系统护理干预模式在手术室全麻留置导尿管患者中的应用效果  

Analysis of the clinical effects of systematic nursing intervention mode applied in general anesthesia patients with indwelling urinary catheter

作　　者：樊鹂 林旭辉[1] 陈伟立[1] 

机构地区：[1]广东省惠州市第三人民医院手术室,516002

出　　处：《国际护理学杂志》2016年第12期1585-1588,共4页international journal of nursing

基　　金：2014年惠州市科技计划项目（2014Y155）

摘　　要：目的探讨系统护理干预模式在手术室全麻留置导尿管患者中的应用效果。方法采用便利抽样方法抽取2014年2月至2015年2月在我院行手术治疗的患者160例，按照随机数字表法分为观察组和对照组各80例。对照组患者给予常规全麻留置导尿方法护理，观察组患者在全麻前常规导尿的基础上进行系统护理干预。对比分析两组患者护理效果。结果观察组患者苏醒期躁动发生率为23．75％，低于对照组患者68．75％（P〈0．05），观察组患者躁动分级情况明显优于对照组患者（P〈0．05）；观察组患者苏醒末期尿管刺激反应发生率为58．75％，低于对照组患者91．25％（P〈0．05），观察组患者尿管刺激反应分级情况明显优于对照组患者（P〈0．05）；观察组患者术后12h尿管刺激反应发生率为41．25％，低于对照组患者83．75％（P〈0．05），观察组患者尿管刺激反应分级情况明显优于对照组患者（P〈0．05）。结论在手术室全麻留置导尿管患者中开展系统护理干预模式能明显改善患者临床护理效果，值得临床推广应用。Objective To explore the clinical effects of systematic nursing intervention mode applied in gener- al anesthesia patients with indwelling urinary catheter. Methods An easy way for sampling was carried out to select 160 cases of patients who received surgical treatment in our hospital from February 2014 to February 2015 and these patier^ts were randomly divided into observation group and control group by random number table method, 80 cases in each group. The patients of the control group received conventional nursing method of general anesthesia with indwelling uri- nary catheter, while the patients of the observation group received systematic nursing intervention on basis of routine u- rethral catheterization before general anesthesia. The nursing effects of the two groups were compared. Results The in- cidence rate of emergence agitation at awaking stage of the observation group＇s patients was 23.75%, which was signifi- cantly lower than that of 68.75% of the control group （P〈0. 05）; the grading state of agitation of the observation groupSs patients was significantly better than that of the control group （ P〈0. 05 ） ; the incidence rate of urinary catheter stimulus reactions at the end of awaking stage of the observation group＇s patients was 58.75%, which was significantly better than that of 91.25% of the control group （P〈0. 05） ; the grading state of the urinary catheter stimulus reactions of the observation group was significantly better than that of the control group （ P〈0. 05 ） ; the incidence rate of the uri- nary catheter stimulus reactions after 12 hours of the operation was 41.25%, which was significantly lower than that of 83.75% of the control group （P〈0. 05 ） ; the grading state of the urinary catheter stimulus reactions of the observation group was significantly better than that of the control group （P〈0. 05 ）. Conclusion Systematic nursing intervention mode applied in general anesthesia patients with indwelling urinary catheter can significantly improve the

关 键 词：系统护理干预模式 手术室护理 全身麻醉 留置导尿管 苏醒期躁动 

分 类 号：R472[医药卫生—护理学]