全程麻醉护理一体化模式联合预见性护理对小儿麻醉复苏期的影响  

Effect of the integrated model of full anesthesia nursing combined with predictive nursing on pediatric anesthesia recovery period

作　　者：汤可香[1] 胡巧 蒋丽丹[1] 康欣[1] 杜真[1] TANG Kexiang;HU Qiao;JIANG Lidan;KANG Xin;DU Zhen(Department of Anesthesiology,Hunan Children’s Hospital,Hunan Province,Changsha 410000,China)

机构地区：[1]湖南省儿童医院麻醉手术科,湖南长沙410000

出　　处：《中国医药导报》2024年第6期164-167,共4页China Medical Herald

基　　金：湖南省卫生健康委员会科研计划项目(202214044031)。

摘　　要：目的 探讨全程麻醉护理一体化模式联合预见性护理对小儿麻醉复苏期的影响。方法 前瞻性纳入湖南省儿童医院2021年9月至2022年8月收治的116例拟行心脏手术治疗的患儿进行随机对照研究,通过随机双盲抽签法将其分为对照组与观察组,各58例。对照组接受全程麻醉护理一体化模式护理干预,观察组接受全程麻醉护理一体化模式联合预见性护理干预。比较两组手术结束即刻(L1)、入复苏室即刻(L2)、麻醉清醒时(L3)患者麻醉复苏期体征水平;两组麻醉复苏情况及复苏期间并发症发生情况。结果 整体分析发现,两组心率、平均动脉压时间、组间、交互作用比较,差异有统计学意义(P<0.05),进一步两两比较:组内比较,两组组内各时点麻醉复苏期体征水平比较,差异有统计学意义(P<0.05);组间比较,观察组各时点心率、平均动脉压均高于对照组,差异有统计学意义(P<0.05)。观察组自主呼吸恢复时间、自主睁眼时间、拔管时间、出复苏室时间均短于对照组(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论 全程麻醉护理一体化模式联合预见性护理有助于稳定小儿麻醉复苏期体征水平,促进小儿麻醉复苏期恢复,且可降低复苏期间并发症发生率。Objective To explore the effect of the integrated model of full process anesthesia nursing combined with predictive nursing on the recovery period of pediatric anesthesia.Methods A randomized controlled study was conducted on116 children who were admitted to Hunan Children's Hospital from September 2021to August 2022 and planned to undergo cardiac surgery.They were divided into control group and observation group using a double-blind lottery method,with 58cases in each group.The control group of children received full anesthesia nursing integrated model nursing intervention.The observation group received a comprehensive anesthesia nursing integrated model combined with predictive nursing intervention.The levels of signs,anesthesia recovery status,and complications during the anesthesia recovery period among patients immediately after surgery(L1),immediately after entering the resuscitation room(L2),and during anesthesia awakening(L3) were compared.Results Overall analysis found that there were statistically significant differences in the level time,inter-group,and interaction of signs in the recovery period between the two groups(P<0.05).Further pairwise comparison:intra-group comparison and the level of signs during recovery from anesthesia at each time point in the two groups had statistical significance(P<0.05);comparison among groups,the level of signs during recovery from anesthesia the observation group were higher than those of the control group at all time points,and the differencs were statistically significant(P <0.05).The recovery time of spontaneous respiration,spontaneous eye opening time,extubation time and resuscitation room time in observation group were shorter than those in control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The integrated anesthesia nursing model combined with predictive nursing is helpful to st

关 键 词：麻醉复苏期 预见性护理 一体化模式 全程麻醉护理 

分 类 号：R473[医药卫生—护理学]