3、主要评价指标
(1)视觉模拟评分法(VAS)对患者口干症状进行评分,0分表示无口干感,10分重度口干。
(2)疗效和舒适度:患者口唇湿润且没有口渴感为有效,口唇干燥但无口渴感为缓解,口唇破裂且口渴感觉明显为无效,总有效率=有效率+缓解率。舒适度分级:1级为非常不舒适,2级为不舒适但能接受,3级为舒适。
4、满意度评分:
A.离开PACU前评估术者满意度,满意度评分采用VAS方法,用一条长10cm的游动标尺,标有10个刻度,两端分别为0分和10分,让病人在直尺上标出能代表自己舒适程度的相应位置,随访者根据病人标出的位置为其评分。0分代表极度不满意,10分代表非常满意。
结果表明,灭菌用水喷雾和维生素C水喷雾均可有效缓解全麻患者术后早期口渴症状,提高患者全麻苏醒期满意度。 [1] Oztas M, Oztas B. Effect of Spray Use on Mouth Dryness and Thirst of Patients Undergoing Major Abdominal Surgery: A Randomized Controlled Study. J Perianesth Nurs. 2022 Apr;37(2):214-220. [2] Wu C, Liu Y, Yang L, Tang Y, Zhou L, Wang X. Thirst Relief Effect of 0.75% Citric Acid Spray During the Anesthesia Recovery Period: A Randomized Controlled Trial. J Perianesth Nurs. 2021 Dec;36(6):642-646. [3] Yin X, Zeng X, Wang T, Dong B, Wu M, Jia A, Ye L. Early versus delayed postoperative oral hydration in children following general anesthesia: a prospective randomized trial. BMC Anesthesiol. 2020 Jul 18;20(1):174. [4] Lin R, Chen H, Chen L, Lin X, He J, Li H. Effects of a spray-based oropharyngeal moisturising programme for patients following endotracheal extubation after cardiac surgery: A randomised, controlled three-arm trial. Int J Nurs Stud. 2022 Jun;130. [5] Bayramoğlu BG, Akyüz N. Investigation of Preoperative Fasting Time and Preoperative and Postoperative Well-Being of Patients. Florence Nightingale J Nurs. 2022 Feb;30(1):33-39. [7] van der Wal MHL, Waldréus N, Jaarsma T, Kato NP. Thirst in Patients With Heart Failure in Sweden, the Netherlands, and Japan. J Cardiovasc Nurs. 2020 Jan/Feb;35(1):19-25.
总而言之,在麻醉恢复室采用物理喷雾看似微不足道,但可提升患者就医体验。勿以善小而不为,希望大家在临床工作中能多为病人考虑一点,切实提高医疗服务质量。
参考文献
1.实战经验:围术期电子软镜使用——技巧与学习路径
2.冠心病患者非心脏手术麻醉管理的学习笔记
3.中心静脉置管的锁骨下静脉入路-最佳做法是什么?
4.麻醉治疗(高位硬膜外阻滞)成功逆转扩张型心肌病心衰1例
5.一例肩关节镜手术引发的思考,临床麻醉与贝-雅反射
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