Application of comfortable nursing based on humanistic care concept in observing patients in anesthesia recovery room
XU Xiaoyan1 WANG Shengfeng2 LI Qing1
1.Department of Anesthesiology, Nantong Hospital of Traditional Chinese Medicine, Jiangsu Province, Nantong 226001, China;
2.Department of Radiology, Nantong Hospital of Traditional Chinese Medicine, Jiangsu Province, Nantong 226001, China
Abstract:Objective To analyze the application effect of comfortable nursing based on the concept of humanistic care in observing patients in anesthesia recovery room. Methods From June 2016 to July 2019, 145 patients in Nantong Hospital of Traditional Chinese Medicine who underwent elective general anesthesia and entered the anesthesia recovery room for observation were divided into observation group of 73 cases and control group of 72 cases by random number table method. The control group was given routine nursing intervention, and the observation group was combined with comfort nursing based on humanistic care. The physiological function recovery, complications and patient satisfaction of the two groups were compared. Results Consciousness blood pressure, breathing and mobility scores of the two groups were higher than those of the same group when they entered the room (P < 0.05). The consciousness, blood pressure, breathing and mobility scores of the observation group were higher than those of the control group (P < 0.05). The incidence of complications in the observation group was lower than that of the control group (P < 0.05); the observation group satisfaction was higher than that of the control group (P < 0.05). Conclusion Comfortable nursing based on humanistic care can help to promote the recovery of physiological functions of patients in the anesthesia recovery room, reduce postoperative complications, and improve patient satisfaction.
徐晓燕1 王生锋2 李庆1. 基于人文关怀理念的舒适护理在麻醉恢复室留观患者中的应用[J]. 中国医药导报, 2021, 18(22): 189-192.
XU Xiaoyan1 WANG Shengfeng2 LI Qing1. Application of comfortable nursing based on humanistic care concept in observing patients in anesthesia recovery room. 中国医药导报, 2021, 18(22): 189-192.
[1] 鲁汉杰,张稳,黄蓉,等.麻醉后恢复室术后患者应激反应真实体验的质性研究[J].解放军护理杂志,2016,33(3):34-36.
[2] Thenuwara KN,Yoshimura T,Nakata Y,et al. Time to recovery after general anesthesia at hospitals with and without a phase I post-anesthesia care unit:a historical cohort study [J]. Can J Anaesth,2018,65(12):1296-1302.
[3] 朱海娟,王金保.建立规范麻醉恢复室管理流程对降低苏醒期并发症的效果研究[J].护理管理杂志,2016,16:69-71.
[4] 周毅娟,王建丽,李雅丽.人文关怀联合音乐治疗对乳腺癌术后复发转移患者心理健康及生存质量的影响[J].临床心身疾病杂志,2019,25(5):98-100.
[5] Stafford MR,Cooper M,Barkham M,et al. Effectiveness and cost-effectiveness of humanistic counselling in schools for young people with emotional distress (ETHOS):study protocol for a randomised controlled trial [J]. Trials,2018, 19(1):175.
[6] 蒲茗雨,梅方.围术期加强康复外科护理对PACU老年患者全麻并发症的影响[J].现代临床医学,2018,44(3):219-221,223.
[7] 朱海娟,吕娜,黄丽华,等.创建麻醉护理一体化管理模式在麻醉后恢复室中的应用[J].海南医学,2016,27(23):3950-3952.
[8] Kellner DB,Urman RD,Greenberg P,et al. Analysis of adverse outcomes in the post-anesthesia care unit based on anesthesia liability data [J]. J Clin Anesth,2018,50:48-56.
[9] 苏惠丽.麻醉后恢复室实施护理一体化管理模式的效果观察[J].临床医学工程,2018,25(11):1539-1540.
[10] 刘静,王晓东.麻醉护理一体化管理模式在预防麻醉后恢复室护理差错中的应用[J].中国药物与临床,2020, 20(8):1405-1407.
[11] 张良燕,唐帅,张秀华,等.麻醉后恢复室患者低氧血症发生率及高危因素的回顾性分析[J].基础医学与临床,2020,40(9):1242-1246.
[12] van Tunen B,Klimek M,Leendertse-Verloop K,et al. Efficiency and efficacy of planning and care on a post-anesthesia care unit:a retrospective cohort study [J]. BMC Health Serv Res,2020,20(1):566.
[13] 陈姿妃,林芝.苏醒期专项护理在预防全麻腹腔镜手术患者苏醒期躁动低体温及恢复期寒战的应用研究[J].中国药物与临床,2020,20(1):135-137.
[14] 邓曼丽,韩燕敏,张伟丽,等.运用舒适化护理理论推进麻醉恢复室优质护理服务的效果分析[J].中华现代护理杂志,2017,32(32):4145-4147.
[15] Abdela OA,Abay E,Beka S,et al. Medication-Related Needs and Humanistic Impact of Patient-Centered Pharmaceutical Care at University of Gondar Comprehensive Specialized Hospital,North-West Ethiopia [J]. Integr Pharm Res Pract,2020,9:229-242.
[16] 王雪飞,王君芬,张可慧,等.基于人文关怀的优质护理在消化内镜诊疗患者中的应用效果研究[J].中华全科医学,2019,17(5):881-883.
[17] Simpkin AL,Dinardo PB,Pine E,et al. Reconciling technology and humanistic care:Lessons from the next generation of physicians [J]. Med Teach,2017,39(4):430-435.
[18] 高艳,曹钰琨,王涛.个性化加入文化护理对心脏介入治疗并发症发生情况的影响[J].中国医药导报,2018, 15(25):156-159.
[19] 潘燕鸿,程鸿,洪发兰.手术室患者期望人文关怀照顾需求的调查研究[J].中国现代医生,2020,58(34):141-144.
[20] 郏丽萍,吴丽平,徐丹兵,等.人文关怀护理模式对麻醉恢复室加速康复外科患者的疗效分析[J].中国现代医生,2020,58(1):158-161.
[21] 齐彦.人性化服务在麻醉恢复室护理工作中的应用效果观察[J].安徽卫生职业技术学院学报,2017,16(5):111-112.
[22] Steinthorsdottir KJ,Kehlet H,Aasvang EK. Surgical stress response and the potential role of preoperative glucocorticoids on post-anesthesia care unit recovery [J]. Minerva Anestesiol,2017,83(12):1324-1331.
[23] 陈青,董梦婷,陈春燕.人文关怀对腰硬联合麻醉后寒战预防效果观察[J].中国医药科学,2020,10(2):122-124.
[24] Jenkins BN,Fortier MA,Stevenson R,et al. Changing healthcare provider and parent behaviors in the pediatric post-anesthesia-care-unit to reduce child pain:Nurse and parent training in postoperative stress [J]. Paediatr Anaesth,2019,29(7):730-737.
[25] 张小玲,梁海泳,谢慧慧.体位管理辅助徒手旋转胎头对初产妇妊娠结局的影响[J].中国当代医药,2020,27(18):120-122,126.
[26] 赵远.基于马斯洛需求层次理论的多种护理模式在术后麻醉恢复室的应用[J].中国药物与临床,2017,17(12):1799-1800.
[27] de Lima LB,Borges D,Costa SD,et al. Classification of patients according to the degree of dependence on nursing care and illness severity in a post-anesthesia care unit [J]. Rev Lat Enfermagem,2010,18(5):881-887.
[28] 侯文馨,杜长虹,瓮杰慧.麻醉复苏室舒适护理在动脉瘤术后恢复期的安全性及舒适度评价[J].中国医刊,2019,54(1):95-97.