术前积极心理暗示结合多感官唤醒干预对日间宫腔镜手术患者苏醒质量的影响  

Impact of the preoperative positive psychological suggestion combined with the multisensory arousal intervention for patients with the daytime hysteroscopy surgery on their quality of awakening

作　　者：张雷 徐家婷 汤涤涤 钟晓艳 姚程程 孙存娟 袁浩 ZHANG Lei;XU Jiating;TANG Didi;ZHONG Xiaoyan;YAO Chengcheng;SUN Cunjuan;YUAN Hao(Fuyang Hospital,Anhui Medical University,Fuyang,Anhui Province,236000)

机构地区：[1]安徽医科大学附属阜阳医院,236000

出　　处：《中国计划生育学杂志》2025年第4期830-834,共5页Chinese Journal of Family Planning

摘　　要：目的:探究术前积极心理暗示结合多感官唤醒干预对日间宫腔镜手术患者苏醒质量影响。方法:回顾性研究2023年12月-2024年3月入本院行全身麻醉(喉罩插管麻醉)的妇科日间宫腔镜手术患者102例临床资料,根据护理干预措施将患者分为对照组(n=51例)与干预组(n=51例),两组均采用常规护理,干预组同时采用术前积极心理暗示联合多感官唤醒。比较两组自主呼吸恢复时间、喉罩拔除时间、复苏室驻留时间、苏醒质量相关指标等。结果:干预组自主呼吸恢复时间[14.0(8.0,20.0)min]、喉罩拔出时间[20.0(15.5,27.0)min]、PACU驻留时间[43.0(35.0,68.0)min]均低于对照组[29.0(17.0,38.0)min、33.0(26.0,41.0)min、54.0(45.5,64.0)min],苏醒后咽喉痛、苏醒期躁动、无创平均脉压波动≥20%患者占比均低于对照组(均P<0.05),两组苏醒后出现疼痛、寒颤、舌后坠等情况无差异(P>0.05)。干预组总满意率(98.0%)高于对照组(84.3%)(P<0.05)。结论:术前积极心理暗示与多感官唤醒干预可缩短日间宫腔镜手术患者麻醉苏醒时间,提高复苏质量,提升护理满意度。Objective:Exploring the impact of the preoperative positive psychological suggestion combined with the multisensory arousal intervention for patients with the daytime hysteroscopy surgery on their quality of awakening.Methods:A retrospective study was conducted on the clinical data of 102 patients who had undergone gynecological daytime hysteroscopy surgery under general anesthesia(laryngeal mask intubation anesthesia)from December 2023 to March 2024.According to the different nursing intervention measures,these patients were divided into control group(n=51)and study group(n=51).The patients in the two groups all received the routine nursing care,while the patients in the study group received the preoperative positive psychological suggestion combined with multisensory arousal additionally.The recovery time of spontaneous breathing,the laryngeal mask removal time,the resuscitation room stay time and the recovery quality related indicators values of the patients were compared between two groups.Results:The recovery time of spontaneous breathing(14.0 min,8.0-20.0 min),the laryngeal mask extraction time(20.0 min,15.5-27.0 min)and the resuscitation room stay time(43.0 min,35.0-68.0min)of the patients in the study group were significantly lower than those(29.0 min,17.0-38.0 min,33.0 min,26.0-41.0 min and 54.0 min,45.5-64.0 min)of the patients in the control group(P<0.05).The proportions of the sore throat after recovery,the restlessness during recovery and the non-invasive average pulse pressure fluctuation≥20%of the patients in the study group were significantly lower than those of the patients in the control group(all P<0.05).There were no significant differences in the proportions of the pain,shivering,and tongue prolapse of the patients awakening between the two groups(P>0.05).The total satisfaction rate(98.0%)of the patients in the study group was significantly higher than that(84.3%)of the patients in the control group(P<0.05).Conclusion:The preoperative positive psychological suggestion combined with the mult

关 键 词：日间宫腔镜手术 心理暗示 多感官唤醒 苏醒质量 满意度 

分 类 号：R473.71[医药卫生—护理学]