To observe the application method and effect of predictive nursing in operation room anesthesia nursing
观察预见性护理在手术室麻醉护理中的应用方法及效果

摘要

目的 探究手术室麻醉护理中预见潜在风险与麻醉问题开展护理的效果，寻求合理的手术室麻醉安全护理方法。方法 回顾本院经手术治疗并给予麻醉镇静的患者1385例资料，以患者手术时间为准统计2020年1月至2020年12月的患者情况并进行单盲化分组，其中予以麻醉常规护理的视为对照组，纳入患者692例，予以麻醉预见性护理的视为观察组，纳入患者693例，对比两组患者麻醉苏醒时间、苏醒时视觉模拟VAS疼通评估分、Steward苏醒评分；统计麻醉术后患者并发恶心/呕吐、低体温、SAS中度或以上焦虑（量表≥60分）、头晕的比率；统计患者麻醉术护理的舒适度问卷分。结果 观察组麻醉苏醒较快、苏醒时疼痛轻、Steward苏醒较高（对照组符合离开手术室或苏醒室的≥4分标准）；观察组术后患者因手术或麻醉引起恶心/呕吐、低体温、SAS中度或以上焦虑（量表≥60分）、头晕症状的占比低，舒适感评分高，（P<0.05）。结论 手术室麻醉风险不可忽视，预见性护理可提升麻醉效果与患者舒适感，遏制麻醉并发症。

Abstract

Objective: To explore the effect of predicting potential risks and anesthesia problems in the operation room anesthesia nursing, and to seek a reasonable operation room anesthesia safety nursing method.
Methods: Review in our hospital after surgery and anesthesia composed of 1385 cases of patients with data, the patients with operation time shall prevail statistics between January 2020 and December 2020 patients and single blind grouping, which give anesthesia routine nursing care as control group, included 692 cases of patients, give anesthesia of predictive nursing as observation group, included 693 cases of patients, The anesthesia recovery time, visual analog VAS pain score and Steward recovery score were compared between the two groups. The rates of nausea/vomiting, hypothermia, MODERATE or above SAS anxiety (scale ≥60 points) and dizziness after anesthesia were analyzed. The comfort level of anesthesiology nursing questionnaire was calculated.
Results: In the observation group, the anesthesia recovery was faster, the pain was lighter, and the Steward recovery was higher (the control group met the standard of ≥4 points after leaving the operating room or the recovery room). In the observation group, the proportion of postoperative nausea/vomiting, hypothermia, MODERATE or above SAS anxiety (scale ≥60 points) and dizziness were low, and the comfort score was high (P<0.05).
Conclusion  : The risk of anesthesia in operating room can not be ignored, predictive nursing can improve the anesthetic effect and patient comfort, and curb the complications of anesthesia.