基于PRECEDE模式的护理干预对手术室麻醉患者麻醉苏醒期躁动发生率及心理负性情绪的影响  

Impact of nursing intervention based on the PRECEDE model on agitation incidence and negative psychological emotions during the anesthesia recovery period in operating room patients

作　　者：司雪洋 董子涵 王彦红 SI Xueyang;DONG Zihan;WANG Yanhong(Department of Anesthesiology,Xuchang Central Hospital,Xuchang 461000,China)

机构地区：[1]许昌市中心医院麻醉科手术部,河南许昌461000

出　　处：《黑龙江医药科学》2025年第3期47-50,共4页Heilongjiang Medicine and Pharmacy

基　　金：河南省医学科技攻关联合共建项目,编号:LHGJ20221019。

摘　　要：目的:探究基于PRECEDE模式的护理干预在手术室麻醉患者中的应用效果。方法:选取2021年2月至2023年11月许昌市中心医院收治的103例手术室全麻患者为研究对象,依据随机数字表法分为两组,对照组51例、观察组52例,分别接受常规护理、常规护理+基于PRECEDE模式的护理干预。对比两组苏醒期躁动发生率、苏醒质量、不良事件发生率及干预前后中文版抑郁焦虑压力量表21(DASS-21)、舒适状况量表(GCQ)评分。结果:观察组睁眼时间、复苏室停留时间、恢复自主呼吸时间、拔管时间均短于对照组(P<0.05);观察组躁动发生率为7.69%、不良事件发生率为5.77%,均低于对照组23.53%、19.61%(P<0.05);干预后观察组DASS-21中抑郁、焦虑、压力评分均低于对照组,GCQ中社会文化与环境、心理、生理、精神评分均高于对照组(P<0.05)。结论:基于PRECEDE模式的护理干预应用于手术室麻醉患者护理中,可提升苏醒质量,降低躁动、出血等不良事件发生风险,有助于提高患者舒适度,改善不良情绪。Objective:To explore the application effect of nursing intervention based on the PRECEDE model in patients undergoing anesthesia in the operating room.Methods:103 patients undergoing general anesthesia in the operating room at Xuchang Central Hospital from February 2021 to November 2023 were selected as study subjects.They were divided into two groups using the random number table method:a control group of 51 patients and an observation group of 52 patients.The control group received routine nursing care,while the observation group received routine nursing care plus nursing intervention based on the PRECEDE model.The incidence of agitation during the recovery period,recovery quality,incidence of adverse events,and scores of Chinese version of the Depression Anxiety Stress Scales-21(DASS-21)and General Comfort Questionnaire(GCQ)before and after intervention were compared between the two groups.Results:The observation group had shorter eye-opening time,recovery room stay,time to resume spontaneous breathing and extubation time compared to the control group(P<0.05).The incidence of agitation in the observation group was 7.69%,and the incidence of adverse events was 5.77%,both lower than the control group's 23.53%and 19.61%,respectively(P<0.05).After intervention,the observation group had lower depression,anxiety and stress scores on the DASS-21 and higher scores on sociocultural and environmental,psychological,physiological,and spiritual aspects of the GCQ compared to the control group(P<0.05).Conclusion:Applying nursing interventions based on the PRECEDE model in the care of patients undergoing anesthesia in the operating room can improve recovery quality,reduce the risk of adverse events such as agitation and bleeding,and help enhance patient comfort and alleviate negative emotions.

关 键 词：PRECEDE模式 全麻 躁动 心理状态 舒适度 

分 类 号：R473.6[医药卫生—护理学]