无痛护理管理在苏醒室护理中的应用效果  

Application effects of painless nursing management in the nursing of Recovery Room

作　　者：陈罡[1] 汪晖[2] 余遥[1] 张琴[1] 陈堃[1] 赵体玉[3] 

机构地区：[1]华中科技大学同济医学院附属同济医院麻醉科苏醒室,武汉430030 [2]华中科技大学同济医学院附属同济医院护理部,武汉430030 [3]华中科技大学同济医学院附属同济医院手术室,武汉430030

出　　处：《中华现代护理杂志》2016年第12期1676-1679,共4页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金（81100864）

摘　　要：目的：探讨无痛护理管理模式对术后苏醒室患者镇痛效果、满意度以及生命体征的影响。方法选择2014年7—9月行腹腔镜胃癌手术后进入苏醒室的患者60例，采用随机数字表法分成对照组30例和观察组30例，对照组采用常规镇痛模式，观察组采用无痛护理管理模式；比较两组患者进入苏醒室和用药10 min后的平均动脉压（ MAP）、HR、血氧饱和度（ SpO2）、出苏醒室时疼痛数字评分（ NRS）、满意度的差异。结果两组患者出苏醒室时NRS评分差异有统计意义（χ2＝9．317，P＜0．01）；观察组患者满意度高于对照组，差异有统计学意义（χ2＝10．000，P＜0．01）。入苏醒室后5 min时两组患者的MAP、HR、SpO2差异无统计学意义（P＞0．05）；用药后10 min观察组HR低于对照组，差异有统计学意义（t＝2．898，P＜0．05），但MAP、SpO2差异无统计学意义（P＞0．05）。结论无痛护理管理模式可显著改善苏醒期患者的镇痛效果，改善患者的心理舒适体验。Objective To investigate the influences of the painless care management mode on the analgesic effects , the satisfaction and vital signs in the patients in Recovery Room .Methods A total of 60 patients , who first had laparoscopic gastric cancer surgery and then were sent to the Recovery Room in the period of July 2014 and September 2014 , were included in the study .These patients were divided into control group （ n=30 ） and observation group （ n=30 ） according to the random number table .The conventional analgesic model was applied for the patients in the control group , while the painless nursing management mode was used in the patients in the observation group .The mean values of MAP ,HR,SpO2 ,the satisfaction at the time of entering Recovery Room and 10 min after the drug application and the NRS score measured at the time of leaving Recovery Room were compared .Results The NRS score measured at the time of leaving Recovery Room in the two groups were significantly different （χ2 =9.317, P〈0.01）.The the satisfaction in the observation group was significantly higher than that in the control group （χ2 =10.000, P〈0.01）.No significant differences were found in the values of MAP ,HR,SpO2 5 min after entering the post anesthesia care unit between the two groups （P〉0.05）.10 min after the drug application, the value of HR in the observation group was significantly lower than that in the control group （t=2.898,P〈0.05）, but no significant differences were found in the values of MAP or SpO2 between the two groups （P〉0.05）.Conclusions The painless nursing management mode can significantly improve the analgesic effects of the patients in the recovery period , and improve their psychological experience of comfort .

关 键 词：麻醉科 苏醒室 镇痛 无痛护理管理 

分 类 号：R473.6[医药卫生—护理学]