| 管魏峰.在腹部手术全麻患者中实施基于小组管理模式的预见性护理的效果[J].实用中西医结合临床,2024,24(17): |
| 在腹部手术全麻患者中实施基于小组管理模式的预见性护理的效果 |
| The effect of implementing predictive nursing based on group management model in patients undergoing abdominal surgery under general anesthesia |
| 投稿时间：2024-04-11 修订日期：2024-04-29 |
| DOI： |
| 中文关键词: 小组管理模式 预见性护理 腹部手术 全身麻醉 |
| 英文关键词: Group management model Predictive nursing Abdominal surgery General anesthesia |
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| 中文摘要: |
| 目的：分析在腹部手术全麻病人群体中实施预见性护理（基于小组管理模式）效果。方法：挑选2021年3月-2023年3月本院实施腹部相关手术的全麻病人共112例为此次试验的对象，随机将上述全部病人分成2组。对照组56实施常规的麻醉护理，研究组56予以预见性护理（基于小组管理模式）。比较两组静息期和苏醒期相关手术指标、苏醒期质量、苏醒期不良事件发生情况、术后恢复质量和护理满意度。结果：苏醒期心率、舒张压和收缩压均上升，且研究组心率和血压波动小于对照组（P＜0.05）；研究组意识情况、呼吸情况、循环情况、氧合情况以及活动情况得分均均高于对照组（P＜0.05）；研究组患者苏醒期不良事件发生率为5.36%明显低于对照组患者不良事件发生率17.86%（P＜0.05）；研究组心理支持、躯体舒适度、躯体独立性、疼痛情况和情绪状态得分均高于对照组（P＜0.05）；两组患者护理满意度比较无明显差异（P＞0.05）。结论：预见性护理（基于小组管理模式）应用于腹部手术全麻患者能有有效提高患者苏醒期质量和术后恢复质量，降低不良事件发生率，值得推广。 |
| 英文摘要: |
| Objective To investigate the effect of predictive nursing based on group management model in invalids (abdominal surgery) under general anesthesia. Methods One hundred and twelve invalids(abdominal surgery) under general anaesthesia in our hospital between March 2021 and March 2023 were selected, and grouped using random number table method, each with 56 cases. Control group was given routine care interventions, based on this, study group was given predictive nursing based on group management model. Then the resting and awakening related surgical indicators, awakening quality, incidence of adverse events during the awakening period, quality of postoperative recovery and satisfaction with care were compared between groups. Results Heart rate, diastolic BP and systolic blood pressure increased during the waking period, and the heart rate and BP fluctuations in the study group were less than those in the control group (P<0.05). Study group scored higher than control group on consciousness, respiration, circulation, oxygenation, and activity dimensions (P<0.05). Study group reported a lower incidence rate of adverse events during the awakening period compared to control group (5.36% vs 17.86%, P<0.05). The scores of physical comfort,psychological support, physical independence, pain, and emotional state were higher in study group than in control group (P<0.05). No statistical difference was reported between two groups in satisfaction with care (P>0.05). Conclusion Application of predictive nursing based on group management model in invalids undergoing abdominal surgery under general anesthesia can effectively improve the quality of awakening and postoperative recovery, and reduce the incidence of adverse events, which is worthy of promotion in the clinic. |
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