Vernam Jacquie, Kennedy Marguerite, Hebron Saran, Toepp Angela, Goode Victoria
Ellmer School of Nursing Mason and Joan Brock Virginia Health Sciences, Old Dominion University, Virginia Beach, VA.
Enterprise Analytics, Sentara Health, 1330 Sentara Park, VirginiaBeach, VA.
J Perianesth Nurs. 2025 Aug;40(4):816-820.e1. doi: 10.1016/j.jopan.2024.09.018. Epub 2025 Jan 13.
neuromuscular blockade (NMB) remains a significant risk for patients after anesthesia. This study examines the confidence and knowledge of the use and side effects of NMB and associated reversal agents amongst postanesthesia care unit (PACU) nurses caring for the postanesthesia surgical population. Retrospective data on the incidence and demographics of patients who underwent general anesthesia with NMB were also examined.
The design was an educational intervention with a pre and post-test, which assessed knowledge and confidence scores of PACU nurses. The nurses completed a demographic, confidence, and knowledge survey before participating in an educational session.
Analysis of the preintervention and postintervention scores was compared using a Wilcoxon signed-rank test. Retrospective data on the incidence of patients who received general anesthesia with NMB were analyzed from February 2023 to July 2023.
PACU nurses had scores of strong confidence in their ability to care for postoperative patients, and our educational intervention found a statistically significant (P ≤ .05) increase in knowledge for nurses regarding the use of neuromuscular blocking agents. The mean preintervention knowledge score of the participants was 8.0 (SD 1.6), and the mean postintervention knowledge score was 9.18 (SD 0.66).
An educational intervention on the use and side effects of neuromuscular blocking agents and reversal agents improved PACU nurse knowledge. This allows for increased patient outcomes regarding PACU recovery and discharge of our surgical patient population.
神经肌肉阻滞（NMB）仍是麻醉后患者面临的重大风险。本研究调查了麻醉后护理单元（PACU）中负责护理麻醉后手术患者的护士对NMB及其相关逆转剂的使用和副作用的信心和知识水平。还检查了接受NMB全身麻醉患者的发病率和人口统计学的回顾性数据。
采用教育干预，进行前后测试，评估PACU护士的知识和信心得分。护士在参加教育课程前完成了一份人口统计学、信心和知识调查。
使用Wilcoxon符号秩检验比较干预前和干预后的得分。分析了2023年2月至2023年7月接受NMB全身麻醉患者发病率的回顾性数据。
PACU护士对其护理术后患者的能力有很高的信心得分，我们的教育干预发现护士在使用神经肌肉阻滞剂方面的知识有统计学意义（P≤0.05）的增加。参与者干预前的平均知识得分为8.0（标准差1.6），干预后的平均知识得分为9.18（标准差0.66）。
关于神经肌肉阻滞剂和逆转剂的使用及副作用的教育干预提高了PACU护士的知识水平。这有助于改善我们手术患者群体在PACU恢复和出院方面的患者预后。
