Li Hui, Wang Heng, Pan Yan, Huang Qian, Li Xueping, Zeng Xiaoqi, Zhou Li
Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu 610041, China.
Appl Bionics Biomech. 2022 Aug 8;2022:3528915. doi: 10.1155/2022/3528915. eCollection 2022.
To investigate the efficacy of high-quality nursing service for the patients during the anesthesia recovery period.
We used the National Library of Medicine (PubMed), Cochrane Library of Excerpta Medica Database (EMBASE), China National Knowledge Infrastructure (CNKI), Wanfang, and very important person (VIP) databases for conducting a systematic literature study. We employed the fixed-effects model for evaluating the standardized mean differences (SMDs) with 95% confidence intervals (CIs). The sensitivity and publication bias were estimated for determining the efficacy of high-quality nursing services during the recovery period of anesthesia.
In our study, the result showed that the efficiency of recovery time of spontaneous respiration was significantly improved in the experimental group (SMD = -1.48, 95%CI = [-1.62, -1.34]). In this analysis, the extubation time of the experimental group was lower than that of the control group. In control group [WMD = -15.54, 95% CI (-21.24, -9.83), < 0.00001], the improvement of extubation time was more obvious on high-quality nursing. Moreover, the incidence of agitation in the experimental group was lower than that of the control group, and the score of nursing satisfaction was higher than that in the control group ( = 0.01). The funnel plots identified no publication bias during the identification of efficacy.
The high-quality nursing care for patients during the resuscitation period can shorten the recovery time of their self-consciousness and self-breathing, reduce the occurrence rate of restlessness, improve patients' anxiety and depression, reduce complications, and play a certain clinical application effect.
探讨优质护理服务在麻醉恢复期患者中的应用效果。
通过美国国立医学图书馆（PubMed）、荷兰医学文摘数据库（EMBASE）、中国知网（CNKI）、万方数据库和维普资讯（VIP）数据库进行系统的文献研究。采用固定效应模型评估标准化均数差（SMD）及95%置信区间（CI）。评估敏感性和发表偏倚以确定优质护理服务在麻醉恢复期的效果。
本研究结果显示，实验组自主呼吸恢复时间显著缩短（SMD = -1.48，95%CI = [-1.62, -1.34]）。该分析中，实验组拔管时间低于对照组。在对照组中[加权均数差（WMD）= -15.54，95%CI（-21.24，-9.83），P < 0.00001]，优质护理对拔管时间的改善更明显。此外，实验组躁动发生率低于对照组，护理满意度评分高于对照组（P = 0.01）。漏斗图显示在疗效判定过程中无发表偏倚。
复苏期对患者实施优质护理可缩短其意识和自主呼吸恢复时间，降低躁动发生率，改善患者焦虑抑郁情绪，减少并发症，具有一定临床应用效果。
