中医护理对全身麻醉患者苏醒期躁动影响.docVIP

中医护理对全身麻醉患者苏醒期躁动的影响 　　[摘要] 目的 探讨中医护理对全身麻醉手术患者苏醒期躁动的影响效果。方法 方便选取2015年1月―2016年3月间来该院接受全身麻醉手术的200例患者随机分为常规护理操作组与中医护理组，中医护理组在常规护理组的基础上添加中医护理操作，观察并记录所有患者的术前、术后焦虑测评分数，苏醒期操作配合度及躁动评分和术后镇痛剂使用情况。 结果 与对照组相比，中医护理组术前、术后的焦虑测评分数（64.6±5.6）分、（57.4±4.8）分均低于对照组（89.1±5.1）分、（81.9±3.5）分，苏醒期的操作配合度提高（59%→93%），躁动出现率下降（41%→7%），术后使用镇痛剂的患者数目减少（15例→3例），苏醒期躁动评分降低，对比所有差异均有统计学意义。结论 中医护理的干预能能有效预防全身麻醉手术患者苏醒期的躁动发生，提高围手术期护理的质量 [关键词] 护理；全身麻醉；躁动 [中图分类号] R248 [文献标识码] A [文章编号] 1674-0742（2016）09（b）-0154-04 [Abstract] Objective To discuss the effects of traditional Chinese medicine nursing on emergency agitation in general anesthesia operation patients. Methods Convenient selection between January 2015 to March 2016，in our hospital 200 patients for general anesthesia were randomly divided into routine nursing operation group and TCM nursing group， and the TCM nursing group was added additional traditional Chinese medicine nursing operation.We observe and record the preoperative and postoperative anxiety test scores， the degree of awakening and agitation scale in the recovery period and the agitation score and postoperative analgesic usage. Results Compared with the control group，in the TCM nursing group the preoperative and postoperative anxiety test scores（64.6 ± 5.6）point、（57.4 ± 4.8）point lower than the control group（89.1 ± 5.1）point、（81.9 ± 3.5）point，and the awakening period of adaptability increased（59%→93%），emergence agitation decreased（41%→7%）， postoperative analgesic use decreased（15→3）and restlessness rates decreased，.The differences were statistically significance effectively . Conclusion TCM nursing intervention prevented the agitation in emergency of general anesthesia operation， and improved the quality of perioperative period. [Key words] Nursing； General anesthesia； Agitation 随着现代医学的迅速发展，患者对于围手术期的整体护理的要求越来越高，作为护理工作者也将面临着更高的要求和挑战。全麻恢复期躁动是全麻手术患者进入麻醉恢复期护理工作中经常遇到的问题，表现为兴奋、躁动和定向障碍并存，不按指令行动，发生程度不同的不自主运动，严重时可造成患者自身的意外伤害等不良后果[1]。中医护理操因其便捷、有效的特点在围手术期护理上越来越受到重视，如何将中医护理应用于预防全身麻醉手术患者苏醒期躁动，为