中西医结合护理 (Jun 2023)
Effect of comprehensive nursing interventions in operating room on emergence agitation in patients undergoing oral and maxillofacial surgery under general anesthesia (手术室综合护理干预对口腔颌面全麻手术患者苏醒期躁动的影响)
Abstract
Objective To explore the effect of comprehensive nursing interventions in operating room on emergence agitation (EA) in patients undergoing oral and maxillofacial surgery under general anesthesia. Methods Totally 88 patients undergoing elective oral and maxillofacial surgery under general anesthesia were randomly divided into control group and observation group, 44 cases in each group. The control group received routine surgical nursing, and the observation group received comprehensive surgical nursing on the basis of routine nursing. The incidence of EA, recovery time, extubation time, heart rate and blood pressure during recovery period were compared between the two groups. The psychological status before and after intervention was measured by simple psychological rating scale Kessler 10, and complications during recovery period were recorded. Results The incidence of EA in the observation group (6. 82 %) was lower than that in the control group (22. 73 %) (P＜0. 05). The recovery time and extubation time of the observation group were shorter than those of the control group(P＜0. 01). After entering the anesthesia recovery room for 30 min, the heart rate, systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group(P＜0. 01). After intervention, score of Kessler 10 in both groups was lower than that before intervention, and that in the observation group was lower than the control group (P＜0. 01). The total incidence of other complications in the observation group was 9. 09 %(4/44), which was lower than 25. 00 %(11/44) in the control group (P＜0. 05). Conclusion Comprehensive nursing interventions in operation room can effectively reduce the occurrence of EA and improve the recovery of patients with oral and maxillofacial surgery under general anesthesia (目的 探讨手术室综合护理干预对口腔颌面全麻手术患者苏醒期躁动(EA)的影响。方法 选取择期行口腔颌面全麻手术的88例患者为研究对象, 按照随机数字表法将患者分为对照组和观察组, 各44例。对照组实施手术室常规护理, 观察组在常规护理基础上实施手术室综合护理。比较两组EA发生率、苏醒时间及拔气管插管时间、苏醒期心率及血压情况, 采用简易心理状况评定量表Kessler 10评估干预前后心理状态, 并记录苏醒期其他并发症情况。结果 观察组EA发生率6. 82%(3/44), 低于对照组的22. 73%(10/34), 差异有统计学意义(P＜0. 05)。观察组苏醒时间及拔气管插管时间均短于对照组(P＜0. 01)。进入麻醉恢复室30min后, 观察组心率、收缩压及舒张压均低于对照组(P＜0. 01)。干预后, 两组Kessler 10量表评分均较干预前降低, 且观察组低于对照组(P＜0. 01)。观察组其他并发症总发生率为9. 09%(4/44), 低于对照组的25. 00%(11/44), 差异有统计学意义(P＜0. 05)。结论 对口腔颌面全麻手术患者实施手术室综合护理干预, 能有效减少EA的发生, 提高苏醒质量。)
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