摘要
目的探讨腹腔镜全麻苏醒期手术室护理干预对患者心理状况及躁动发生率的影响,为临床管理提供指导。方法方便选取2017年1月—2018年12月期间于该院接受腹腔镜全麻手术治疗的患者96例作为观察对象,按随机数表法原则分成对照组和研究组,各48例。对照组患者于围术期接受常规护理管理,研究组在对照组基础上开展优质的手术室护理干预。对比两组患者全麻苏醒期躁动发生率及苏醒期血压、心率、苏醒时间、手术前后心理健康水平变化。结果研究组患者全麻苏醒期躁动发生率(12.5%)低于对照组(31.3%),差异有统计学意义(χ2=4.937,P=0.026);研究组患者苏醒期舒张压、收缩压、心率及苏醒时间(85.8±9.4)mmHg、(135.3±10.6)mmHg、(76.1±9.0)次/min、(11.2±2.7)min,均低于对照组(94.5±10.3)mmHg、(148.7±10.2)mmHg、(82.9±9.8)次/min、(16.0±3.3)min,差异有统计学意义(t=4.323、6.311、3.541、7.800,P=0.000);研究组患者术前、术后12 h的SAS评分(66.9±6.8)分、(61.2±5.1)分,均低于对照组(86.4±5.6)分、(81.4±4.7)分,差异有统计学意义(t=15.336、20.179,P=0.000);两组患者术后12 h的SAS评分均低于术前,差异有统计学意义(P<0.05)。结论腹腔镜全麻苏醒期手术室护理干预能减少躁动发生,维持患者血压、心率稳定,缩短患者苏醒时间,改善其心理状况,值得临床推广。
Objective To investigate the influence of nursing intervention on the psychological status and the incidence of agitation in the operation room of laparoscopic general anesthesia,and provide guidance for clinical management.Methods Ninety-six patients who underwent laparoscopic general anesthesia in the hospital from January 2017 to December 2018 were enrolled in the study.They were convenienty selected and divided into control group and study group according to the principle of random number table,48 cases each.The control group received routine nursing management during the perioperative period,and the study group conducted high-quality operating room nursing intervention on the basis of the control group.The incidence of agitation during the general anesthesia period and the blood pressure,heart rate,recovery time and mental health level before and after surgery were compared between the two groups.Results The incidence of agitation in general anesthesia was lower in the study group(12.5%)than in the control group(31.3%),and the difference was statistically significant(χ2=4.937,P=0.026).The study group had diastolic blood pressure,systolic blood pressure,and heart rate during recovery.And recovery time(85.8±9.4)mmHg,(135.3±10.6)mmHg,(76.1±9.0)times/min,(11.2±2.7)min,were lower than the control group(94.5±10.3)mmHg,(148.7±10.2)mmHg,(82.9±9.8)times/min,(16.0±3.3)min,the difference was statistically significant(t=4.323,6.311,3.541,7.800,P=0.000);the study group patients before and 12 h after surgery The SAS scores(66.9±6.8)points and(61.2±5.1)points were lower than the control group(86.4±5.6)points and(81.4±4.7)points,the difference was statistically significant(t=15.336,20.179,P=0.000);The SAS scores of the two groups were lower than those before surgery,and the difference was statistically significant(P<0.05).Conclusion The nursing intervention of laparoscopic general anesthesia can reduce the occurrence of agitation,maintain the patient's blood pressure and heart rate,shorten the recovery time of patients and improve their psychological status.It is worthy of clinical promotion.
作者
刘乐春
LIU Le-chun(Operating Room of Jiangning Hospital of Nanjing,Nanjing,Jiangsu Province,211100,China)
出处
《中外医疗》
2019年第34期116-118,共3页
China & Foreign Medical Treatment
关键词
腹腔镜全麻苏醒期
手术室护理干预
心理状况
躁动
laparoscopic general anesthesia recovery
Operating room nursing intervention
Psychological status
Inciting
