Résumé
Objective To investigate and analyze the current setup, operation, nurse staffing,professional ability of nurses and professional standardized training system of tertiary hospitals in Zhejiang.Methods Cross-sectional study was used to investigate the nursing directors and 105 nurses from 36 tertiary hospitals of Zhejiang.The tools included the general questionnaire of anesthesia recovery rooms in Zhejiang tertiary hospitals, anesthesia specialty nurse job description questionnaire, and anesthesia recovery room nurses clinical specialized ability questionnaire.Data of the study were concluded and analyzed in the end.Results 35 of the 36 hospitals surveyed have in place anesthesia recovery care, accounting for 97%.The ratio of recovery room beds to operating bed was 0.48, and the ratio of nurses to recovery room beds was 0.52.In addition to the entire process involvement in the recovery and care of patients during recovery, the job of nurses covers administration of anesthesiology related items, equipment, drug management, cost management and cost entry, pain management and nursing.Nurse training methods depend on continuing education mainly.Anesthesia recovery room nurses′ clinical skills scored in average 82.96±1.52 points.Conclusions Most of these tertiary hospitals have in place anesthesia recovery rooms, yet with such challenges as shortage of beds, and overload/understaffing of nurses.Nurses are mostly trained in the departments, and a system of standardized training and qualification is to be further improved and established for such nurses.
Résumé
Objective To analyze and analyze the causes of hypothermia after operation in patients with anesthesia recovery room and the nursing measures. Methods 68 cases of abdominal anesthesia surgery patients were divided into two groups randomly. The control group was given routine nursing measures, the experimental group was given nursing intervention measures, pay attention to the environmental factors, a reasonable adjustment of environmental temperature, hot water bag can be given when necessary, good oxygen nursing, prevention of shiver, warm. A comparative analysis of the experimental group and the control group of patients after rewarming time, temperature and shivering times index. Results After the corresponding nursing measures, the rewarming time of the experimental group was (30.90±2.32) min, significantly shorter than that of the control group (48.90±4.78) min, with statistical difference (P<0.05). The control group ran 19 times, the experimental group ran 6 times, with significant differences between the two groups (P<0.05). The stay time of the control group was (62.30±3.89) min, significantly longer than that of the experimental group, and the residence time was (38.90±5.78) min, with statistical difference (P<0.05). Conclusion Nursing measures for patients in anesthesia recovery room corresponding preventive care, shivering and heating nursing measures, can significantly reduce the number of warm, chills, shorten the thawing time.
Résumé
Objective To analyze and analyze the causes of hypothermia after operation in patients with anesthesia recovery room and the nursing measures. Methods 68 cases of abdominal anesthesia surgery patients were divided into two groups randomly. The control group was given routine nursing measures, the experimental group was given nursing intervention measures, pay attention to the environmental factors, a reasonable adjustment of environmental temperature, hot water bag can be given when necessary, good oxygen nursing, prevention of shiver, warm. A comparative analysis of the experimental group and the control group of patients after rewarming time, temperature and shivering times index. Results After the corresponding nursing measures, the rewarming time of the experimental group was (30.90±2.32) min, significantly shorter than that of the control group (48.90±4.78) min, with statistical difference (P<0.05). The control group ran 19 times, the experimental group ran 6 times, with significant differences between the two groups (P<0.05). The stay time of the control group was (62.30±3.89) min, significantly longer than that of the experimental group, and the residence time was (38.90±5.78) min, with statistical difference (P<0.05). Conclusion Nursing measures for patients in anesthesia recovery room corresponding preventive care, shivering and heating nursing measures, can significantly reduce the number of warm, chills, shorten the thawing time.