术前访视应用循证护理对腹部手术患者全身麻醉后恢复的影响  

Effect of evidence-based nursing in preoperative interview for abdominal surgery patients＇ recovery after general anesthesia

作　　者：杜秀华[1] 赵逢玲[2] 庄茹娟 廉德花[4] 冯艳秋[1] 

机构地区：[1]山东省滕州市中心人民医院手术室,277500 [2]山东省滕州市中心人民医院护理部,277500 [3]山东兖矿鲁化医院手术室,277527 [4]山东省滕州市中心人民医院质控科,277500

出　　处：《中华现代护理杂志》2011年第13期1508-1511,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨术前访视应用循证护理对腹部手术患者全身麻醉后恢复的效果。方法选取择期腹部手术患者124例，采用分层随机法分为循证组和对照组各62例。循证组在常规术前访视的基础上建立循证信息支持系统，针对患者手术前心理应激反应给予个体化的疏导和手术过程模拟演示干预。对照组按传统方式对手术患者进行术前访视。比较两组患者麻醉前后各项指标变化。结果循证组患者麻醉前心率和平均动脉压低于对照组，咪达唑仑用量少于对照组，差异有统计学意义（t分别为6．73、7．24、8．17，P〈0．05）。两组患者麻醉前焦虑评分比较，差异有统计学意义（t=7．68，P〈0．01），术后焦虑评分比较差异无统计学意义（t=0．62，P〉0．05）。循证组患者术后呼之睁眼、呼之握拳、拔管时间早于对照组差异有统计学意义（t分别为9．71、10．45、11．32，P〈0．05），循证组术后不同时间段疼痛评分低于对照组，患者满意度评分高于对照组，差异均有统计学意义（t分别为2．38、5．22、2．63、7．62，P〈0．05）。结论术前访视应用循证护理信息支持有效缓解了术前焦虑，减少了麻醉镇静药物用量，缩短了苏醒期时间，提高了患者满意度，达到厂预期效果。Objective To explore the effect of evidence-based nursing during preoperative interview for abdominal surgery patients＇ recovery after general anesthesia. Methods 124 patients who accepted selective operation on abdominal region were randomly divided into evidence-based group and control group, 62 cases in each group. On the base of routine method in the preoperative interview, the evidence-based group established evidence-based information supporting system, which aimed to dredge the psychological stress of the patients＇ response to surgery individually and intervene by demonstrating simulation of operation process. According to the traditional way, control group accepted routine preoperative interview. To compare patients＇ indexes of two groups before and after anesthesia. Results Patients＇ heart rate and the mean arterial pressure lower than control group before anesthesia in evidence-based group. The dosage of midazolam in evidence-based group was less than the control group （t = 6. 73,7. 24,8. 17;P 〈 0. 05 ）. The difference of pre-anesthesia anxiety scores was statistically significant between evidence-based group and control group （t = 7.68,P 〈 0. 01 ）. But the difference of the anxiety scores after operation wash ＇ t statistically significant between two groups （ t = 0. 62, P 〉 0. 05 ）. Patients in evidence-based group took shorter revival time than control group （ t = 9. 71,10. 45, 11.32 ; P 〈 0. 01 ）. Compared the different period pain score of two groups, patients of evidence-based group were lower than those of the control group, and the patients＇ satisfaction scores also were higher than those of control group, the differences were statistically significant （t =2. 38,5.2,2,2. 63,7. 62;P 〈0. 05）. Conclusions Application evidence-based nursing information support in preoperative interview effectively relieves the preoperative anxiety, can reduce the dosage of narcotic and sedative drugs, shorten the revival time, improve patient＇s satisfaction and have reached

关 键 词：焦虑 麻醉 全身 术前访视 腹部手术 循证护理 

分 类 号：R473.6[医药卫生—护理学]