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麻醉复苏室舒适护理对老年患者全麻术后的影响(1)
http://www.100md.com 2019年10月25日 《中国医学创新》 2019年第30期
     【摘要】 目的:探究麻醉復苏室舒适护理对老年患者全麻术后的影响。方法:选取2019年1-8月在本院接受全麻手术的126例老年患者为研究对象。按照随机数字表法将其分为观察组和对照组,各63例。在麻醉复苏室予以对照组传统护理干预,予以观察组舒适护理。比较两组自主意识恢复时间、自主呼吸恢复时间,护理前后焦虑评分(SAS)及抑郁评分(SDS),术后苏醒期躁动发生率、疼痛程度(VAS),并发症、护理满意度。结果:观察组自主意识恢复时间及自主呼吸恢复时间均短于对照组(P<0.05);护理后,两组SAS及SDS评分均低于护理前,且观察组均低于对照组,差异均有统计学意义(P<0.05);观察组术后苏醒期躁动发生率及VAS评分均低于对照组(P<0.05);观察组护理期间并发症发生率为3.17%,明显低于对照组的15.87%(P<0.05);观察组护理满意度总分及各单项评分均高于对照组,差异均有统计学意义(P<0.05)。结论:麻醉复苏室舒适护理不仅可有效缓解老年全麻患者消极情绪,预防患者苏醒延迟,而且能降低患者痛感及不良护理事件的发生。

    【关键词】 麻醉复苏室 舒适护理 老年患者 全麻

    [Abstract] Objective: To explore the effect of comfortable nursing in anesthesia resuscitation room on elderly patients after general anesthesia. Method: A total of 126 elderly patients who underwent general anesthesia in our hospital from January to August 2019 were selected. According to the random number table method, they were divided into observation group and control group, 63 cases in each group. Traditional nursing intervention was given to the control group in the anesthesia resuscitation room, and comfortable nursing was given to the observation group. The recovery time of autonomous consciousness, the recovery time of spontaneous breathing, anxiety score (SAS) and depression score (SDS) before and after nursing, the incidence of restlessness and degree of pain (VAS) during recovery period after operation, complications and nursing satisfaction between the two groups were compared. Result: The recovery time of autonomous consciousness and spontaneous breathing in observation group were shorter than those in control group (P<0.05). After nursing, the scores of SAS and SDS in the two groups were lower than those of before nursing, and the scores in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05). The incidence of restlessness and VAS score during recovery period after operation in the observation group were lower than those in the control group (P<0.05). The incidence of complications in the observation group was 3.17%, which was significantly lower than 15.87% in the control group (P<0.05). The total scores and individual scores of nursing satisfaction in the observation group were higher than those in the control group, the differences were statistically significant (P<0.05). Conclusion: Comfortable nursing in anesthesia resuscitation room can not only effectively alleviate the negative emotions of elderly patients under general anesthesia, prevent delayed recovery of patients, but also reduce the occurrence of pain and adverse nursing events., http://www.100md.com(张慧琳 周隽 王晓燕)
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