摘要
目的探讨麻醉后恢复室(post-anesthesia care unit,PACU)全身麻醉术后患者应激反应的真实体验。方法采用目的抽样法,选取2015年1-3月广州军区武汉总医院收治的择期全身麻醉术后入PACU有应激反应的10例患者为研究对象,运用质性研究方法对其进行半结构式访谈,借助NVivo 8.0统计软件,根据Colaizzi的7步分析法对资料进行分析,提炼主题。结果 PACU全身麻醉术后患者应激反应的真实体验可归纳为6个主题:(1)身体感受到全身麻醉术后的各种应激源;(2)无法口述症状的恐惧感;(3)重复求证的困惑感;(4)感慨无记忆性的手术过程;(5)渴望获得舒适;(6)逐步适应角色改变。结论医护人员应评估全身麻醉术后患者的应激风险,针对患者的具体情况和需求,制定并实施个性化的麻醉复苏护理方案,促进患者术后康复。
Objective To discuss the patients＇ real experience of stress reaction while staying in Post Anesthesia Care Unit（PACU）after general anesthesia.Methods The semi-structured in-depth interview were used in 10 patients and the data were analyzed according to Colaizzi 7steps method by using NVivo 8.0.Results The real experience were summarized：1）feeling the body stressors;（2）the fear beyond description;（3）the sense of puzzlement by repeated verification;（4）no memory of the surgical procedure;（5）eager for comfortable feeling;（6）gradual role adaptation.Conclusion The mixed,strong psychological reaction appeared on patients with the stress reaction in the PACU.Stress risk assessment in the postoperative period can contribute to making the rehabilitation nursing program.Reducing the stressors and performing humanistic care based on full-course health education could promote physical and mental health.
出处
《解放军护理杂志》
CSCD
2016年第3期34-36,共3页
Nursing Journal of Chinese People's Liberation Army
