麻醉前心理护理干预对全身麻醉苏醒期躁动影响.docVIP

麻醉前心理护理干预对全身麻醉苏醒期躁动影响 　　[摘要] 目的 观察麻醉前心理护理干预对全麻苏醒期躁动（EA）的影响，为手术患者平稳渡过全麻苏醒期提供借鉴。 方法 选择我院2014年9～12月行腹腔镜子宫全切除术且实施气管插管全麻的患者120例，将其随机分为对照组和观察组，每组60例。对照组给予术前常规护理，观察组在术前常规护理的基础上实施麻醉前心理护理干预，观察两组患者在全麻苏醒时的血压、心率、躁动情况。 结果 观察组患者在全麻苏醒时的血压、心率、躁动程度均低于对照组，差异有统计学意义（P0.05）。 结论 麻醉前的心理护理干预能有效缓解EA的发生，使全麻手术患者苏醒时的血压及心率更平稳，值得临床推广借鉴。 　　[关键词] 心理护理干预；全身麻醉术；苏醒期躁动 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2016）01（c）-0154-03 　　[Abstract] Objective To observe the influence of psychological nursing intervention before anesthetization on emergence agitation（EA） by general anesthesia，and to provide reference for surgical patients through the recovery period of general anesthesia. Methods 120 patients with laparoscopic hysterectomy and general anesthesia in our hospital from September to December in 2014 were selected.They were randomly divided into control group and observation group，with 60 cases in each group.In the control group，conventional nursing before surgery was applied，while in the observation group，on the basis of the conventional nursing，psychological nursing intervention before anesthetization was provided. The blood pressure，heart rate and emergence agitation in the two groups was observed during general anesthesia. Results The blood pressure，heart rate and restlessness during recovery in observation group was lower than the control group，the difference between two groups was significant（P0.05）. Conclusion Psychological nursing intervention before anesthesia can effectively alleviate the occurrence of EA，and anesthesia surgery patients′ blood pressure and heart rate are more stable when awakening，which is worthy of clinical reference and promotion. 　　[Key words] Psychological nursing intervention；General anesthesia；Emergence agitation 　　全麻苏醒期躁动（emergence agitation，EA）为麻醉苏醒期的一种不恰当行为，表现为并存的兴奋、躁动和定向障碍。患者出现一些不适当行为，如肢体的无意识动作、挣扎、语无伦次、无理性言语、哭喊或呻吟、妄想思维等[1]。EA会对患者本身以及某些需要术后安静的手术造成危害，如未得到及时处理或处理不当，将对手术效果造成影响。本研究在麻醉前实施护理干预措施，有效减少了EA的发生，对保证患者安全和手术成功具有重要意义，现报告如下。 　　1 资料与方法 　　1.1 一般资料 　　选取