小儿麻醉诱导前及复苏护理流程优化研究  

Study on the Optimizing of Nursing Procedure Before the Induction and the Recovery of Anesthesia in Children

作　　者：蒙丽婵[1] 洪钦政[1] 麦勤玲[1] 胡旭东[1] 

机构地区：[1]广东省佛山市第二人民医院手术室,广东佛山528000

出　　处：《临床医学工程》2013年第9期1161-1162,共2页Clinical Medicine & Engineering

摘　　要：目的观察麻醉诱导前使用优化护理流程对患儿进行心理干预的效果和对生命体征的影响。方法选择80例首次拟在全麻下行择期手术的患儿随机分为两组各40例,对照组采用常规手术护理流程,实验组采用优化护理流程。观察和记录患儿麻醉诱导前、麻醉成功后及患儿苏醒后的初次心率、呼吸、血压变化及患者家属麻醉满意度。结果实验组患儿配合程度及患儿家属满意度明显优于对照组(P<0.05),实验组患儿术中心率、血压波动相比对照组更加平稳(P<0.05)。结论在家属陪同下进行麻醉前诱导及麻醉后复苏可明显减轻患儿焦虑、恐惧心理,提高麻醉成功率。Objective To observe the effect of psychological intervention with optimized nursing procedure before the induction and its influence to vital signs of children.Methods 80 children with selective operation under general anesthesia were randomly divided into two groups.The control group received the routine nursing procedure,while the experimental group received the optimized nursing procedure.The initial heart rate,breathing,blood pressure changes,and patient satisfaction with anesthesia before the induction,after the success of anesthesia,and after awakening in children were observed and recorded during nursing procedure.The initial heart rate,breathing,blood pressure changes,and satisfaction with anesthesia were observed and recorder.Results Compared with the control group,the experimental group had better cooperation of children and satisfaction degree of children＇s patients,and smoother intraoperative heart rate and blood pressure fluctuations（all P 0.05）.Conclusions The family members＇ accompany before anesthesia induction and recovery after anesthesia in children can significantly reduce anxiety,fear,and improve the success rate of anesthesia.

关 键 词：小儿 麻醉 诱导 护理干预 流程 

分 类 号：R473.72[医药卫生—护理学]