首页|目标导向护理联合保温护理对腹腔镜结直肠癌根治术全身麻醉患者的影响

目标导向护理联合保温护理对腹腔镜结直肠癌根治术全身麻醉患者的影响

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目的:探究目标导向护理联合保温护理对腹腔镜结直肠癌根治术全身麻醉患者的影响。方法:选取2022年2月—2023 年 1 月南平市第一医院收治的 148 例腹腔镜结直肠癌根治术全身麻醉患者作为研究对象。根据随机数表法将其分为常规组和观察组,各 74 例。常规组给予保温护理,观察组在常规组基础上给予目标导向护理。比较两组围手术期指标,苏醒指标,术前及术后 24 h认知功能,不良反应。结果:两组术中出血量、手术时间比较,差异无统计学意义(P>0。05)。观察组麻醉时间短于常规组,苏醒时间、拔管时间均早于常规组,差异有统计学意义(P<0。05)。术后 24 h,两组简易智力状态检查量表(MMSE)评分降低,观察组MMSE评分高于常规组,差异有统计学意义(P<0。05)。两组不良反应发生率比较,差异无统计学意义(P>0。05)。结论:目标导向护理联合保温护理应用于腹腔镜结直肠癌根治术全身麻醉患者,有助于提高患者的苏醒质量,降低患者术后认知功能障碍风险。
Effect of Goal-Oriented Nursing Combined with Thermal Insulation Nursing on General Anesthesia in Patients undergoing Laparoscopic Radical Resection of Colorectal Cancer
Objective:To explore the effect of goal-oriented nursing combined with thermal insulation nursing on general anesthesia in patients undergoing laparoscopic radical resection of colorectal cancer.Method:A total of 148 patients with general anesthesia for laparoscopic radical resection of colorectal cancer admitted to the Nanping First Hospital from February 2022 to January 2023 were selected as the study objects.According to random number table method,the patients were divided into conventional group and observation group,with 74 cases in each group.The conventional group was given thermal insulation nursing,and the observation group was given goal-oriented nursing on the basis of the conventional group.Perioperative indexes,recovery indexes,cognitive function before operation and 24 h after operation and adverse reactions were compared between the two groups.Result:There were no significant differences in the amount of blood loss and operation time between the two groups(P>0.05).The anesthesia time of the observation group was shorter than that of the conventional group,and the recovery time and extubation time were earlier than those of the conventional group,the differences were statistically significant(P<0.05).At 24 h after operation,mini-mental state examination(MMSE)scores of the two groups decreased,and MMSE score of the observation group was higher than that of the conventional group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The application of goal-oriented nursing combined with thermal insulation nursing in patients with general anesthesia during laparoscopic radical resection of colorectal cancer is helpful to improve the quality of recovery and reduce the risk of postoperative cognitive dysfunction.

General anesthesiaThermal insulation nursingGoal-oriented nursing

杨香洪、张艳、王勇堃

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南平市第一医院 福建 南平 353000

全身麻醉 保温护理 目标导向护理

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(3)
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