李欣欣 李延海 田德龙

【摘 要】目的：观察前馈控制在麻醉恢复室全身麻醉病人躁动护理中的应用疗效。方法：我院麻醉恢复室2018年8月-2019年8月收治的80例行全身麻醉手术患者为本次研究对象，按照躁动护理中是否应用前馈控制将患者分为对照组（40例：未应用前馈控制）与实验组（40例：应用前馈控制），比较两组患者干预效果。结果：实验组患者进入麻醉恢复室后10minRicker镇静-躁动评分为5分至7分的个体所占比例（12.50%）明显高于对照组，且实验组患者躁动引起的不良事件发生率（2.50%）均低于对照组，组间数据差异明显（P<0.05）。结论：麻醉恢复室接收的全身麻醉手术患者前馈控制可提升麻醉恢复室常规躁动护理干预效果。

【关键词】前馈控制;麻醉恢复室;全身麻醉病人;躁动护理;应用疗效

Abstract：Objective To observe the effect of feedforward control in restless nursing of general anesthesia patients in anesthesia recovery room. Methods： Eighty patients undergoing general anesthesia who were treated in the anesthesia recovery room of our hospital from August 2018 to August 2019 were the subjects of this study. The patients were divided into control groups according to whether feedforward control was used in agitation care （40 cases： The feedforward control was not applied） and the experimental group （40 cases： feedforward control was applied） were used to compare the intervention effects of the two groups of patients. Results： The proportion of individuals （12.50%） with Ricker sedation- restlessness scores of 5 to 7 10 minutes after entering the anesthesia recovery room of the experimental group was significantly higher than that of the control group， and the incidence of adverse events caused by restlessness （2.50 %） Were lower than those in the control group， and the data between the groups were significantly different （P <0.05）. Conclusion： Feedforward control of patients receiving general anesthesia in the anesthesia recovery room can improve the effect of routine agitation nursing intervention in the anesthesia recovery room.

麻醉恢复室是手术患者离开手术室回至普通病房的中转站，主要针对于行全身麻醉手术患者，一般情况下全身麻醉手术患者在全身麻醉恢复期继易出现躁动，麻醉恢复室工作人员通过开展躁动护理干预以协助患者顺利渡过麻醉恢复期[1，2]。本次研究比较我院麻醉恢复室2018年8月-2019年8月40例行常规躁动护理干预患者与40例应用前馈控制躁动干预患者术后麻醉恢复情况。

1 资料与方法

1.1 一般资料

实验组（n=40例）：男、女分别22例、18例，年龄/平均年龄为：21岁～70歲、（63.12±1.52）岁。对照组（n=40例）：男、女分别21例、19例，年龄/平均年龄为：23岁～70岁、（63.14±1.54）岁。两组患者性别、平均年龄等指标经统计学验证无明显差异（P>0.05）。

1.2 病例选择标准

纳入标准：（1）参与本次研究的患者均参考万学红卢雪峰主编第九版《诊断学》中相关疾病诊断。（2）参与本次研究的患者均符合外科手术指征且术中采取全身麻醉。排……