摘要
目的探讨手术室舒适护理结合麻醉苏醒护理在股神经阻滞联合自控镇痛患者中的应用效果。方法选取2020年6月至2021年3月收治的80例股神经阻滞联合自控镇痛患者作为研究对象,采用随机数字表法将其分为对照组和观察组,各40例。对照组接受手术室舒适护理,观察组在对照组基础上接受麻醉苏醒护理。比较两组术后苏醒期躁动发生率、护理满意度、疼痛程度、血压、心率及并发症发生情况。结果观察组术后苏醒期躁动总发生率低于对照组,差异具有统计学意义(P<0.05)。观察组的心理舒适、体位舒适、护理态度、健康教育、治疗结果评分高于对照组,差异具有统计学意义(P<0.05)。术后4、8、12、24 h,观察组的视觉模拟评分法(VAS)评分低于对照组,差异具有统计学意义(P<0.05)。麻醉前,两组的收缩压、舒张压、心率比较,差异无统计学意义(P>0.05);苏醒期,观察组的收缩压、舒张压、心率低于对照组,差异具有统计学意义(P<0.05)。观察组的并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。结论手术室舒适护理结合麻醉苏醒护理可降低股神经阻滞联合自控镇痛患者术后苏醒期躁动发生率、并发症发生率,缓解疼痛症状,提高护理满意度,值得临床推广和应用。
Objective To explore the application effect of operating room comfort nursing combined with anesthesia recovery nursing in patients with femoral nerve block combined with self-controlled analgesia.Methods A total of 80 patients with femoral nerve block combined with self-controlled analgesia admitted from June 2020 to March 2021 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 40 cases in each group.The control group received operating room comfort nursing,and the observation group received anesthesia recovery nursing on the basis of the control group.The incidence of postoperative agitation,nursing satisfaction,pain degree,blood pressure,heart rate and occurrence of complications were compared between the two groups.Results The total incidence of postoperative agitation in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The scores of psychological comfort,posture comfort,nursing attitude,health education and treatment results in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).At 4,8,12 and 24 h after operation,the Visual Analogue Scale(VAS)score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Before anesthesia,there were no significant differences in systolic blood pressure,diastolic blood pressure and heart rate between the two groups(P>0.05);during the recovery period,the systolic blood pressure,diastolic blood pressure and heart rate of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Operating room comfort nursing combined with anesthesia recovery nursing ca
作者
袁天栋
张雪婷
YUAN Tiandong;ZHANG Xueting(Xi'an International Medical Center Hospital,Xi'an 710100,China)
出处
《临床医学研究与实践》
2023年第23期153-157,共5页
Clinical Research and Practice
关键词
股神经阻滞
自控镇痛
手术室舒适护理
麻醉苏醒护理
护理满意度
疼痛程度
femoral nerve block
self-controlled analgesia
operating room comfort nursing
anesthesia recovery nursing
nursing satisfaction
pain degree
