摘要
目的:探讨对日间手术室静脉全身麻醉患者实施复苏管理模式及护理应对措施的效果。方法:回顾性分析东莞市莞城医院于2022年1月至6月、2023年1月至6月期间纳入的100例静脉全身麻醉下行胃肠镜检查的老年患者,根据入院不同时间进行分组,2022年1月至6月为对照组(50例,行常规护理),2023年1月至6月为观察组(50例,行复苏管理模式及护理应对措施)。比较两组患者术后复苏时间、疼痛程度、生命体征、护理满意度、不良反应发生情况。结果:观察组患者术后复苏时间短于对照组,差异具有统计学意义(P <0.05)。手术后,观察组患者视觉模拟评分法(VAS)评分低于对照组,差异具有统计学意义(P <0.05)。手术中、手术后,观察组患者舒张压、收缩压、心率、呼吸频率低于对照组,差异具有统计学意义(P <0.05)。观察组患者不良反应总发生率低于对照组,差异具有统计学意义(P <0.05)。观察组患者护理满意度评分高于对照组,差异具有统计学意义(P <0.05)。结论:采用复苏管理模式及护理应对措施可有效促进患者身体恢复,减少疼痛,稳定生命体征,降低不良反应发生率同时提升护理满意度,对静脉全身麻醉下行胃肠镜检查的老年患者具有重要意义。
Objective To explore the effect of resuscitation management mode and nursing countermeasures for patients with intravenous general anesthesia in the daytime operating room.Methods A retrospective analysis was performed on 100 elderly patients with gastroenteroscopy under intravenous general anesthesia enrolled in Dongguan Guancheng Hospital from January to June 2022 and from January to June 2023.The patients were grouped according to different admission times.A control group(50 cases,receiving routine nursing) from January to June 2022 was analyzed.From January to June 2023,an observation group(50 cases)received resuscitation management mode and nursing countermeasures.Postoperative resuscitation time,pain degree,vital signs,nursing satisfaction and adverse reactions were compared between the two groups.Results The postoperative resuscitation time in the observation group was shorter than that in the control group,and the difference was statistically significant(P < 0.05).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).During and after operation,diastolic blood pressure,systolic blood pressure,heart rate and respiratory rate in the observation group were lower than those in the control group,and the differences were statistically significant(P < 0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P < 0.05).The nursing satisfaction score of the observation group was higher than that of the control group,and the difference was statistically significant(P < 0.05).Conclusion The use of resuscitate management mode and nursing countermeasures can effectively promote the physical recovery of patients,reduce pain,stabilize vital signs,reduce the incidence of adverse reactions and improve nursing satisfaction,which is of great significance for elderly patients undergoing gastroenterosco
作者
何丽霞
曾初露
莫景兰
HE Lixia;ZENG Chulu;MO Jinglan(Dongguan Guancheng Hospital,Guangdong Dongguan 523000)
出处
《深圳中西医结合杂志》
2023年第21期127-130,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
东莞市社会发展科技项目面上项目(20231800903212)。
关键词
日间手术室
胃肠镜检查
静脉全身麻醉
复苏管理
老年人
Daytime operating room
Gastroenteroscopy
Intravenous general anesthesia
Resuscitation management
The elderly
