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舒适护理联合优质护理在全身麻醉苏醒期患者中的干预效果分析
Analysis of the Intervention Effect of Comfort Nursing Combined with High-quality Nursing in Patients Waking up from General Anesthesia
【摘要】 目的阐述全麻患者苏醒期施以舒适护理、优质护理联合干预的具体措施,并探究应用效果及价值。方法研究对象选择于2018年3月—2019年2月间该院接受全麻手术治疗的患者98例,将其随机进行分组,对照组(n=49)施以常规护理,观察组(n=49)施以舒适护理联合优质护理,记录两组患者复苏时间差异,评测两组患者舒适度及心态变化情况,分析差异性。另外记录各组患者出现不良情况,计算总发生概率。结果观察组患者经舒适护理、优质护理联合干预后,恢复自主呼吸时间(7.13±1.32)min、睁眼时间(12.89±1.45)min、拔管时间(12.14±4.85)min、复苏室停留时间(30.32±2.89)min均明显短于对照组,差异有统计学意义(t=7.150、12.880、10.330、12.790,P<0.05)。两组患者干预前,舒适度、心态相应评分均大致相同,差异无统计学意义(P>0.05),经干预后有明显改善,观察组患者舒适度评分(94.15±2.06)分高于对照组,而抑郁评分(2.41±0.72)分、焦虑评分(2.55±0.59)分则明显低于对照组(t=27.330、9.380、9.440,P<0.05),此外,观察组患者出现不良情况的人数更少,总发生率相较对照组更低,差异有统计学意义(P<0.05)。结论全麻手术患者于麻醉复苏室内接受舒适护理联合优质护理效果显著,能够促进患者更快清醒,改善不良心理,预防异常情况。
【Abstract】 Objective To describe the specific measures of the combined intervention of comfortable nursing and highquality nursing for patients with general anesthesia during their recovery period, and to explore the application effect and value. Methods The study started in March 2018 and ended in February 2019. The study subjects selected 98 patients who received general anesthesia surgery in the hospital and randomly divided them into two groups. The control group(n =49) received routine care and the observation group(n =49) received comfort care combined with high-quality care, record the difference in the recovery time between the two groups of patients, evaluate the comfort and mentality changes of the patients in two groups, and analyze the differences. In addition, the adverse conditions of each group of patients were recorded, and the total probability of occurrence was calculated. Results After the combined intervention of comfortable nursing and high-quality nursing, the patients in the observation group recovered spontaneous breathing(7.13±1.32) min, eye-opening time(12.89±1.45) min, extubation time(12.14±4.85)min and resuscitation room residence time(30.32±2.89)min were significantly shorter than those in the control group(t=7.150,12.880, 10.330, 12.790,P<0.05). Before the intervention, the comfort and mentality scores of the two groups of patients were roughly the same,the difference was not statistically significant(P>0.05), and they were significantly improved after the intervention. The comfort score(94.15 ±2.06) points of the observation group was higher than that of the control group, while the depression score(2.41±0.72)points and anxiety score(2.55±0.59) points were significantly lower than those of the control group,the difference was statistically significant(t=27.330, 9.380, 9.440, P<0.05). In addition, the observation group had fewer adverse events, and the total incidence was compared with the control group,the difference was statistically significant(P<0.05). Conclusion The effect of general anesthesia surgery patients receiving comfortable nursing combined with high-quality nursing in the anesthesia resuscitation room is significant, which can promote the patient to wake up faster, improve bad mentality, and prevent abnormal conditions.
【Key words】 Comfort care; High-quality care; Recovery from general anesthesia; Intervention effect;
- 【文献出处】 系统医学 ,Systems Medicine , 编辑部邮箱 ,2020年20期
- 【分类号】R473.6
- 【下载频次】66