多元化环境干预联合镇静镇痛护理改善小儿麻醉苏醒质量及睡眠的研究  

作　　者：李悦悦 王艳丽 

机构地区：[1]厦门市儿童医院(复旦大学附属儿科医院厦门医院),福建厦门

出　　处：《黑龙江中医药》2024年第5期298-300,共3页Heilongjiang Journal of Traditional Chinese Medicine

摘　　要：目的:分析多元化环境干预联合镇静镇痛护理改善小儿麻醉苏醒质量及睡眠的效果。方法:选取2024年8月至2024年9月期间本院手术治疗患儿作为试验对象,入组98例。参照数字随机表法进行分组,每组49例。对照组予以常规护理模式,观察组在此基础予以多元化环境干预联合镇静镇痛护理。以苏醒质量指标、苏醒期躁动、多导睡眠监测、主观睡眠评分作为评定项目,评价2种干预模式的效果。结果:与对照组比较,观察组睁眼时间、恢复意识时间、麻醉恢复室(PACU)停留时间均明显减少(P<0.05)。与对照组比较,观察组麻醉苏醒期躁动发生率明显下降(P<0.05)。观察组手术后多导睡眠监测参数(总睡眠时间、睡眠效率)与对照组比明显升高(P<0.05)。观察组手术后匹兹堡睡眠质量指数问卷(PSQI)各领域评分与对照组比明显下降(P<0.05)。结论:多元化环境干预联合镇静镇痛护理能明显改善小儿麻醉苏醒质量,减少苏醒期躁动发生,并有助于提高术后整体睡眠质量,减少睡眠障碍。Objective To analyze the effect of multiple environmental intervention combined with sedation and analgesia nursing on improving the quality of anesthesia recovery and sleep in children.Methods From August 2024 to September 2024,98 patients were selected as experimental subjects.According to the numerical random table method,49 cases were divided into each group.The control group was given routine nursing mode,and the observation group was given diversified environmental intervention combined with sedation and analgesia nursing on this basis.The effects of the two intervention modes were evaluated with wake quality index,wake agitation,polysomnography and subjective sleep score as evaluation items.Results Compared with the control group,the eye opening time,the time of consciousness recovery,the stay time of anesthesia recovery room(PACU)in the observation group were significantly reduced(P<0.05).Compared with the control group,the incidence of agitation during anesthesia recovery in the observation group was significantly decreased(P<0.05).The monitoring parameters(total sleep time and sleep efficiency)of the observation group were significantly higher than those of the control group(P<0.05).The scores of Pittsburgh Sleep Quality Index(PSQI)in the observation group after surgery were significantly lower than those in the control group(P<0.05).Conclusions Multiple environmental intervention combined with sedation and analgesic nursing can significantly improve the quality of anesthesia recovery in children,reduce the occurrence of restlessness during the recovery period,and help to improve the overall postoperative sleep quality and reduce sleep disorders.

关 键 词：多元化环境干预 镇静镇痛护理 小儿麻醉 苏醒质量 睡眠质量 多导睡眠监测 睡眠障碍 躁动 

分 类 号：R473.72[医药卫生—护理学]