Factors of agitation during the recovery period of general anaesthesia and its nursing strategy
10.7619/jcmp.201718028
- VernacularTitle:全麻手术患者麻醉复苏期的躁动因素分析与护理
- Author:
Haiqin ZHAO
1
Author Information
1. 上海交通大学附属新华医院
- Keywords:
general anaesthesia;
recovery period of general anaesthesia;
agitation;
nursing
- From:
Journal of Clinical Medicine in Practice
2017;21(18):88-90
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the reasons of agitation during the recovery period of general anaesthesia and its nursing strategy.Methods The clinical data of 1500 patients with general anesthesia surgery was retrospectively analyzed.And the relationship between type of operation,anesthesia,awakening,postoperative analgesia methods,adverse stimulation and agitation.Results Among theses 1500 agitation cases,there were 282 cases(18.8％) with agitation,and the incidence rate of agitation in ENT operation was the highest,accounting for 56.1％ (101/180),followed by chest surgery for 37.1％ (23/62).The rate of agitation caused by total intravenous anesthesia was 12.6％,which was less than 29.8％ caused by intravenous inhalational anesthesia(P ＜0.05).The rate of patients'agitation who used Nalmefene hydrochloride was 29.3％,which was higher than 15.7％ of unused patients.The incidence rate of patients' agitation who took postoperative analgesia was 6.9％,which was less than 21.6％ in unused patients.Pain,endotracheal intubation,and urethral intubation stimulation were main adverse stimulation,and their incidence rates were 47.8％,24.8％,17.4％,respectively,and the differences were statistically significant(P ＜0.05).Conclusion Agitation is closely correlated with type of operation,anesthesia,awakening,postoperative analgesia,adverse stimulation.In clinical nursing work,the responsibility of nursing staff is to keep the smooth breathing,control pain,avoid all kinds of adverse stimulation.And psychological intervention should be taken to reduce the incidence rate of agitation and guarantee the patients quality of life in the anesthesia recoverv oeriod.
