心理护理对全身麻醉男性患者苏醒期留置尿管耐受度的影响  

The impact of psychological care on indwelling urinary catheter tolerance of male patients under general anesthesia during recovery period

作　　者：贺文英[1] 袁士平[1] 

机构地区：[1]泸州医学院附属医院,四川省泸州市646000

出　　处：《临床合理用药杂志》2013年第19期23-24,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的观察有针对性的心理护理对全身麻醉后留置尿管的男性患者苏醒期耐受度的影响。方法将100例行全身麻醉手术的男性患者随机分为干预组和对照组各50例。干预组于术前访视及麻醉诱导前对患者进行留置尿管的心理护理,对麻醉苏醒期有尿管不适者予安慰解释;对照组术前不予心理护理,对麻醉苏醒期有尿管不适者予安慰解释。观察2组麻醉苏醒期尿道不适及躁动情况。结果 2组苏醒期尿道不适发生率差异无统计学意义(P>0.05);整体上,干预组患者舒适度优于对照组,差异有统计学意义(P<0.01)。干预组躁动发生率为19.1%(9/47)低于对照组的41.7%(20/48),差异有统计学意义(P<0.05);干预组躁动评分为1分、2分、3分的患者比例低于对照组,评分为0分者比例高于对照组,差异均有统计学意义(P<0.05)。结论心理护理能有效提高全身麻醉后男性患者在麻醉苏醒期对留置尿管的耐受度,值得临床推广应用。Objective To observe the impact of targeted psychological care on indwelling urinary catheter tolerance of male patients under general anesthesia during recovery period. Methods 100 cases male patients under general anesthesia were randomly divided into intervention group and control group,each of 50 cases. Intervention group were given psychological care for indwelling catheter at preoperative visit and before induction of anesthesia,and given explanations and consolation to patients with anesthesia discomfort; control group given no psychological care before operation,and given explanations and consolation to patients with anesthesia discomfort. Observed the anesthesia urethral discomfort and restlessness of 2 groups. Results The urethral discomfort incidence rate of 2 groups had no statistically significant （P0.05） ; overall,the patient comfort of intervention group was better than that of control group,the difference was statistically significant （P0.05） ; The agitation incidence rate of intervention group （19.1%） was lower than that of control group （41.7% ） ,the difference was statistically significant （P0.05） ; the agitation score of 1,2,3 points percentage of intervention group was lower than control group,the agitation score of 0 points percentage of intervention group was lower than control group,the difference was statistically significant （P 0. 05） . Conclusion Psychological care can effectively improve the indwelling urinary catheter tolerance of male patients under general anesthesia during recovery period,and worthy of clinical applacation.

关 键 词：心理护理 全身麻醉 苏醒期 留置导管 

分 类 号：R472[医药卫生—护理学]