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目的研究分析全身麻醉前心理护理干预对苏醒期躁动的影响。方法将2015年10月~2016年10月期间在本院接受全身麻醉的手术患者中,选取符合本组纳入标准的100例患者作为研究对象,按照随机数字表法分为两组,对照组50例和观察组50例,对照组患者实施常规护理,观察组术前给予心理护理干预,比较两组患者在预后、心率、血压、躁动评分、满意度的变化。结果麻醉前及苏醒期观察组患者收缩压、舒张压、心率变化不明显,对照组患者发生明显变化,苏醒期观察组患者收缩压、舒张压、心率低于对照组(P<0.05);观察组患者苏醒期躁动0级比例90.00%,高于对照组的68.00%,苏醒期躁动1级比例6.00%,低于对照组的20.00%(P<0.05);观察组患者护理总满意率94.00%,高于对照组的80.00%,两组比较差异存在统计学意义(P<0.05)。结论对全身麻醉手术患者实施麻醉前心理护理,有利于稳定患者苏醒期血压和心率,减少苏醒期躁动的发生,可在临床积极推广和应用。
Objective To study the effect of pre-general anesthesia psychological nursing intervention on wakefulness agitation. Methods From October 2015 to October 2016, 100 patients who underwent general anesthesia in our hospital were enrolled in this study. One hundred patients who met the criteria of this study were divided into two groups according to the random number table. The control group Cases and observation group 50 cases, the control group patients underwent routine care, the observation group was given psychological care intervention before surgery, the two groups of patients in the prognosis, heart rate, blood pressure, restlessness score, satisfaction changes. Results Before and after anesthesia, systolic blood pressure, diastolic blood pressure and heart rate did not change obviously in the observation group. The patients in the control group changed significantly. The systolic blood pressure, diastolic blood pressure and heart rate in the recovery group were lower than those in the control group (P <0.05). The recovery rate of group 0 was 90.00% in awake group, 68.00% in control group, 6.00% in stage 1 of recovery stage and 20.00% of control group (P <0.05). The total satisfaction rate of patients in observation group was 94.00% , Which was higher than that of the control group (80.00%). There was significant difference between the two groups (P <0.05). Conclusion Pre-anesthesia psychological nursing for general anesthesia patients is beneficial to stabilize the blood pressure and heart rate of patients during recovery and reduce the occurrence of restlessness during recovery. It can be actively promoted and applied clinically.