摘要
目的探析胸科手术患者复苏室内躁动的原因及护理干预措施。方法将我院胸科2016年2月—2017年10月收治的120例患者作为研究对象。依据随机抽签法,将其分为两组,即常规组(n=60)、干预组(n=60)。常规组患者实施常规护理,干预组患者实施护理干预,总结患者复苏室内躁动原因,统计比较两组患者躁动发生率及护理满意度。结果 120例患者中,21例发生躁动,占比17.5%,其中气管插管刺激14例,占比66.7%;术后疼痛11例,占比52.4%;制动不当9例,占比42.9%;留置尿管10例,占比47.62%。干预组患者躁动发生率、躁动评分均低于常规组患者,差异有统计学意义(P <0.05)。干预组患者护理满意度高于常规组患者,两组对比,差异有统计学意义(P<0.05)。结论胸科手术患者实施护理干预措施的临床效果十分显著。
Objective To analyze the causes of restlessness in the resuscitation chamber of thoracic surgery patients and the nursing intervention measures. Methods 120 cases of patients admitted to our chest hospital from February 2016 to October 2017 were selected as observation subjects. They were randomly divided into 2 groups, namely, routine group （n=60） and intervention group （n=60）. Routine nursing care was carried out in the routine group, nursing intervention was carried out in the intervention group, the causes of restlessness in the recovery room were summarized, and the satisfaction of nursing was compared statistically. Results Of the 120 patients, 21 had restlessness, accounting for 17.5%. Among them, 14 cases were stimulated by endotracheal intubation, accounting for 66.7%. Postoperative pain was found in 11 cases （52.4%）. 9 cases were not properly immobilization, accounting for 42.9%. Indwelling catheter was found in 10 cases （47.62%）. The incidence and score of restlessness in intervention group were lower than those in routine group （P 〈 0.05）. Nursing satisfaction of the intervention group was higher than that of the conventional group, and the difference between the two groups was statistically signifcant （P 〈 0.05）. Conclusion The clinical efect of nursing intervention measures in thoracic surgery patients is very signifcant.
作者
袁冉
刘岩
YUAN Ran;LIU Yan(Department of Anesthesiology,The Afliated Hospital of Jining Medical College,Jining Shandong 272029,China)
出处
《中国继续医学教育》
2018年第30期187-189,共3页
China Continuing Medical Education
关键词
胸科手术
复苏室
躁动
原因
护理
干预
thoracic surgery
resuscitation room
restlessness
causes
nurse
intervention
