授权理论结合家长陪伴在日间手术患儿麻醉复苏护理中的应用  

Application of Authorization Theory Combined with Parental Companionship in Anesthesia and Resuscitation Nursing for Children Undergoing Daytime Surgery

作　　者：刘英[1] 陈鑫艺 LIU Ying;CHEN Xinyi(Department of Anesthesia Operating,the First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院麻醉手术科,福建厦门361000

出　　处：《中国医药指南》2023年第23期141-144,共4页Guide of China Medicine

摘　　要：目的 探讨授权理论结合家长陪伴在日间手术患儿麻醉复苏的护理效果。方法 选择2022年7月行日间手术的40例患儿作为对照组,采用常规的麻醉复苏护理;2022年8月收治的日间手术的40例患儿作为观察组,患儿麻醉复苏期在家长陪伴的基础上采用授权理论的护理模式,比较两组患儿手术后麻醉复苏护理效果。结果 行日间手术患儿麻醉复苏并发症主要为呼吸抑制、血压升高、心率减慢、体温异常和其他。对照组患儿麻醉复苏并发症发生率为47.50%,观察组患儿麻醉复苏并发症发生率为15.00%,χ^(2)=9.833,P=0.002,差异有统计学意义。两组患儿拔管时间、患儿在PACU的时间比较,均P <0.05,差异有统计学意义,且对照组患儿拔管时间、患儿在PACU的时间均长于观察组,苏醒体温异常于观察组。两组行日间手术患儿麻醉复苏躁动情况的评分比较,t=24.667,P <0.001,差异有统计学意义,且对照组行日间手术患儿麻醉复苏躁动情况的评分高于观察组。对照组行日间手术患儿家长满意度为75.00%(30/40),观察组行日间手术患儿家长满意度为100%(30/40),χ^(2)=11.429,P=0.001,差异有统计学意义,且对照组行日间手术患儿家长满意度高于观察组。结论 行日间手术患儿在家长陪伴的基础上采用授权理论的护理模式有利于其术后麻醉复苏,降低或避免麻醉复苏期的应激反应,适合临床应用。Objective To explore the nursing effect of combining empowerment theory with parental companionship in anesthesia resuscitation of pediatric patients undergoing daytime surgery.Methods Forty children who underwent daytime surgery in July 2022 were selected as the control group,and routine anesthesia and resuscitation nursing were used.In August 2022,40 children who underwent daytime surgery were treated as the observation group.During the anesthesia and resuscitation period,the nursing model of authorization theory was adopted based on parental companionship,and the postoperative anesthesia and resuscitation nursing effects of the two groups of children were compared.Results The main complications of anesthesia resuscitation in children undergoing daytime surgery were respiratory suppression,increased blood pressure,decreased heart rate,abnormal body temperature,and others.The incidence of anesthesia resuscitation complications in the control group was 47.50%,while the incidence of anesthesia resuscitation complications in the observation group was 15.00%,χ^(2)=9.833,P=0.002,the difference is statistically significant.The comparison of extubation time and time spent in PACU between the two groups of children showed a statistically significant difference(P<0.05).Moreover,the control group had longer extubation time and time spent in PACU compared to the observation group,and the awakening temperature was abnormal compared to the observation group.The comparison of the scores of restlessness during anesthesia resuscitation between two groups of children undergoing daytime surgery showed t=24.667,P<0.001,and the difference was statistically significant.Moreover,the score of restlessness during anesthesia resuscitation in the control group was higher than that in the observation group.The satisfaction rate of parents of children undergoing daytime surgery in the control group was 75.00%(30/40),while the satisfaction rate of parents of children undergoing daytime surgery in the observation group was 100%(30/40),χ^(2

关 键 词：日间手术 护理效果 麻醉复苏 家长陪伴 授权理论 

分 类 号：R473[医药卫生—护理学] R614[医药卫生—临床医学]