摘要
目的探讨舒适护理对直肠癌全麻术后全麻苏醒期躁动的运用效果分析,为完善直肠癌患者手术期间的护理提供依据和方法参考。方法将整群选取2013年7月—2014年9月在该院手术室行直肠癌根治术的80例患者随机分为两组,其中对照组40例采取常规护理方案,观察组40例根据苏醒期躁动的原因采取舒适护理,比较两组患者苏醒期生命体征平稳定、躁动发生情况及患者对护理服务的满意度。结果观察组患者全麻苏醒期生命体征趋于平稳,干预后观察组患者的心率为(76.3±8.9)次/分、收缩压为(135.4±12.4)mm Hg、舒张压为(85.7±9.3)mm Hg,均明显低于对照组的心率(86.7±9.2)次/分、收缩压(149.7±11.3)mm Hg及舒张压(95.4±9.8)mm Hg,观察组有22.5%的患者发生躁动,对照组有40.0%的患者发生躁动,观察组有躁动评分明显低于观察组;观察组患者的住院满意度情况明显优于对照组。结论舒适护理可有效降低直肠癌患者术后全麻苏醒期躁动评分,提升患者对护理服务的满意度,在临床值得进一步推广。
Objective To investigate the effect of comfort nursing on the emergence agitation in rectal cancer patients so as to provide reference for the perioperative nursing for rectal cancer patients. Methods 80 cases with rectal cancer radical operation in the Operating Room of our hospital from July 2013 to September 2014 were randomly divided into two groups, the control group and the observation group with 40 cases in each. Patients in the control group were treated by the conventional nursing, and those in the observation group were given comfort nursing based on the reasons of emergence agitation. And the vital signs, incidence of emergence agitation and patient satisfaction with nursing were compared between the two groups. Results The vital signs of the observation group were stable in the recovery period from general anesthesia. After intervention, compared with the control group, the observation group had much less heart rate [(76.3±8.9)times/min vs(86.7±9.2)times/min], obviously lower systolic pressure [(135.4±12.4)mm Hg vs(149.7±11.3)mm Hg], significantly lower diastolic pressure [(85.7±9.3) mm Hg vs(95.4±9.8) mm Hg]. 22.5% of the patients in the observation group had emergence agitation, while 40.0% of the patients in the control group had emergence agitation. The agitation scores were much lower in the observation group than those in the control group. The patients ' satisfaction with hospitalization was much better in the observation group than that in the control group. Conclusion Comfort nursing can effectively reduce the postoperative emergence agitation scores and improve the patient satisfaction with nursing, so it is worth being further promoted clinically.
出处
《中外医疗》
2015年第27期135-137,共3页
China & Foreign Medical Treatment
关键词
舒适护理
直肠癌
苏醒期
躁动
Comfort Nursing
Rectal Cancer
Recovery period
Agitation
