手术室舒适护理结合麻醉苏醒护理对手术患者麻醉质量及睡眠的影响
The Impact of Comfortable Nursing Combined with Anesthesia Awakening Nursing on Patients'Anesthesia and Sleep Quality
陈玲凤 1詹艳1
作者信息
- 1. 厦门大学附属第一医院杏林分院麻醉手术室,厦门,361024
- 折叠
摘要
目的:观察手术患者接受手术室舒适护理结合麻醉苏醒护理对麻醉质量及睡眠的影响.方法:选取2022年10月至2023年10月厦门大学附属第一医院杏林分院收治的行手术治疗患者130例作为研究对象,按照随机数字表法分为对照组和观察组,每组65例.对照组实施常规围术期护理,观察组在此基础上实施手术室舒适护理结合麻醉苏醒护理.从麻醉质量、应激指标、舒适度、睡眠质量角度综合评价2组干预效果.结果:观察组较对照组,其睁眼时间、答问切题时间、吞咽反射恢复时间、导管撤出时间大幅减少,差异有统计学意义(P＜0.05);2组术后3 d肾上腺素(AD)、去甲肾上腺素(NE)、皮质醇(Cor)比较术前均升高,差异有统计学意义(P＜0.05),观察组上述指标低于对照组,差异有统计学意义(P＜0.05);2组干预后简化Kolcaba舒适度量表(GCQ)评分比较干预前升高,差异有统计学意义(P＜0.05),且观察组高于对照组,差异有统计学意义(P＜0.05);2组干预后匹兹堡睡眠质量指数(PSQI)评分比较干预前减少,差异有统计学意义(P＜0.05),且观察组低于对照组,差异有统计学意义(P＜0.05).结论:手术患者接受手术室舒适护理结合麻醉苏醒护理可提高麻醉质量,减轻应激反应,增加舒适度,有助于改善睡眠质量.
Abstract
Objective:To observe the effect of the combination of comfortable nursing and anesthesia awakening nursing on anes-thesia and sleep quality.Methods:One hundred and thirty patients receiving surgeries at the Xinglin Branch of the First Affiliated Hospital of Xiamen University from October 2022 to October 2023 were selected as study participants and divided into two groups using random number table method,with 65 cases in each group.The control group received routine perioperative nursing,while the observation group received comfortable nursing combined with anesthesia awakening nursing.Evaluate the intervention effects of two groups comprehensively based on anesthesia quality,stress indicators,degree of comfort,and sleep quality.Results:The ob-servation group showed a significant reduction in eye opening time,question answering time,swallowing reflex recovery time,and catheter withdrawal time compared to the control group.The differences between the two groups had statistical significance(P＜0.05).Three days after surgery,the levels of adrenaline(AD),norepinephrine(NE),and cortisol(Cor)in both groups increased compared to before surgery(P＜0.05);above indications in the observation group were still lower than those in the control group(P＜0.05).The Kolcaba Comfort Scale(GCQ)scores of the two intervention groups increased(P＜0.05);the observation group was higher than the control group(P＜0.05).The Pittsburgh Sleep Quality Index(PSQI)scores decreased after two intervention groups(P＜0.05);the observation group was lower than the control group(P＜0.05).Conclusion:Comfortable nursing combi-ning anesthesia awakening nursing can improve the quality of anesthesia,reduce stress reactions,increase degree of comfort,and help improve sleep quality.
关键词
手术患者/手术室舒适护理/麻醉苏醒护理/麻醉质量/应激反应/舒适度/睡眠质量/睡眠障碍Key words
Surgical patients/Comfortable nursing/Anesthesia awakening nursing/Anesthesia quality/Stress response/Com-fort level/Sleep quality/Sleep disorders引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据