系统护理干预在手术室全麻留置导尿管患者中的应用

目的：探讨分析系统护理干预在手术室全麻留置导尿管患者中的应用效果。方法选择行手术治疗的全麻患者212例随机分为观察组106例和对照组106例。对照组采用常规留置导尿方法，观察组于麻醉前在常规导尿的基础上进行综合护理干预。比较两组患者苏醒期躁动情况和苏醒期末、术后12 h尿管刺激反应躁动发生率和分级情况。结果观察组患者中29．25％发生苏醒期躁动，68.87％发生苏醒期末尿管刺激反应，40．57％发生术后12 h尿管刺激反应，均低于对照组（80．19％，91.51％，83．96％），差异有统计学意义（χ2值分别为13．347，8．236，12．257；P＜0．01）。结论系统护理干预可以显著改善全麻留置导尿管患者苏醒期躁动的情况，应当在临床推广使用。

Application effect of systematic nursing intervention in general anesthesia patients with indwelling catheter in the operating room

Objective To explore the application effect of systematic nursing intervention in general anesthesia patients with indwelling catheter in the operating room .Methods Two hundred and twelve general anesthesia patients from October 2011 to April 2013 were chosen and randomly divided into the control group and the observation group , each with 106 cases.The control group received the routine catheterization method , and the observation group received the comprehensive nursing intervention on the basis of routine catheterization before anesthesia .The incidence rate of restlessness during the recovery period , and the incidence of the stimulation reaction of catheter at the final stage of recovery and the 12 h after operation were compared between two groups.Results In the observation group , the incidence rate of restlessness during the recovery period was 29.25%, and the incidence of the stimulation reaction of catheter at the final stage of recovery and the 12 h after operation were respectively 68.87% and 40.57%, and were lower than 80.19%, 91.51%, 83.96% in the control group, and the differences were statistically significant （χ2 =13.347,8.236,12.257, respectively;P〈0.01）.Conclusions Nursing intervention can significantly improve the operation room of general anesthesia indwelling catheter in patients with agitation recovery period , should be in clinical use .