前馈控制理论在麻醉恢复期患者躁动护理中的应用  

Application of nursing intervention based on feedforward control theory to the nursing of agitation during the anesthesia recovery period

作　　者：张丽萍[1] 李新琳[1] 戴庆[1] ZHANG Liping;LI Xinlin;DAI Qing(Department of Anesthesiology,the First Affiliated Hospital of Xinjiang Medical University,Xinjiang,Urumqi 830000,China)

机构地区：[1]新疆医科大学第一附属医院麻醉科,乌鲁木齐市830000

出　　处：《河北医药》2025年第3期517-520,524,共5页Hebei Medical Journal

基　　金：新疆维吾尔自治区自然科学基金资助项目(编号:2021D01C309)。

摘　　要：目的探究前馈控制理论在麻醉恢复期患者躁动护理中的应用。方法选取2020年12月至2022年12月于新疆医科大学第一附属医院接受全麻醉恢复期患者90例为研究对象,随机数字表法将其分为对照组、干预组,每组52例。对照组给予常规护理进行干预;干预组在常规护理的基础上给予前馈控制理论护理干预。记录2组患者麻醉恢复期躁动情况、麻醉苏醒质量、疼痛程度、心理状况、不良事件发生情况及护理满意情况。结果干预后,与对照组比较,干预组平均躁动时间、躁动次数、躁动发生率、拔管时间、清醒时间、睁眼时间、自主呼吸恢复时间均降低(P<0.05);麻醉苏醒时以及麻醉苏醒30 min后,整体疼痛程度均减轻(P<0.05);SDS、SAS评分水平、意外拔管、出血以及坠床不良事件的发生率降低(P<0.05);干预组的总满意度升高(P<0.05)。结论采用基于前馈控制理论的护理对麻醉恢复期患者进行干预,能显著对患者躁动情况进行改善,降低护理过程中不良事件的发生率,提高麻醉苏醒质量,提升护理效果。Objective To explore the application effect of nursing intervention based on feedforward control theory on the nursing of agitation during the anesthesia recovery period.Methods Ninety general anesthesia patients in the anesthesia recovery period in the First Affiliated Hospital of Xinjiang Medical University from December 2020 to December 2022 were selected.They were randomly divided into control group and intervention group,with 52 cases in each group.The control group was given routine nursing intervention,and the intervention group was given feedforward control theory nursing intervention plus routine nursing.The agitation during the anesthesia recovery period,quality of anesthesia recovery,pain degree,psychological status,adverse events and nursing satisfaction of the two groups were recorded.Results After intervention,the mean agitation time,agitation frequency,agitation incidence,extubation time,wake-up time,eye-opening time,spontaneous respiration recovery time were significantly less in the intervention group than those of the control group(P<0.05).At the time of anesthesia recovery and 30 minutes after anesthesia recovery,the overall pain degree was significantly reduced in the intervention group than that of the control group(P<0.05).The Self-Rating Depression Scale(SDS)score,the Self-Rating Anxiety Scale(SAS)score,accidental extubation,bleeding and the incidence of bed fall were significantly reduced in the intervention group than those of the control group(P<0.05).The total satisfaction of the intervention group was significantly higher than that of the control group(P<0.05).Conclusion Nursing intervention based on feedforward control theory for patients recovering from anesthesia can significantly improve agitation,reduce the incidence of adverse events in the nursing process,improve the quality of anesthesia recovery,and enhance the nursing effect.

关 键 词：麻醉恢复期 前馈控制理论 躁动护理 护理干预 

分 类 号：R614.2[医药卫生—麻醉学]