摘要
目的分析手术室麻醉护理与常规护理的应用效果差异。方法以我院2020年1月至2020年12月收治的126例手术患者作为本次研究对象,所有患者以随机法分为对照组和观察组(每组各63例)。对照组患者采取常规手术室护理,观察组患者采取手术室麻醉护理,统计对比两组患者术中不良反应(体动反应、心动过缓、低血压、脉搏血氧饱和度下降、呼吸抑制)、术后不良反应(低氧血症、支气管痉挛、胃食管反流、苏醒延迟、误吸、肺不张)、麻醉相关指标(麻醉起效时间、麻醉操作时间、苏醒时间、离室时间)、护理质量评定(消毒隔离、操作配合、器械准备、仪器管理)、术后疼痛(VRS量表评分、PPI量表评分)和护理满意度。结果(1)观察组患者术中及术后的不良反应发生率均显著低于对照组(P<0.05)。(2)两组患者的麻醉起效时间无统计学差异(P>0.005),观察组患者麻醉操作时间、苏醒时间、离室时间等麻醉指标均显著短于常规组(P<0.05)。(3)观察组护理模式消毒隔离、操作配合、器械准备、仪器管理等质量评定分值均显著高于对照组(P<0.05)。(4)两组患者术后2 h的疼痛程度评分无统计学差异(P>0.05),而术后72 h观察组患者的疼痛程度评分均显著低于对照组(P<0.05)。(5)对照组患者的护理满意度评价显著低于观察组(P<0.05)。结论对手术患者采取麻醉护理,可有效弥补常规手术室护理的应用局限,取得更高的护理效果,改善患者预后。
Objective To analyze the application value of anesthesia nursing and routine nursing in operating room.Methods 126 surgical patients admitted in our hospital from January 2020 to December 2020 were selected as the subjects of this study.All patients were randomly divided into the control group and the observation group(63 patients in each group).The patients in the control group received routine operating room care,while the patients in the observation group received anesthesia care in the operating room.The adverse reactions(body movement reaction,bradycardia,hypotension,decreased pulse oxygen saturation,respiratory inhibition)and postoperative adverse reactions(hypoxia,bronchospasm,gastroesophageal reflux,delayed awakening,aspiration,atelectasis),anesthesia related indicators(onset time of anesthesia,operation time of anesthesia,awakening time,time away from the room),nursing quality assessment(disinfection and isolation,operation cooperation,instrument preparation,instrument management),postoperative pain(VRS,PPI)and nursing satisfaction of the patients in the two groups were statistically compared.Results(1)The incidence of adverse reactions during and after operation in the observation group was significantly lower than that in the control group(P<0.05);(2)There was no significant difference in the onset time of anesthesia between the two groups(P>0.005).The operation time of anesthesia,the time of awakening,and the time of leaving the room in the observation group were significantly shorter than those in the control group(P<0.05);(3)The scores of nursing mode disinfection and isolation,operation cooperation,instrument preparation,instrument management in the observation group were significantly higher than those in the control group(P<0.05);(4)There was no significant difference between the two groups in the pain score 2 hours after operation(P>0.05),while the pain score in the observation group 72 hours after operation was significantly lower than that in the control group(P<0.05);(5)The evaluation of nurs
作者
魏桂燕
林志琼
陈火惠
WEI Guiyan;LIN Zhiqiong;CHEN Huohui(The 73rd Army Group Hospital,Xiamen 361006,China)
出处
《中国医药指南》
2023年第12期53-56,共4页
Guide of China Medicine
关键词
手术室护理
麻醉护理
常规护理
麻醉风险
Operating room nursing
Anesthesia nursing
Routine care
Anesthesia risk
