摘要
目的评估全身麻醉术后清醒患者的舒适度现状,并探讨自主复苏体位对其在麻醉后监护治疗室(PACU)舒适度的影响。方法将100例行全身麻醉术后进入麻醉后监护治疗室的患者,按照时间顺序分为两组,对照组与试验组每组50例。对照组患者在麻醉后监护室期间,采用常规去枕平卧位,试验组患者采用自主复苏体位,使用简化的舒适状况量表(GCQ),对患者进入麻醉后监护治疗室(time1)、离开PACU时(time2)、以及患者进入普通病房的第2天(time3)的舒适度进行评估。结果全身麻醉术后进入麻醉后监护治疗室的清醒患者的舒适度总分为(61.26±9.65)分;干预后试验组患者的舒适度总分及各维度得分均高于对照组,差异具有统计学意义;随着时间的增长试验组患者的舒适度得分不断增高,差异具有统计学意义。结论对全身麻醉术后清醒的患者,在麻醉后监护室采取自主复苏体位有利于提高患者的舒适度。
Objective To assess the comfort in conscious patients after general anesthesia and discuss the impact of autonomous recovery position on their comfort in post anesthesia care unit （PACU）. Methods 100 conscious patients who were in PACU after general anesthesia were divided into the treatment group and the control group in chronological order with 50 cases in each group. The control group took horizontal position without pillow in PACU while the treatment group took autonomous recovery position. Simplified general comfort questionnaire （GCQ） was applied to assess patients＂ comfort when they entered PACU （timel）, left PACU （time2） and the second day after shifted to general ward （time3）. Results The total score of comfort of conscious patients after general anesthesia in PACU was 61.26± 9.65. Comfort score and score in other dimensions for the treatment group was higher than the control group with statistically significant difference. As time went on, comfort score for the treatment group was increasing with statistically significant difference. Conclusions Autonomous recovery position in PACU could improve the comfort of conscious patients after general anesthesia surgery.
出处
《医院管理论坛》
2016年第4期50-52,17,共4页
Hospital Management Forum
基金
温州医科大学附属第一医院科研孵化项目:FHR2014004 手术患者在PACU期间体位选择的实证研究
关键词
全身麻醉术
麻醉后监护治疗室
体位
舒适
General anesthesia
Post anesthesia care unit
Position
Comfort
