综合护理措施在肺叶切除术患者全身麻醉后苏醒延迟护理中的效果
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摘要
目的探讨综合护理措施在肺叶切除术患者全身麻醉后苏醒延迟护理中的效果。方法选取我院2015年4月～2018年4月收治的120例全身麻醉行肺叶切除术患者作为研究对象,按照随机数字表法将其分为观察组和对照组,每组各60例。对照组采用常规护理措施,观察组采用综合护理措施:严格观察病情,维持患者循环功能、呼吸功能,保证患者保暖和复温情况,加强安全护理措施。比较两组的苏醒延迟率、苏醒时间及患者满意程度。结果护理后,观察组苏醒延迟率为5.00%,明显低于对照组(18.33%),差异有统计学意义(P<0.05)。观察组的苏醒时间明显短于对照组(P<0.05)。观察组的总满意率为91.67%,明显高于对照组(56.67%),差异有统计学意义(P<0.05)。结论综合护理措施用于肺叶切除术患者全身麻醉后,能有效降低患者术后苏醒延迟的发生率,缩短苏醒时间,并明显提高患者对护理工作的满意率,对患者安全渡过度过苏醒延迟期具有良好效果。
Objective To explore the effect of comprehensive nursing measures on delayed recovery after general anesthesia in patients undergoing lobectomy.Methods A total of 120 patients who underwent lobectomy under general anesthesia in our hospital from April 2015 to April 2018 were selected as subjects.According to the random number table method,it was divided into observation group and control group,60 cases in each group.The control group was given routine nursing measures,while the observation group was given comprehensive nursing measures,strictly observing the condition of the disease,maintaining the circulatory and respiratory functions of the patients,ensuring the warmth and rewarming of the patients,and strengthening safety nursing measures.The delayed recovery rate,recovery time and satisfaction degree of the two groups were compared.Results After nursing,the delayed recovery rate of the observation group was 5.00%,which was significantly lower than that of the control group(18.33%),the difference was statistically significant(P<0.05).The recovery time in the observation group was significantly shorter than that in the control group(P<0.05).The satisfaction rate of the observation group was 91.67%,which was significantly higher than that of the control group(56.67%),the difference was statistically significant(P<0.05).Conclusion Comprehensive nursing measures applied to patients after pulmonary lobectomy after general anesthesia,can effectively reduce the incidence of delayed recovery,shorten the recovery time,and significantly improve patients′ satisfaction with nursing work,for patients to safely pass the delayed recovery period has a good effect.
Objective To explore the effect of comprehensive nursing measures on delayed recovery after general anesthesia in patients undergoing lobectomy.Methods A total of 120 patients who underwent lobectomy under general anesthesia in our hospital from April 2015 to April 2018 were selected as subjects.According to the random number table method,it was divided into observation group and control group,60 cases in each group.The control group was given routine nursing measures,while the observation group was given comprehensive nursing measures,strictly observing the condition of the disease,maintaining the circulatory and respiratory functions of the patients,ensuring the warmth and rewarming of the patients,and strengthening safety nursing measures.The delayed recovery rate,recovery time and satisfaction degree of the two groups were compared.Results After nursing,the delayed recovery rate of the observation group was 5.00%,which was significantly lower than that of the control group(18.33%),the difference was statistically significant(P<0.05).The recovery time in the observation group was significantly shorter than that in the control group(P<0.05).The satisfaction rate of the observation group was 91.67%,which was significantly higher than that of the control group(56.67%),the difference was statistically significant(P<0.05).Conclusion Comprehensive nursing measures applied to patients after pulmonary lobectomy after general anesthesia,can effectively reduce the incidence of delayed recovery,shorten the recovery time,and significantly improve patients′ satisfaction with nursing work,for patients to safely pass the delayed recovery period has a good effect.
引文
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[12]杨雪玲.FTS护理在肺叶切除术患者围术期中的应用[J].齐鲁护理杂志,2017,23(12):48-50.
[13]陈淑萍,管斐,徐绿萍,等.综合保温护理对全麻术后低体温患者苏醒时间和不良反应的影响[J].护理与康复,2017,16(5):468-470.
[14]程少先,李海波徐文礼,等.超声引导椎旁阻滞复合全麻对胸腔镜肺叶切除术后患者苏醒及早期恢复质量的影响[J].临床肺科杂志,2018,23(2):323-327.
[15]胡春阳,芦相玉,周旋,等.麻醉苏醒延迟原因及优质护理效果分析[J].牡丹江医学院学报,2014,35(2):122-123.
[2]王鹏.后腹腔镜肾切除术致广泛皮下气肿并苏醒延迟1例报告[J].腹腔镜外科杂志,2016,21(3):180,188.
[3]陈永浩.异位妊娠腹腔镜手术全麻术后苏醒延迟1例[J].实用医学杂志,2015,31(11):1900.
[4]邓燕君,吴春芬,郑容斌,等.保温护理对胃癌手术患者麻醉恢复期低温及苏醒延迟发生率的影响[J].河北医药,2018,40(13):2069-2071.
[5]张艳娇,高禹舜.肺癌胸腔镜肺叶切除、胸腔镜肺段切除与开胸肺叶切除术后对肺功能影响的研究[J].中国肺癌杂志, 2016,19(10):700-704.
[6]郑江敏,李栋,高文华,等.电视胸腔镜手术肺叶切除与开胸肺叶切除对早期非小细胞肺癌患者的临床疗效对比[J].医学综述,2016,22(6):1209-1211.
[7]邵兵,李宇柯,光洪德.麻醉后监测治疗室全麻患者苏醒延迟的原因与护理对策[J]护士进修杂志,2017,32(13):1222-1224.
[8]李明良,邓军.老年患者静脉全麻术后苏醒延迟新进展[J].影像研究与医学应用,2017,1(2):215-217.
[9]廖礼平,王曙红全身麻醉术后患者苏醒期并发症发生情况调查分析[J].护理学杂志,2016,31(2):61-63.
[10]邵云,袁慧.无痛护理干预在胸腔镜肺叶切除患者围术期中的应用[J].江苏医药,2016,42(5):610-611.
[11]闫苗,黄建成,胡宏强.麻醉苏醒护理干预改善全麻手术患者的效果[J].实用临床医药杂志,2017,21(22):176-177.
[12]杨雪玲.FTS护理在肺叶切除术患者围术期中的应用[J].齐鲁护理杂志,2017,23(12):48-50.
[13]陈淑萍,管斐,徐绿萍,等.综合保温护理对全麻术后低体温患者苏醒时间和不良反应的影响[J].护理与康复,2017,16(5):468-470.
[14]程少先,李海波徐文礼,等.超声引导椎旁阻滞复合全麻对胸腔镜肺叶切除术后患者苏醒及早期恢复质量的影响[J].临床肺科杂志,2018,23(2):323-327.
[15]胡春阳,芦相玉,周旋,等.麻醉苏醒延迟原因及优质护理效果分析[J].牡丹江医学院学报,2014,35(2):122-123.