Volume 19 Issue 12
Dec.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(12): 2153-2157
JIANG Xiu-juan, WANG Yu, YANG Fang-lan. Effect analysis of preoperative experiential nursing combined with anesthesia recovery nursing to reduce emergence agitation in patients undergoing HoLEP[J]. Chinese Journal of General Practice, 2021, 19(12): 2153-2157. doi: 10.16766/j.cnki.issn.1674-4152.002259
Citation: JIANG Xiu-juan, WANG Yu, YANG Fang-lan. Effect analysis of preoperative experiential nursing combined with anesthesia recovery nursing to reduce emergence agitation in patients undergoing HoLEP[J]. Chinese Journal of General Practice, 2021, 19(12): 2153-2157. doi: 10.16766/j.cnki.issn.1674-4152.002259
shu

Effect analysis of preoperative experiential nursing combined with anesthesia recovery nursing to reduce emergence agitation in patients undergoing HoLEP

doi: 10.16766/j.cnki.issn.1674-4152.002259
  • 1.

    Department of Operating Room, Chengdu Second People's Hospital, Chengdu, Sichuan 610052, China

Funds:

 18PJ457

  • Received Date: 2020-04-27
    Available Online: 2022-03-02
    Abstract
  •   Objective  To investigate clinical effect of preoperative experiential nursing combined with anesthesia recovery nursing to reduce emergence agitation in patients undergoing holmium laser enucleation of the prostate (HoLEP).  Methods  Totally 108 patients undergoing HoLEP in 363 hospital from November 2018 to November 2019 were randomized into experimental group and control group by random number method, 54 cases each group. The experimental group received preoperative experiential nursing combined with anesthesia recovery nursing, and the control group received routine nursing care. The blood pressure and heart rate 30 minute after entering anesthesia recovery room, incidence of agitation, incidence of unplanned reoperation, urethra comfort postoperative 1 d and nursing satisfaction were compared between the two groups.  Results  The blood pressure [systolic pressure (132.17±11.36) mm Hg(1 mm Hg=0.133 kPa) vs. (148.56±10.25) mm Hg, t=10.385, P=0.013; diastolic pressure (86.34±7.83) mm Hg vs. (98.62±10.16) mm Hg, t=8.352, P=0.016] and heart rate [(78.41±6.23) times/min vs. (89.35±7.91) times/min, t=7.613, P=0.018] 30 minute after entering anesthesia recovery room in the experimental group was significantly lower than the control group (all P < 0.05). The incidence of agitation was significantly less in the experimental group than that in the control group (12.96% vs. 35.19%, P=0.025). The incidence of unplanned reoperation was lower in the experimental group than the control group (1.85% vs. 5.56%, P=0.219). The urethra comfort postoperative 1 d was significantly higher in the experimental group than the control group (85.19% vs. 70.37%, P=0.031). The nursing satisfaction was significantly higher in the experimental group than the control group (96.30% vs. 87.04%, P=0.047).  Conclusion  For no-catheter history patients undergoing HoLEP, preoperative experiential nursing combined with anesthesia recovery nursing can reduce emergence agitation, relieve urethral irritation and increase nursing satisfaction, it is worth clinical spreading.

     

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