创建麻醉护理一体化管理模式在麻醉后恢复室的应用

目的 探讨麻醉护理一体化管理模式在麻醉后恢复室(PACU)中的应用效果.方法 选择2014年12月至2015年4月在我院接受手术且实施麻醉护理一体化管理模式的58例患者作为干预组,另外选取2013年12月至2014年11月接受手术且接受常规护理干预的患者作为对照组.比较两组患者出室和入室血压、呼吸、意识和活动力得分、两组平均交接时间、每月差错事件及护理满意评分,以及出室后并发症发生情况.结果 两组患者入室时血压、呼吸、意识和活动力得分比较差异均无统计学意义(P>0.05);出室时,干预组患者的血压、呼吸、意识和活动力得分分别为(1.8±0.5)分、(1.7±0.6)分、(1.8±0.6)分和(1.7±0.4)分,对照组分别为(1.3±0.2)分、(1.3±0.3)分、(1.3±0.4)分和(1.1±0.4)分,两组比较,干预组均高于对照组,差异均具有统计学意义(P<0.05);干预组平均交接时间、差错事件分别为(2.2±0.5)min、(4.5±0.4)次,低于对照组的(4.5±1.3)min、(12.5±3.6)次,而护理满意评分为(92.6±4.9)分,高于对照组的(79.5±4.3)分,两组比较差异均具有统计学意义(P<0.05);干预组并发症率为5.2%(3/58),明显低于对照组的20.7%(12/58),差异具有统计学意义(P<0.05).结论 麻醉护理一体化管理模式有利于PACU麻醉患者生理功能的恢复,且能减少并发症的发生,提升PACU工作效率.

Application of anesthesia care integratied management mode in Postanesthesia Care Unit

Objective To explore the application value of anesthesia care integrated management mode in Post-anesthesia Care Unit (PACU). Methods A total of 58 patients who accepted surgery and anesthesia care integrated man-agement mode in our hospital from December 2014 to April 2015 were selected as intervention group, while 58 patients accepted surgery and routine nursing intervention from December 2013 to November 2014 were selected as the control group. When the patients entered PACU and got out of PACU, the blood pressure, respiration, awareness and activity score, the average transfer time, error events per month, care satisfaction scores, and the complication rate were compared between the two groups. Results There was no significant difference in blood pressure, respiration, awareness and activi-ty scores between the two groups when the patients entered PACU (P>0.05). When patients got out of PACU, the scores of blood pressure, respiration, awareness and activity of intervention group were respectively (1.8±0.5), (1.7±0.6), (1.8±0.6),(1.7 ± 0.4), which were significantly higher than those of the control group of (1.3 ± 0.2), (1.3 ± 0.3), (1.3 ± 0.4), (1.1 ± 0.4), and the differences were statistically significant (P<0.05). The average transfer time, error events per month of the in-tervention group were (2.2 ± 0.5) min, (4.5 ± 0.4) times, which were significantly lower than those of the control group (4.5±1.3) min, (12.5±3.6) times, and care satisfaction scores in the intervention group was significantly higher than that in control group, with statistically significant difference (P<0.05). The complication rate was 5.2%(3/58) in the interven-tion group, which was significantly lower than that in the control group of 20.7%(12/58), and the difference was statisti-cally significant (P<0.05). Conclusion Anesthesia care integrated management mode is conducive to the recovery of physiological functions in patients after anesthesia, which can reduce the incidence of complications, which enhance the efficiency of PACU work.