文献类型：期刊文献

中文题名：麻醉恢复室临床护理路径的构建及实践效果

英文题名：Construction and Practical Effect of Clinical Nursing Pathway in the Post-Anesthesia Care Unit

作者：王红霞[1];林海龙[1];魏玉娇[2];路婷婷[3]

第一作者：王红霞

机构：[1]甘肃中医药大学附属医院麻醉手术科,甘肃兰州730020;[2]甘肃中医药大学附属医院内科,甘肃兰州730020;[3]甘肃中医药大学附属医院脾胃科,甘肃兰州730020

第一机构：甘肃中医药大学第二附属医院

年份：2025

卷号：16

期号：18

起止页码：175

中文期刊名：中国卫生标准管理

外文期刊名：China Health Standard Management

基金：2023年甘肃省卫生健康行业科研项目(GSWSHL2023-32)。

语种：中文

中文关键词：麻醉;麻醉恢复室;腰椎管狭窄;临床护理路径;苏醒时间;并发症;依从性

外文关键词：anesthesia;post-anesthesia care unit;lumbar spinal stenosis;clinical nursing pathway;awakening time;complications;compliance

摘要：目的 构建麻醉恢复室临床护理路径,探讨临床护理路径在麻醉恢复室(post-anesthesia care unit,PACU)患者管理中的应用效果。方法 选取2024年1—8月甘肃中医药大学附属医院收治的98例腰椎管狭窄患者为研究对象。依据随机数字表法分为49例常规组(常规护理管理)与49例临床护理路径组(按照PACU临床护理路径规范管理)。比较2组患者术后苏醒时间、PACU停留时间及自主呼吸恢复时间,PACU并发症发生率及麻醉苏醒后依从性。结果 临床护理路径组术后苏醒时间为(32.48±5.74)min、PACU停留时间为(44.78±4.36)min及自主呼吸恢复时间为(17.43±4.21)min,均短于常规组的(36.12±4.17)min、(47.72±3.87)min、(19.12±4.18)min,差异有统计学意义(P<0.05)。2组PACU并发症总发生率比较,差异无统计学意义(P > 0.05);但临床护理路径组麻醉苏醒期躁动发生率为2.04%,低于常规组的16.33%,差异有统计学意义(P<0.05)。临床护理路径组麻醉苏醒后总依从率为93.88%,高于常规组的79.59%,差异有统计学意义(P<0.05)。结论 临床护理路径的应用能有效改善患者麻醉苏醒效果,降低苏醒期躁动发生率,提高患者麻醉苏醒后依从性。
Objective To construct a clinical nursing pathway for the anesthesia recovery room and explore the application effect of the clinical nursing pathway in the management of patients in the post-anesthesia care unit(PACU).Methods A total of 98 patients with lumbar spinal stenosis admitted to the Affiliated Hospital of Gansu University of Chinese Medicine from January 2024 to August 2024 were selected.According to the random number table method,they were divided into the routine group of 49 cases(routine nursing management)and the clinical nursing pathway group of 49 cases(standardized management according to the PACU clinical nursing pathway).The postoperative awakening time,PACU stay time,and spontaneous breathing recovery time,the incidence of PACU complications,and the compliance after anesthesia awakening were compared between the two groups.Results The postoperative awakening time of the clinical nursing pathway group was(32.48±5.74)min,the PACU stay time was(44.78±4.36)min,and the spontaneous breathing recovery time was(17.43±4.21)min,which were shorter than(36.12±4.17)min,(47.72±3.87)min,(19.12±4.18)min of the routine group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of PACU complications between the two groups(P>0.05).However,the incidence of agitation during anesthesia awakening in the clinical nursing pathway group was 2.04%,which was lower than 16.33%in the routine group,and the difference was statistically significant(P<0.05).The total compliance rate after anesthesia awakening in the clinical nursing pathway group was 93.88%,which was higher than 79.59%in the routine group,and the difference was statistically significant(P<0.05).Conclusion The application of the clinical nursing pathway can effectively improve the anesthesia awakening effect of patients,reduce the incidence of agitation during the awakening period,and improve the compliance of patients after anesthesia awakening.