手术室改进护理模式对胸外科手术患者苏醒期躁动程度的效果观察

目的探讨手术室改进护理模式对胸外科手术患者苏醒期躁动程度的效果。方法将胸外科手术患者60例随机分为A组和B组各30例。A组采用改进的护理模式护理,B组按传统护理模式护理。比较2组患者苏醒期血压、心率(HR)及躁动程度。结果 A组收缩压(SBP)、舒张压(DBP)、HR基础值与苏醒期比较差异均无统计学意义(P>0.05);B组SBP、DBP、HR基础值与苏醒期比较差异有统计学意义(P<0.05)。苏醒期B组SBP、DBP、HR均低于A组(P<0.05)。A组躁动总发生率为20.0%低于B组的90.0%,差异有统计学意义(P<0.05)。结论手术室改进护理模式对减轻胸外科手术患者苏醒期躁动、减少术后意外事件的发生均有重要意义,值得临床推广应用。

The effect observation of operating room improving nursing mode to the degree of emergence agitation in thoracic surgery patient

Objective To discuss the effect of operating room improving nursing mode to the degree of emergence agitation in thoracic surgery patient. Methods 60 cases patients of thoracic surgery were randomly divided into group A and group B, each of 30 cases. Group A used improving nursing mode, group B received the traditional model of care. Compared e- mergence of blood pressure,heart rate（HR） and the degree of agitation of two groups. Results In group A ,the underlying value of systolic blood pressure （SBP）, diastolic blood pressure （DBP）, HR compared with those of recovery period, there were no significant difference（ P 〉 0.05） ;In group B, the underlying value of SBP, DBP, HR compared with those of recovery peri- od, there were significant difference（ P 〈 0.05 ）. In recovery period, SBP, DBP, HR of B group were lower than those of A group （ P 〈 0.05 ）. The overall agitation incidence rate of group A （ 20. 0% ） was less than that of group B （ 90.0% ） （ P 〈 0.05 ）. Conclusion Operating room improving nursing mode to reduce emergence agitation in thoracic surgery patient and to reduce the incidence rate of postoperative accident have great significance,worthy of clinical application.