护理团队主导的多元化管理对老年患者全身麻醉术后复苏情况的影响  

The impact of diversified management led by anesthesia nursing groups on the postoperative recovery of elderly patients undergoing general anesthesia

作　　者：应臻臻 童珺霞 童巧莉 李月翠 沈海萍 YING Zhenzhen;TONG Junxia;TONG Qiaoli;LI Yuecui;SHEN Haiping(Operating Room,the First People's Hospital of Yongkang,Yongkang,Zhejiang 321300,China;不详)

机构地区：[1]永康市第一人民医院手术室,浙江永康321300 [2]永康市第一人民医院感染科 [3]浙江绿城心血管病医院手术室,浙江杭州310000

出　　处：《中华全科医学》2024年第12期2172-2176,共5页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2020PY065)。

摘　　要：目的分析麻醉护理团队主导的多元化管理在老年患者全身麻醉术后复苏期管理中的应用效果,为提高临床术后复苏质量提供参考。方法选取2023年1月—2024年1月在永康市第一人民医院手术室行全麻手术的130例老年患者作为研究对象,根据随机数字表法将其分为对照组(65例)和观察组(65例)。对照组应用常规护理,观察组在对照组基础上应用麻醉护理团队主导的多元化管理。比较2组患者苏醒情况、麻醉后恢复情况及并发症发生情况。结果观察组患者麻醉苏醒时间、拔除气管插管时间及出复苏室时间分别为(68.42±6.41)min、(72.38±7.04)min、(84.65±9.73)min,均短于对照组[(71.33±8.03)min、(76.16±8.51)min、(90.83±11.47)min],且观察组RASS评分[(1.13±0.27)分]低于对照组[(2.18±0.45)分],差异均有统计学意义(P<0.05)。术后24 h,观察组患者中文版40项术后恢复质量调查问卷(QoR-40)总分为(133.77±8.46)分,高于对照组[(120.34±9.79)分,P<0.05]。观察组术后躁动及低体温发生率分别为4.6%(3/65)、1.5%(1/65),明显低于对照组[15.4%(10/65)、10.8%(7/65),P<0.05]。结论麻醉护理团队主导的多元化管理能缩短老年患者全身麻醉术后苏醒时间,提高苏醒期复苏质量,减少术后并发症发生,提高护理工作效率。Objective To analyze the application effect of diversified management led by anesthesia nursing groups in the management of postoperative recovery in elderly patients undergoing general anesthesia,and to provide reference for improving the quality of clinical postoperative recovery.Methods A total of 130 elderly patients who underwent general anesthesia surgery in the operating room of the First People's Hospital of Yongkang from January 2023 to January 2024 were selected as the study subjects.They were randomly divided into a control group and an observation group,with 65 cases in each group,using a random number table method.The control group received routine care,while the observation group received diversified management led by the anesthesia nursing group on the basis of the control group.The recovery,anesthesia recovery,and incidence of complications between two groups of patients were compared.Results The anesthesia recovery time,tracheal intubation removal time,and exit time of the observation group patients were(68.42±6.41)min,(72.38±7.04)min,and(84.65±9.73)min,respectively,which were shorter than the control group[(71.33±8.03)min,(76.16±8.51)min,and(90.83±11.47)min],and the RASS score of the observation group was(1.13±0.27)points,which was lower than that of the control group[(2.18±0.45)points,P<0.05].24 hours after surgery,the total score of the Chinese version of the quality of recovery-40 questionnaire(QoR-40)in the observation group was(133.77±8.46)points,which was higher than that of the control group[(120.34±8.46)points,P<0.05];the incidence of postoperative agitation and hypothermia in the observation group was 4.6%(3/65)and 1.5%(1/65),respectively,which were lower than those of the control group[15.4%(10/65)and 10.8%(7/65),P<0.05].Conclusion Diversified management led by anesthesia nursing groups can shorten the recovery time of elderly patients after general anesthesia surgery,improve the quality of recovery during the recovery period,reduce postoperative complications,and improve nur

关 键 词：全身麻醉 老年患者 麻醉护理团队 多元化管理 并发症 

分 类 号：R614.2[医药卫生—麻醉学] R473.6[医药卫生—外科学]