摘要
目的探讨护理干预对手术室全身麻醉苏醒期患者躁动发生率及负性情绪的影响。方法选取山东省滨州市中心医院2017年1月至2019年1月收治的120例手术全身麻醉患者为研究对象,按随机数字表法分为对照组及观察组各60例,分别行常规护理、综合护理干预;比较2组躁动发生率、意识恢复时间、苏醒分数≥4分时间和负性情绪变化。结果观察组全身麻醉苏醒期躁动发生率为6.67%(4/60),低于对照组的25.0%(15/60),差异有统计学意义(χ2=6.253,P<0.05);观察组意识恢复时间(1.05±0.39)h及苏醒分数≥4分时间(16.34±1.21)h,均短于对照组的(2.68±0.42)h及(23.12±1.03)h,差异有统计学意义(t值为22.029、33.050,P<0.01);观察组护理后Kessler10评分(30.24±3.64)分,低于对照组的(24.84±2.35)分,差异有统计学意义(t值为9.654,P<0.01)。结论对全身麻醉苏醒期患者采取手术室护理干预,可减少躁动发生,减轻患者负性情绪,应用效果显著。
Objective To investigate the effect of nursing intervention on the incidence of agitation and negative emotion in patients undergoing general anesthesia recovery.Methods Totally 120 patients with general anesthesia admitted to the Binzhou Central Hospital,Shandong Province from January 2017 to January 2019 were divided into the control group and the observation group by random digits table method with 60 cases each.Those in the control group was given routine nursing,the observation group was given integrated care.The incidence rate of agitation,conscious recovery time,the time of wake-up score≥4 and negative emotional changes in the two groups were compared.Results The incidence of agitation in the observation group was 6.67%(4/60),which was lower than that in the control group(25.0%,15/60).The difference was statistically significant(χ2 value was 6.253,P<0.05).The conscious recovery time,the time of wake-up score≥4 was(1.05±0.39),(16.34±1.21)h,both were shorter than the control group(2.68±0.42),(23.12±1.03)h,the difference was statistically significant(t value was 22.029,33.050,P<0.01).The Kessler10 score of the observation group was 30.24±3.64,which was lower than that in the control group 24.84±2.35.The difference was statistically significant(t value was 9.654,P<0.01).Conclusions The operation room nursing intervention for patients with general anesthesia recovery can reduce the occurrence of agitation and reduce the negative emotion of patients,and the application effect is remarkable.
作者
范玉红
潘庆华
胡晓华
王元芝
Fan Yuhong;Pan Qinghua;Hu Xiaohua;Wang Yuanzhi(Department of Disinfection and Supply,Binzhou Central Hospital,Binzhou 251700,China;Department of Obstetrics and Gynecology,People′s Hospital of Huimin County,Binzhou 251700,China)
出处
《中国实用护理杂志》
2020年第4期272-275,共4页
Chinese Journal of Practical Nursing
