首页|问题导向性护理在腹腔镜全身麻醉患儿麻醉苏醒期的应用效果分析

问题导向性护理在腹腔镜全身麻醉患儿麻醉苏醒期的应用效果分析

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目的 探究腹腔镜全身麻醉患儿接受问题导向性护理对其麻醉苏醒期的干预价值。方法 将郑州大学附属儿童医院 2022 年 1 月至 2023 年 12 月收治的 92 例行腹腔镜手术的患儿作为本次研究对象,根据随机数字表法将其分为两组,各 46 例,对照组接受常规护理,实验组在对照组基础上加用问题导向性护理,对比两组患儿苏醒质量、躁动情况、麻醉苏醒情况与并发症发生情况。结果 实验组Steward苏醒评分各维度分数均高于对照组,差异具有统计学意义(P<0。05)。实验组Ramsay评分高于对照组,差异具有统计学意义(P<0。05)。实验组睁眼时间、自主呼吸恢复时间与拔管时间均短于对照组,差异具有统计学意义(P<0。05)。实验组并发症发生率(4。35%)低于对照组(17。39%),差异具有统计学意义(P<0。05)。结论 在腹腔镜全身麻醉患儿中引入问题导向性护理可提高患儿苏醒质量,缓解躁动情况,提升麻醉苏醒效果与降低并发症发生率,值得临床使用。
Analysis of the Application Effect of Problem-Oriented Nursing in the Anesthesia Recovery Period of Children Undergoing Laparoscopic General Anesthesia
Objective To explore the intervention value of problem-oriented nursing in the anesthesia recovery period of children undergoing laparoscopic general anesthesia.Methods 92 children who underwent laparoscopic surgery in Children's Hospital Affiliated of Zhengzhou University from January 2022 to December 2023 were selected as the research subjects.According to the random number table method,they were divided into two groups,each with 46 cases.The control group received routine nursing,and the experimental group received problem-oriented nursing on the basis of the control group.The recovery quality,agitation,anesthesia recovery,and complications of the two groups of children were compared.Results The scores of each dimension of the Steward recovery score in the experimental group were higher than those in the control group,and the difference was statistically significant(P<0.05).The Ramsay score of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).The time of eye opening,recovery of spontaneous breathing,and extubation in the experimental group were all shorter than those in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the experimental group(4.35%)was lower than that in the control group(17.39%),and the difference was statistically significant(P<0.05).Conclusion The introduction of problem-oriented nursing in children undergoing laparoscopic general anesthesia can improve the quality of recovery,alleviate agitation,enhance the effect of anesthesia recovery,and reduce the incidence of complications,which is worth clinical application.

problem-oriented nursinglaparoscopygeneral anesthesiarecovery period

赵冉、焦会芳、赵宝丽

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郑州大学附属儿童医院,河南省儿童医院,郑州儿童医院 外科监护室,河南 郑州 450000

问题导向性护理 腹腔镜 全身麻醉 苏醒期

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(8)