Advance Search
CHEN Ying, YAN Zhigang, WANG Qingpu, ZHANG Hao, LI Yueru, LI Ning, CAO Hongjing, LI Si. Clinical effects of feedforward control nursing intervention on emergence agitation and recovery quality in patients with general anesthesia surgery[J]. Journal of Clinical Medicine in Practice, 2024, 28(19): 140-144. DOI: 10.7619/jcmp.20242260
Citation: CHEN Ying, YAN Zhigang, WANG Qingpu, ZHANG Hao, LI Yueru, LI Ning, CAO Hongjing, LI Si. Clinical effects of feedforward control nursing intervention on emergence agitation and recovery quality in patients with general anesthesia surgery[J]. Journal of Clinical Medicine in Practice, 2024, 28(19): 140-144. DOI: 10.7619/jcmp.20242260
shu

Clinical effects of feedforward control nursing intervention on emergence agitation and recovery quality in patients with general anesthesia surgery

  • 1.

    Operating Room, Beijing Longfu Hospital, Beijing, 100010

  • 2.

    the First Orthopedic Department, Beijing Longfu Hospital, Beijing, 100010

  • 3.

    Department of Musculoskeletal Trauma, the Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, 100029

  • 4.

    Department of Anesthesiology and Pain, Beijing Longfu Hospital, Beijing, 100010

  • 5.

    Nursing Department, Beijing Longfu Hospital, Beijing, 100010

More Information
  • Received Date: May 28, 2024
  • Revised Date: June 26, 2024
    Graphical Abstract
    • Abstract
  • Objective 

    To analyze the impact of feedforward control nursing intervention on emergence agitation and recovery quality in general anesthesia surgery patients.

    Methods 

    A total of 118 patients undergoing general anesthesia surgery were selected by convenient sampling, and randomly divided into control group and observation group, with 59 patients in each group. The control group received routine nursing intervention during emergence anesthesia, while the observation group received feedforward control nursing intervention. The incidence of emergence agitation, recovery quality, pain condition, and nursing quality were compared between the two groups.

    Results 

    The incidence of emergence agitation during emergence in the observation group was significantly lower than that in the control group (42.37% versus 69.49%, P < 0.05). The Richmond Agitation-Sedation Scale (RASS) scores, duration and frequency of agitation were lower or shorter in the observation group than those in the control group (P < 0.05). The observation group exhibited shorter time for spontaneous respiration recovery, eye opening, extubation, full consciousness, and stay in the postanesthesia care unit compared to the control group(P < 0.05). The Steward emergence score was higher in the observation group (P < 0.05). The postoperative pain score was lower, while nursing quality score was higher in the observation group than those in the control group(P < 0.05).

    Conclusion 

    Feedforward control nursing intervention can reduce the incidence of emergence agitation in general anesthesia surgery patients, improve recovery quality, alleviate postoperative pain, and enhance nursing quality.

    • FullText(HTML)
    • References (22)
  • [1]
    郭先才, 李佳雨, 周汉京, 等. 全身麻醉病人术后苏醒期躁动风险预测模型的建立及应用[J]. 护理研究, 2021, 35(11): 2038-2041. doi: 10.12102/j.issn.1009-6493.2021.11.036
    [2]
    张凤怡, 王焕, 薛婷婷. 前馈控制流程对全麻侧卧位手术后并发症及麻醉复苏的影响[J]. 中华现代护理杂志, 2022, 28(34): 4801-4806. doi: 10.3760/cma.j.cn115682-20220127-00462
    [3]
    KANG X H, LIN K, TANG H L, et al. Risk factors for emergence agitation in adults undergoing thoracoscopic lung surgery: a case-control study of 1, 950 patients[J]. J Cardiothorac Vasc Anesth, 2020, 34(9): 2403-2409. doi: 10.1053/j.jvca.2020.02.046
    [4]
    张洁, 夏冰, 黄河, 等. 前馈控制联合4F管理在半月板运动性损伤患者中的应用[J]. 中华现代护理杂志, 2021, 27(26): 3618-3621. doi: 10.3760/cma.j.cn115682-20201207-06571
    [5]
    陆培培, 李娜, 张丽娜. 前馈控制模式在手术室护理管理中的应用对护士护理差错行为及护理态度的影响[J]. 山西医药杂志, 2022, 51(13): 1535-1538. doi: 10.3969/j.issn.0253-9926.2022.13.034
    [6]
    SWARBRICK C J, PARTRIDGE J S L. Evidence-based strategies to reduce the incidence of postoperative delirium: a narrative review[J]. Anaesthesia, 2022, 77(Suppl 1): 92-101.
    [7]
    孙玲玲. 基于前馈控制的护理干预对胸腔镜肺癌根治术患者苏醒期不良反应的影响研究[D]. 湖州: 湖州师范学院, 2021.
    [8]
    WEI B, FENG Y, CHEN W J, et al. Risk factors for emergence agitation in adults after general anesthesia: a systematic review and meta-analysis[J]. Acta Anaesthesiol Scand, 2021, 65(6): 719-729. doi: 10.1111/aas.13774
    [9]
    朱明明, 刘芳, 王冉. 躁动镇静评分在重症患者中应用的研究进展[J]. 中华护理杂志, 2018, 53(2): 247-250. doi: 10.3761/j.issn.0254-1769.2018.02.025
    [10]
    李喜龙, 任柏林, 乔迎帅, 等. 艾司氯胺酮用于乳腺癌改良根治术老年患者术后自控静脉镇痛的效果[J]. 中华麻醉学杂志, 2022, 42(2): 181-185.
    [11]
    孙兵, 车晓明. 视觉模拟评分法(VAS)[J]. 中华神经外科杂志, 2012, 28(6): 645-645.
    [12]
    王慧, 杨文曲, 韩冲芳, 等. 前馈控制在麻醉恢复室全身麻醉病人躁动护理中的应用[J]. 护理研究, 2019, 33(11): 1995-1997.
    [13]
    LI T, LI J, YUAN L Y, et al. Effect of regional vs general anesthesia on incidence of postoperative delirium in older patients undergoing hip fracture surgery: the RAGA randomized trial[J]. JAMA, 2022, 327(1): 50-58. doi: 10.1001/jama.2021.22647
    [14]
    LEE S, SOHN J Y, HWANG I E, et al. Effect of a repeated verbal reminder of orientation on emergence agitation after general anaesthesia for minimally invasive abdominal surgery: a randomised controlled trial[J]. Br J Anaesth, 2023, 130(4): 439-445.
    [15]
    朱红艳, 徐维昉. 基于ERAS理念的麻醉苏醒期护理对老年髋部骨折全麻手术患者术后谵妄的影响[J]. 中华全科医学, 2022, 20(3): 519-522.
    [16]
    魏时靖, 王强, 王佳兴, 等. 预见性护理对胸腔镜肺叶切除患者全麻苏醒期疼痛及躁动的影响[J]. 重庆医学, 2022, 51(11): 1852-1855, 1860.
    [17]
    夏涛, 汤军, 张纯, 等. 基于前馈控制理念的风险预警在确保手术室护理安全中的应用效果分析[J]. 川北医学院学报, 2021, 36(11): 1528-1531.
    [18]
    冯昭妍, 张松, 俞卫锋. 成人全麻后苏醒期躁动的研究进展[J]. 临床麻醉学杂志, 2021, 37(7): 769-772.
    [19]
    田小威, 马静, 黄俊城. 前馈控制联合音乐干预对全身麻醉恢复期患者躁动、护理不良事件及苏醒质量的影响[J]. 护理实践与研究, 2022, 19(6): 926-929.
    [20]
    EVERED L A, CHAN M T V, HAN R Q, et al. Anaesthetic depth and delirium after major surgery: a randomised clinical trial[J]. Br J Anaesth, 2021, 127(5): 704-712.
    [21]
    王景, 吴文清, 王梦. 促醒计划干预对多发伤镇静镇痛治疗患者躁动、并发症的影响[J]. 国际护理学杂志, 2023, 42(6): 1107-1110.
    [22]
    PRADO C B C, MACHADO E A S, MENDES K D S, et al. Support surfaces for intraoperative pressure injury prevention: systematic review with meta-analysis[J]. Rev Lat Am Enfermagem, 2021, 29: e3493.
    • Related Articles

  • Related Articles

    [1]CAO Dan. Effect of continuous nursing on pain and quality of life of patients with rheumatoid arthritis[J]. Journal of Clinical Medicine in Practice, 2020, 24(18): 120-122. DOI: 10.7619/jcmp.202018032
    [2]LI Xiang, BI Yuying, FANG Te. Targeted nursing for early pain after recovery in patients with general anesthesia[J]. Journal of Clinical Medicine in Practice, 2020, 24(16): 109-111. DOI: 10.7619/jcmp.202016031
    [3]XU Ye, QIN Xia, LI Xuehua. Application of quality control circle in improving nursing quality of pain management in ICU[J]. Journal of Clinical Medicine in Practice, 2018, (8): 96-98,101. DOI: 10.7619/jcmp.201808029
    [4]ZHU Yutong, WANG Fengying, WANG Juan, LIU Zuoyan. Effect of continuous quality improvement nursing on HAMA, HAMD score and pain in patients with cervical spine fracture[J]. Journal of Clinical Medicine in Practice, 2017, (12): 67-69,76. DOI: 10.7619/jcmp.201712020
    [5]HAN Yanbo, CHI Yingchun. Effect of nursing intervention on improvement of pain and quality of life in patients with lung cancer[J]. Journal of Clinical Medicine in Practice, 2016, (18): 39-41,45. DOI: 10.7619/jcmp.201618013
    [6]HU Xue, ZHANG Yuan, MENG Zhangmin. Effect of comfortable nursing on postoperative pain in elderly patients with vertebral compression fracture[J]. Journal of Clinical Medicine in Practice, 2016, (16): 95-98. DOI: 10.7619/jcmp.201616029
    [7]Influence of counterpart nursing on the pain and life quality of patients with gout[J]. Journal of Clinical Medicine in Practice, 2016, (6): 35-38. DOI: 10.7619/jcmp.201606012
    [8]CHEN Yifeng. Research on application effect of pain knowledge training of obstetric nurses in improving quality of nursing in obstetrics and gynecology department[J]. Journal of Clinical Medicine in Practice, 2015, (10): 79-81. DOI: 10.7619/jcmp.201510024
    [9]SHEN Ting, WAN Binbin. Effect of continuous nursing on pain and quality of life in patients with rheumatoid arthritis[J]. Journal of Clinical Medicine in Practice, 2014, (18): 26-29. DOI: 10.7619/jcmp.201418009
    [10]ZENG Min. Effects of high quality nursing service on nursing quality in tumor chemotherapy patients[J]. Journal of Clinical Medicine in Practice, 2013, (14): 152-153,167. DOI: 10.7619/jcmp.201314056

  • Cited by

    Periodical cited type(1)

    1. 郭秀兰，杨燕琼，侯雅真，石洁，陈琛. NRS2002与MUST结合评估辅助个体化营养支持对淋巴瘤化疗患者营养状态与并发症的影响. 中外医学研究. 2024(24): 91-94 .

    Other cited types(0)

Catalog

    Get Citation
    PDF
    XML
    Article views (97) PDF downloads (5) Cited by(1)
    Turn off MathJax
    Article Contents
    Abstract
    References
    Related Articles

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return