摘要
目的探讨肺癌根治术患者术后麻醉恢复中采用循证护理联合预警性护理的效果。方法选取2020年4月至2022年9月在信阳市中心医院行肺癌根治术的患者共计102例,根据随机数字表法分成干预组和对照组各51例,干预组给予循证护理联合预警性护理,对照组给予常规麻醉复苏护理,比较两组麻醉恢复情况、镇静镇痛效果、麻醉恢复室并发症发生情况和麻醉苏醒期不良事件发生情况。结果干预组意识恢复时间、自主呼吸时间、气管拔管时间较对照组更短,差异具有统计学意义(P<0.05);与干预前相比,两组患者干预12 h后Ramsay镇静评分提高,视觉模拟评分法(VAS)评分降低,差异具有统计学意义(P<0.05);干预12 h后,干预组Ramsay镇静评分较对照组更高,干预组VAS评分低于对照组,差异具有统计学意义(P<0.05);干预组麻醉恢复室并发症发生率(5.88%)较对照组(29.41%)更低,差异具有统计学意义(P<0.05);干预组麻醉苏醒期不良事件发生率(3.92%)较对照组(23.53%)更低,差异具有统计学意义(P<0.05)。结论肺癌根治术患者给予循证护理联合预警性护理能够改善麻醉恢复情况,缓解术后疼痛,提高镇静效果,减少麻醉恢复室并发症、苏醒期不良事件,可在临床使用。
Objective To explore the effect of evidence-based nursing combined with early warning nursing in postoperative anesthesia recovery of patients with lung cancer undergoing radical surgery.Methods A total of 102 patients with lung cancer undergoing radical surgery in Xinyang Central Hospital from April 2020 to September 2022 were selected,and divided into the intervention group and the control group by the random number table method,with 51 patients in each group.The intervention group received evidence-based nursing combined with early warning nursing,while the control group received routine anesthesia and resuscitation nursing.The anesthesia recovery,sedative and analgesic effects,complications in the anesthesia recovery room,and adverse events during anesthesia recovery were compared between the two groups.Results In comparision of the control group,the time of consciousness recovery,spontaneous respiration and tracheal extubation in the intervention group was shorter,the difference were statistically significant(P<0.05).After 12 hours of intervention,the Ramsay sedation score in both groups were increased,and the visual analogue scale(VAS)scores were decreased,the difference was statistically significant(P<0.05).In comparision of the control group,the Ramsay sedation score of the intervention group was higher,and the VAS score was lower,the difference was statistically significant(P<0.05).In comparision of the control group(29.41%),the incidence of complications in the anesthesia recovery room in the intervention group(5.88%)was lower,the difference was statistically significant(P<0.05).In comparision of the control group(23.53%),the incidence of adverse events during anesthesia recovery in the intervention group(3.92%)was lower,the difference was statistically significant(P<0.05).Conclusion Evidence-based nursing combined with early warning nursing for patients with lung cancer undergoing radical surgery can improve the recovery of anesthesia,relieve the degree of pain,improve the sedative effect,reduce the co
作者
田方
张秀萍
TIAN Fang;ZHANG Xiuping(Department of Anesthesiology,Xinyang Central Hospital,Xinyang Henan 464000,China)
出处
《临床研究》
2024年第3期143-145,共3页
Clinical Research
关键词
循证护理
预警性护理
肺癌根治术
麻醉恢复
evidence-based nursing
early warning nursing
radical resection of lung cancer
anesthesia recovery
