首页|循证护理联合预警性护理在肺癌根治术患者术后麻醉恢复中的应用

循证护理联合预警性护理在肺癌根治术患者术后麻醉恢复中的应用

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目的 探讨肺癌根治术患者术后麻醉恢复中采用循证护理联合预警性护理的效果。方法 选取 2020 年 4 月至2022 年 9 月在信阳市中心医院行肺癌根治术的患者共计 102 例,根据随机数字表法分成干预组和对照组各 51 例,干预组给予循证护理联合预警性护理,对照组给予常规麻醉复苏护理,比较两组麻醉恢复情况、镇静镇痛效果、麻醉恢复室并发症发生情况和麻醉苏醒期不良事件发生情况。结果 干预组意识恢复时间、自主呼吸时间、气管拔管时间较对照组更短,差异具有统计学意义(P<0。05);与干预前相比,两组患者干预 12 h后Ramsay镇静评分提高,视觉模拟评分法(VAS)评分降低,差异具有统计学意义(P<0。05);干预 12 h后,干预组Ramsay镇静评分较对照组更高,干预组VAS评分低于对照组,差异具有统计学意义(P<0。05);干预组麻醉恢复室并发症发生率(5。88%)较对照组(29。41%)更低,差异具有统计学意义(P<0。05);干预组麻醉苏醒期不良事件发生率(3。92%)较对照组(23。53%)更低,差异具有统计学意义(P<0。05)。结论 肺癌根治术患者给予循证护理联合预警性护理能够改善麻醉恢复情况,缓解术后疼痛,提高镇静效果,减少麻醉恢复室并发症、苏醒期不良事件,可在临床使用。
Application of Evidence-based Nursing Combined with Early Warning Nursing in Postoperative Anesthesia Recovery of Patients with Lung Cncer Undergoing Radical Surgery
Objective To explore the effect of evidence-based nursing combined with early warning nursing in postoperative anesthesia recovery of patients with lung cancer undergoing radical surgery.Methods A total of 102 patients with lung cancer undergoing radical surgery in Xinyang Central Hospital from April 2020 to September 2022 were selected,and divided into the intervention group and the control group by the random number table method,with 51 patients in each group.The intervention group received evidence-based nursing combined with early warning nursing,while the control group received routine anesthesia and resuscitation nursing.The anesthesia recovery,sedative and analgesic effects,complications in the anesthesia recovery room,and adverse events during anesthesia recovery were compared between the two groups.Results In comparision of the control group,the time of consciousness recovery,spontaneous respiration and tracheal extubation in the intervention group was shorter,the difference were statistically significant(P<0.05).After 12 hours of intervention,the Ramsay sedation score in both groups were increased,and the visual analogue scale(VAS)scores were decreased,the difference was statistically significant(P<0.05).In comparision of the control group,the Ramsay sedation score of the intervention group was higher,and the VAS score was lower,the difference was statistically significant(P<0.05).In comparision of the control group(29.41%),the incidence of complications in the anesthesia recovery room in the intervention group(5.88%)was lower,the difference was statistically significant(P<0.05).In comparision of the control group(23.53%),the incidence of adverse events during anesthesia recovery in the intervention group(3.92%)was lower,the difference was statistically significant(P<0.05).Conclusion Evidence-based nursing combined with early warning nursing for patients with lung cancer undergoing radical surgery can improve the recovery of anesthesia,relieve the degree of pain,improve the sedative effect,reduce the complications in the anesthesia recovery room and adverse events in the recovery period.It can be used clinically.

evidence-based nursingearly warning nursingradical resection of lung canceranesthesia recovery

田方、张秀萍

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信阳市中心医院 麻醉科,河南 信阳 464000

循证护理 预警性护理 肺癌根治术 麻醉恢复

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(3)
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