全身麻醉患者术后苏醒早期疼痛的针对性护理  

Targeted nursing for early pain after recovery in patients with general anesthesia

作　　者：李想[1] 毕钰莹 房特[1] LI Xiang;BI Yuying;FANG Te(The First Hospital Affiliated to China Medical University,Shenyang,Liaoning,110001)

机构地区：[1]中国医科大学附属第一医院,辽宁沈阳110001

出　　处：《实用临床医药杂志》2020年第16期109-111,共3页Journal of Clinical Medicine in Practice

摘　　要：目的观察全身麻醉患者术后苏醒早期疼痛的临床表现及针对性护理效果。方法将76例全身麻醉患者随机分为观察组和对照组,每组38例。2组患者麻醉方法相同,对照组实施常规护理,观察组实施针对性护理。比较2组患者干预前后的心率(HR)、平均动脉压(MAP)、Ricker镇静-躁动评分(SAS)、视觉模拟评分法(VAS)评分,比较2组患者的护理满意度及护理风险事件发生率。结果干预后,观察组患者HR、MAP、SAS评分、VAS评分均低于对照组患者,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,护理风险事件发生率低于对照组,差异均有统计学意义(P<0.05)。结论全身麻醉患者术后苏醒早期疼痛较为明显,患者常伴有HR加快、MAP升高等临床表现。实施针对性护理可减轻全身麻醉患者术后苏醒早期的疼痛程度,降低躁动、脱管及坠床等风险事件发生率。Objective To observe the clinical manifestations of early pain after recovery in patients with general anesthesia and effect of targeted nursing.Methods Totally 76 patients with general anesthesia were randomly divided into observation group and control group,with 38 cases in each group.The anesthesia method was the same in both groups,the control group was treated with routine nursing,while the observation group was treated with targeted nursing.The heart rate(HR),mean arterial pressure(MAP),the scores of Ricker Sedation-Agitation Scale(SAS)and Visual Analogue Scale(VAS)were compared between the two groups before and after the intervention,and the nursing satisfaction degree and the incidence of nursing risk events were compared between the two groups.Results After the intervention,the HR,MAP,and scores of SAS and VAS in the observation group were significantly lower than those in the control group(P<0.05).The nursing satisfaction degree of the observation group was significantly higher than that of the control group,and the incidence of nursing risk events was significantly lower than that of the control group(P<0.05).Conclusion The pain is obvious in early awakening period in patients with general anesthesia,and they are usually accompanied by rapid HR,high MAP and other clinical manifestations.The implementation of targeted nursing can reduce the degree of pain in patients with general anesthesia in the early stage after recovery,and reduce the incidence of risk events such as agitation,tube removal and falling down from bed.

关 键 词：全身麻醉 苏醒期 疼痛 躁动 平均动脉压 

分 类 号：R473.6[医药卫生—护理学]