摘要
目的 观察在对全麻留置导尿管患者护理中将手术室护理进行运用的作用。方法 按照对比护
理观察的方式开展探究，纳入 2021 年 2 月至 2022 年 2 月全麻手术治疗并留置导尿患者 100 例，双盲法均
分 2 组，开展常规手术护理（50 例，对照组）和手术护理干预（50 例，手术室护理）。分析两组护理效果。
结果 统计两组患者在苏醒期躁动发生情况，观察组躁动发生率低于对照组，P<0.05。对比两组在在拔管后
心理状态，观察组在拔管后 5min、15min 以及 30min，心理状态评分均低于对照组，P<0.05。对比两组尿路
刺激发生率，观察组发生率低于对照组，P<0.05，且观察组尿路刺激分级低于对照组，P<0.05。结论 全麻
留置导尿患者在手术期间开展手术室护理干预，可以降低患者在苏醒期躁动发生率，改善患者拔管后心理
状态，并降低患者尿路刺激发生率，有助于患者术后恢复。
关键词： 手术室护理；全麻留置导尿
Abstract
Objective To observe the role of operating room nursing in the nursing of patients with
indwelling catheter under general anesthesia. Methods According to the way of comparative nursing observation,
100 patients with general anesthesia and indwelling catheterization from February 2021 to February 2022 were
included in the study. They were equally divided into two groups by double blind method. Routine surgical nursing
(50 patients, control group) and surgical nursing intervention (50 patients, operating room nursing) were carried out.
The nursing effects of the two groups were analyzed. Results The incidence of restlessness in the observation group
was lower than that in the control group (P<0.05). The psychological status of the two groups after extubation was
compared. The psychological status scores of the observation group were lower than those of the control group at 5,
15 and 30 minutes after extubation, P<0.05. The incidence of urinary tract irritation in the observation group was
lower than that in the control group (P<0.05), and the grade of urinary tract irritation in the observation group was
lower than that in the control group (P<0.05). Conclusion Carrying out nursing intervention in the operating room
for patients with general anesthesia and indwelling catheterization during operation can reduce the incidence of
restlessness in the awakening period, improve the psychological state of patients after extubation, and reduce the
incidence of urinary tract irritation, which is helpful for the recovery of patients after operation.
Key words： operating room nursing; Indwelling catheterization under general anesthesia
参考文献 References
[1] 石美琴,王季芳,彭峥嵘.鼻颅底手术患者短期留置导尿管管理的循证实践研究[J].上海护理,2022,22（10）:16-21.
[2] 曹涧敏,林辛霞,刘贤团.多学科综合治疗模式在改善导尿管相关性尿路感染质量控制中的应用[J].齐鲁护理杂志,2022,28（18）:158-160.
[3] 单敏,郭香凤,邝田华.失效模式与效应分析在泌尿外科留 置 导 尿 患 者 尿 路 感 染 管 理 中 的 应 用 [J]. 吉 林 医学,2022,43（08）:2298-2300.
[4] 胡湘滇.精细护理对改善肾结石手术合并糖尿病患者术后留置导尿管并发尿路感染的效果分析[J].慢性病学杂志,2022,23（07）:1108-1110.
[5] 徐璐,黎洋.以降阶梯思维模式为主的精准护理对全麻后留置导尿管男性患者导尿管耐受性及苏醒质量的影响[J].国际护理学杂志,2022,41（13）:2399-2403.
[6] 梁姣,王晓娟,曹兴华.全麻留置导尿管患者苏醒期躁动护 理 干 预 的 效 果 评 价 [J]. 新 疆 医 学 ,2022,52（05）:538-540.
[7] 郭巧智,刁呈文,陈岳.手术室护理对全麻留置导尿患者苏 醒 期 躁 动 的 影 响 分 析 [J]. 保 健 医 学 研 究 与 实践,2021,18（S1）:208-210.
[8] 戴春明.萧氏双 C 护理模式对手术室全麻留置导尿管男性患者苏醒期躁动及尿管刺激反应的影响[J].实用临床护理学电子杂志,2019,4（42）:32.
[9] 张洪云,郑雯,任能.利多卡因凝胶在全麻手术患者留置导尿管中的应用及相关护理体会[J].当代护士（上旬刊）,2018,25（11）:69-71.
[10] 朱菊华.男性全麻手术患者不同留置导尿时机的效果对比及临床护理分析[J].健康之路,2018,17（10）:271-272.