首页|麻醉护理一体化管理对全麻老年患者苏醒时间及躁动风险的影响

麻醉护理一体化管理对全麻老年患者苏醒时间及躁动风险的影响

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目的 观察麻醉护理一体化管理对全麻老年患者苏醒时间及躁动风险的影响.方法 选取2020年1月-2022年1月在我院行全麻手术的76例老年患者为研究对象,采用随机数字表法分为对照组和观察组,各38例.对照组采用常规护理,观察组在对照组基础上实施麻醉护理一体化管理,比较两组苏醒时间、意识恢复时间、拔管时间、生命体征变化情况(血压、心率)、躁动发生率、不良反应发生率以及护理满意度.结果 观察组苏醒时间、意识恢复时间、拔管时间均短于对照组(P<0.05);两组苏醒期心率、收缩压、舒张压均高于术前,但观察组低于对照组(P<0.05);观察组躁动发生率为7.89%,低于对照组的23.68%(P<0.05);观察组不良反应发生率为5.26%,低于对照组的15.79%(P<0.05);观察组护理满意度为97.37%,高于对照组的78.95%(P<0.05).结论 全麻老年患者实施麻醉护理一体化管理可缩短苏醒时间,促进患者意识恢复和拔管,对心率、收缩压、舒张压影响较小,降低躁动发生率,预防不良反应发生,提高护理满意度,可有效确保全麻老年患者麻醉安全,值得临床应用.
Effect of Integrated Management of Anesthesia and Nursing on Recovery Time and Agitation Risk in Elderly Patients with General Anesthesia
Objective To observe the effect of integrated management of anesthesia and nursing on recovery time and agitation risk in elderly patients with general anesthesia.Methods A total of 76 elderly patients who underwent general anesthesia in our hospital from January 2020 to January 2022 were selected as the research objects.They were divided into control group and observation group by random number table method,with 38 patients in each group.The control group was given routine nursing,and the observation group was given integrated management of anesthesia and nursing on the basis of the control group.The recovery time,consciousness recovery time,extubation time,changes of vital signs(blood pressure,heart rate),incidence of agitation,incidence of adverse reactions and nursing satisfaction were compared between the two groups.Results The recovery time,consciousness recovery time and extubation time of the observation group were shorter than those of the control group(P<0.05).The heart rate,systolic blood pressure and diastolic blood pressure during the recovery period of the two groups were higher than those before the operation,but those in the observation group were lower than those in the control group(P<0.05).The incidence of agitation in the observation group was 7.89%,which was lower than 23.68%in the control group(P<0.05).The incidence of adverse reactions in the observation group was 5.26%,which was lower than 15.79%in the control group(P<0.05).The nursing satisfaction of the observation group was 97.37%,which was higher than 84.21%of the control group(P<0.05).Conclusion The integrated management of anesthesia and nursing in elderly patients with general anesthesia can shorten the recovery time,promote the recovery of patients'consciousness and extubation,have little effect on heart rate,systolic blood pressure and diastolic blood pressure,reduce the incidence of agitation,prevent adverse reactions,and improve nursing satisfaction.Meanwhile,it can effectively ensure the safety of anesthesia in elderly patients with general anesthesia and is worthy of clinical application.

Integrated management of anesthesia and nursingGeneral anesthesiaElderly patientsRecovery timeRisk of agitation

张熙

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佳木斯市中心医院麻醉科,黑龙江 佳木斯 154003

麻醉护理一体化 全麻 老年患者 苏醒时间 躁动风险

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(2)
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