医护协同管理模式对乳腺癌根治术病人全麻苏醒期躁动的影响

目的:探讨医护协同管理模式对乳腺癌根治术病人全麻苏醒期躁动及护理质量的影响.方法:选取120例乳腺癌根治术病人,根据病人入院时间将其分为对照组(2014年6月至2015年5月,n=60)及观察组(2015年6月至2016年5月,n=60),对照组麻醉期间给予常规性护理,观察组在常规护理的基础上应用医护协同管理模式实施护理,比较2组病人苏醒时间、拔管时间、手术时间、躁动评分、术后疼痛评分、躁动发生率、镇静剂使用率情况及护理质量评分.结果:观察组苏醒时间、拔管时间、手术时间均明显短于对照组(P<0.01),而躁动评分、术后疼痛评分、躁动发生率、镇静剂使用率均低于对照组(P<0.05~P<0.01).观察组病人对病房管理、基础护理、麻醉专科护理、麻醉药物管理、麻醉苏醒期护理及病历记录等方面护理质量评分均明显高于对照组(P<0.01).结论:医护协同管理模式能有效实现普外科人力资源合理配置,可促进麻醉科与护理部紧密合作及交流,从而能有效提高乳腺癌根治术病人术后护理质量,降低病人全麻苏醒期躁动发生率,有利于全麻手术病人顺利渡过麻醉苏醒期.

Effect of the collaborative care management mode on general anesthesia emergence agitation in patients treated with radical mastectomy

Objective:To explore the effects of the collaborative care management mode on general anesthesia emergence agitation and nursing quality in patients treated with radical mastectomy. Methods:One hundred and twenty patients treated with radical mastectomy were divided into the control group(admission time from June 2014 to May 2015,n=60) and observation group(admission time from June 2015 to May 2016,n =60). The control group were nursed with routine care,and the observation group were nursed with the collaborative care management during anesthesia. The awakening time,extubation time,operation time,agitation score,postoperative pain score,incidence of agitation,sedative usage and quality of care score between two groups were compared. Results:The awakening time, extubation time and operation time in observation group were significantly shorter than those in control group(P <0. 01),and the agitation score,postoperative pain score,incidence of agitation and sedative usage were lower than those in control group(P<0. 05 to P<0.01). The scores of quality of nursing(including the ward management,primary care,specialist care of anesthesia,anesthesia medication management,anesthesia recovery period nursing and medical record) were significantly higher than that in control group( P<0. 01). Conclusions:Collaborative care management mode can effectively achieve the rational allocation of human resources in general surgery,and closely promote the cooperation and exchange between anesthesiology department and nursing unit,which can effectively improve the postoperative nursing quality of patients treated with radical mastectomy,reduce the incidence of agitation of patients during anesthesia recovery period,and is conducive to smoothly live through the anesthesia recovery period in general anesthesia patients.