靶向预控护理结合音乐干预对老年全麻手术患者苏醒期躁动的影响效果分析  

Effects of targeted pre⁃control nursing combined with music intervention on emergence agitation in elderly patients during recovery period of general anesthesia

作　　者：曾紫君 董东伟 丁观福 ZENG Zijun;DONG Dongwei;DING Guanfu(Anesthesia Surgery Center,The First Affiliated Hospital of Gannan Medical College,Ganzhou 341000,China;Department of Neurosurgery,The First Affiliated Hospital of Gannan Medical College,Ganzhou 341000,China)

机构地区：[1]赣南医科大学第一附属医院麻醉手术中心,江西赣州341000 [2]赣南医科大学第一附属医院神经外科,江西赣州341000

出　　处：《麻醉安全与质控》2025年第1期47-50,共4页Perioperative Safety and Quality Assurance

摘　　要：目的探讨靶向预控护理结合音乐干预对老年全麻手术患者苏醒期躁动的影响。方法选取2023年1~9月在赣南医科大学第一附属医院行全麻手术的老年患者189例,年龄≥80岁,ASA分级Ⅰ或Ⅱ级,采用随机数表法将患者分为对照组(n=99)和观察组(n=90),对照组行靶向预控护理,观察组行靶向预控护理结合音乐干预。比较两组患者苏醒期躁动发生情况、复苏情况(PACU滞留时间、意识完全恢复时间、自主呼吸恢复时间),调查两组患者对护理满意度。结果观察组干预后躁动发生率(25.56%)低于对照组(36.36%),重度躁动发生率(0.00%)低于对照组(7.07%),两组比较差异有统计学意义(P<0.05);观察组患者干预后的自主呼吸恢复时间、意识完全恢复时间、PACU滞留时间均短于对照组,两组比较差异有统计学意义(P<0.05)。结论对实行全麻手术的老年患者行靶向预控护理结合音乐干预能够减少其苏醒期躁动发生率,加快复苏进程。Objective To explore the effects of targeted pre⁃control nursing combined with music intervention on emergence agitation in elderly patients during recovery period of general anesthesia.Methods A total of 189 elderly patients,aged≥80 years old,ASAⅠorⅡ,receiving general anesthesia in the First Affiliated Hospital of Gannan Medical College were enrolled as the research objects from January to September 2023.According to random number table method,they were divided into the control group(n=99)and the obser⁃vation group(n=90).The control group received targeted pre⁃control nursing,and the observation group received targeted pre⁃control nursing combined with music intervention.The occurrence of emergence agitation and resuscitation(duration in PACU,complete recovery time of consciousness,recovery time of spontaneous respiration)were compared between the two groups,and nursing satisfaction was in⁃vestigated.Results After intervention,incidence of agitation was lower in observation group(25.56%)than control group(36.36%)(P<0.05),and the incidence of severe agitation was lower than that in observation group(0.00%)that of control group(7.07%),with statistically significant difference(P<0.05).After intervention,recovery time of spontaneous respiration,complete recovery time of consciousness and stay time in PACU were shorter in observation group than those in the control group,with statistically significant difference(P<0.05).Conclusion Targeted pre⁃control nursing combined with music intervention can reduce the incidence of emergence agitation,accelerate resuscitation process in elderly patients receiving surgeries under general anesthesia.

关 键 词：老年 全身麻醉 靶向预控 音乐干预 麻醉复苏 躁动 

分 类 号：R473.6[医药卫生—护理学]