期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

Contemporary Nursing. 2023; 4: (6) ; 7-10 ; DOI: 10.12208/j.cn.20230266.

To analyze the influence of fine nursing on the recovery time of patients after general anesthesiain the anesthesia recovery room
分析精细化护理对麻醉恢复室全身麻醉术后患者苏醒时间的影响

作者: 马丽芳 *, 王娟霞, 陈晓霞, 刘婷婷

兰州大学第二医院 甘肃兰州

*通讯作者: 马丽芳,单位:兰州大学第二医院 甘肃兰州;

发布时间: 2023-06-18 总浏览量: 282

摘要

目的 研究对在麻醉恢复室进行全身麻醉术后患者应用实施精细化护理对其苏醒时间影响的临床效果和实际应用价值。方法 本次研究的观察对象均来自于2019年10月截止到2022年10月期间在本院进行手术治疗、护理的全身麻醉患者,共计1000例,根据随机自动抽签方法将其分为对照组(应用常规护理干预)和观察组(实施精细化护理干预),并对两组患者的麻醉临床恢复时间及并发症发生率进行观察统计分析。结果 观察组患者包括苏醒时间、自主呼吸恢复时间及滞留麻醉恢复室时间等在内的麻醉临床恢复时间更短,包括低体温、呼吸抑制、躁动、恶心呕吐及疼痛等在内的并发症发生率更低。组间数值P<0.05,说明存在对比意义。结论 对在麻醉恢复室进行全身麻醉术后患者应用实施精细化护理能够有效改善患者的临床护理效果和护理质量,减少患者的住院时间,降低患者相关并发症状的发生率,提高患者的生活质量和满意程度,值得在临床上进行推广。

关键词: 精细化护理;麻醉恢复室;全身麻醉;术后;苏醒时间;麻醉临床恢复时间;并发症发生率

Abstract

Objective To study the clinical effect and practical application value of applying fine nursing care to patients after general anesthesia in the anesthesia recovery room on their awakening time.
Methods The subjects of this study were all general anesthesia patients who were operated and nursed in our hospital from October 2019 to October 2022. A total of 1000 patients were randomly divided into the control group (using conventional nursing intervention) and the observation group (implementing refined nursing intervention) according to the method of automatic lot drawing. The clinical recovery time of anesthesia and the incidence of complications of the two groups were observed and statistically analyzed.
Results The clinical recovery time of patients in the observation group, including the time of awakening, the time of recovery of spontaneous respiration and the time of staying in the recovery room of anesthesia, was shorter, and the incidence of complications, including hypothermia, respiratory inhibition, restlessness, nausea, vomiting and pain, was lower. The value between groups P < 0.05, indicating that there is a comparative significance.
Conclusion   The application of fine nursing to patients after general anesthesia in the anesthesia recovery room can effectively improve the clinical nursing effect and quality of patients, reduce the hospitalization time of patients, reduce the incidence of patients' related complications, and improve the quality of life and satisfaction of patients. It is worth promoting in clinical practice.

Key words: Fine nursing; Anesthesia Recovery Room; General anesthesia; Postoperative; Wake up time; Clinical recovery time of anesthesia; Incidence of complications

参考文献 References

[1] 吴建,王琼,崔小敏,吴倩,程红.消化内镜中心麻醉恢复室护理质量敏感指标体系构建[J].中国卫生质量管理, 2022, 29,(11): 57-60+66.

[2] 吴中义,王宜庭,邹圣强,毕岑,时佳琪,高君艳.麻醉恢复室多功能床头警示牌的设计及其在交接中的应用[J].护理学报,2022,29,(19):70-74.

[3] 苏惠丽.中医情志护理结合人性化护理在麻醉恢复室患者舒适化护理中的应用[J].实用中医内科杂志, 2021, 35,(11): 56-58.

[4] 杨星智,孙博,张敏丽,张友恩,刘宸麟.麻醉复苏护士的设置与麻醉恢复室的管理[J].中医药管理杂志, 2021, 29,(10): 82-83.

[5] 杨华文,易凤琼,曾彦超,熊中雨,钟昌艳.基于快、慢通道的麻醉恢复室临床护理路径的构建[J].中华现代护理杂志,2020,26,(28):3908-3912.

[6] 王琳,陈燕勤,刘孝国,金素琴.麻醉恢复室患者按转运前观察指标制定护理策略的应用效果[J].当代护士(中旬刊),2019,26,(12):81-84.

[7] 黄晨.应用德尔菲法构建麻醉恢复室专科护理质量标准[C]//.第四届上海国际护理大会论文汇编.,2019:479.

[8] 孟玲芳.规范麻醉恢复室管理流程对全麻苏醒期患者自主呼吸恢复时间及护理工作满意度的影响[J].首都食品与医药,2020,(05):90-99.

[9] Dmitri Nepogodiev, Janet Martin, Bruce Biccard, Alex Makupe, Aneel Bhangu, Dmitri Nepogodiev, Janet Martin, Bruce Biccard, Alex Makupe, Adesoji Ademuyiwa, Adewale Oluseye Adisa, Maria-Lorena Aguilera, Sohini Chakrabortee, J. Edward Fitzgerald, Dhruva Ghosh, James C. Glasbey, Ewen M. Harrison, J.C. Allen Ingabire, Hosni Salem, Marie Carmela Lapitan, Ismail Lawani, David Lissauer, Laura Magill, Rachel Moore, Daniel C. Osei-Bordom, Thomas D. Pinkney, Ahmad Uzair Qureshi, Antonio Ramos-De la Medina, Sarah Rayne. Global burden of postoperative death[J]. The Lancet , 2019, (1017): 88-89.

[10] Jelacic Srdjan, Togashi Kei, Bussey Logan, Nair Bala G, Wu Tim, Boorman Daniel J, Bowdle Andrew. Development of an aviation-style computerized checklist displayed on a tablet computer for improving handoff communication in the post-anesthesia care unit.[J] .Journal of clinical monitoring and computing, 2020,(prep): 167 -172.

引用本文

马丽芳, 王娟霞, 陈晓霞, 刘婷婷, 分析精细化护理对麻醉恢复室全身麻醉术后患者苏醒时间的影响[J]. 当代护理, 2023; 4: (6) : 7-10.