Research on the integrated management model of anesthesia and nursing for anesthesia recovery room in hypertensive surgery patients
麻醉护理一体化管理模式用于高血压手术患者麻醉复苏室中的研究

摘要

目的 分析讨论麻醉护理一体化管理模式用于高血压手术患者麻醉复苏室中的应用效果。方法 选择我院2023年7月-2024年7月所接收的80例高血压手术患者为研究对象，分为观察组（麻醉护理一体化管理模式）与对照组（常规管理模式），将两组患者术后恢复情况、心率与血压水平、苏醒质量以及不良反应发生率进行对比。结果 1.观察组术后恢复呼吸时长、拔管时长与完成指令时长以及睁眼时长（11.02±1.34min，20.64±2.34min，17.41±2.19min，16.12±2.33min）均比对照组早（P<0.05）；2.两组t0与t3差异较小（p>0.05），t1与t2心率、收缩压、舒张压（87.03±3.56次/min，76.29±4.52次/min；127.53±4.51mmHg，129.53±2.85mmHg；78.53±4.91mmHg，79.16±4.81mmHg）高于对照组（P<0.05）；3.观察组舒适度评分（4.29±0.14分、3.55±0.13分）显著高于对照组（P<0.05）；4.观察组不良反应发生率（5.00）显著低于对照组（P<0.05）。结论 手麻醉护理一体化管理模式用于高血压手术患者麻醉复苏室中效果明显，值得广泛推广与应用。

Abstract

Objective To analyze and discuss the application effect of the integrated anesthesia care management model in the anesthesia recovery room for patients undergoing surgery for hypertension.
Methods 80 patients undergoing surgery for hypertension received by our hospital from July 2023 to July 2024 were selected as the research subjects and divided into the observation group (anesthesia nursing integrated management model) and the control group (conventional management model). The two groups were divided into The patients' postoperative recovery, heart rate and blood pressure levels, recovery quality, and incidence of adverse reactions were compared.
Results 1. The observation group’s postoperative recovery time to breathing, extubation time, completion of instructions, and eye opening time (11.02±1.34min, 20.64±2.34min, 17.41±2.19min, 16.12±2.33min) were all earlier than those in the control group (P <0.05); 2. There is little difference between t0 and t3 between the two groups (p>0.05), heart rate, systolic blood pressure, diastolic blood pressure between t1 and t2 (87.03±3.56 times/min, 76.29±4.52 times/min; 127.53±4.51mmHg, 129.53±2.85mmHg; 78.53±4.91mmHg, 79.16±4.81mmHg) was higher than that of the control group (P<0.05); 3. The comfort score of the observation group (4.29±0.14 points, 3.55±0.13 points) was significantly higher than that of the control group (P<0.05). P <0.05); 4. The incidence rate of adverse reactions in the observation group (5.00) was significantly lower than that in the control group (P <0.05).
Conclusion   The integrated management model of hand anesthesia care has obvious effects when used in the anesthesia recovery room for patients undergoing surgery for hypertension, and is worthy of widespread promotion and application.