniently selected as the study subjects.They were divided into routine group and the study group by random number table method,with 59 cases in each group.The routine group was given routine nursing,and the study group was given refined nursing on the basis of the routine group.The extubation time,waking time,recovery duration of general anesthesia,restlessness during recovery,vital signs during recovery,con-scious state score before and after recovery,comfort score and blood oxygen saturation of the two groups were com-pared,and the occurrence of complications was counted.Results The extubation time,awake time and recovery time of general anesthesia in the study group were shorter than those in the routine group,and the recovery agitation score was lower than that in the routine group,the differences were statistically significant(all P<0.05).The indexes of sys-tolic pressure(SBP),diastolic pressure(DBP)and heart rate(HR)in the study group were lower than those in the rou-tine group,and the differences were statistically significant(all P<0.05).The conscious state score,comfort score and blood oxygen saturation of the study group during the recovery period were higher than those of the routine group,and the differences were statistically significant(all P<0.05).The total incidence of adverse reactions in the study group was 5.08%,which was lower than 16.95%in the routine group,and the difference was statistically significant(χ2= 4.236,P<0.05).Conclusion Fine nursing for patients in the recovery period of anesthesia can effectively stabilize vital signs,shorten extubation time,wake time and duration of general anesthesia recovery,reduce agitation,promote the re-covery of consciousness,improve comfort level and blood oxygen saturation.

Fine nursingAnesthesia recovery periodRestlessnessVital signsStates of consciousnessComfort level

邱蓓瑄、林阿梅、周海媚

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厦门大学附属第一医院麻醉手术科,福建厦门 361000

精细化护理 麻醉苏醒期 躁动 生命体征 意识状态 舒适度

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(1)
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