全身麻醉患者麻醉满意度的相关因素分析

发布时间：2019-02-16 20:49

【摘要】：目的采用术后恢复质量量表(PQRS)分析全身麻醉术后患者麻醉满意度的影响因素。方法选择择期在全身麻醉下行非心脑手术的成年患者369例,于术后24、72和168h对患者的麻醉满意度进行调查并进行PQRS评估。患者满意度分为完全满意、一般、不太满意和非常不满意,任意时间点均完全满意者纳入满意组,其余患者纳入不满意组。对与患者不满意相关的指标进行单因素分析和Logistic多因素非条件回归分析。结果 369例患者中,332例(90.0%)纳入满意组,37例(10.0%)纳入不满意组。满意组术前焦虑发生率和麻醉时间显著低于不满意组(P值均0.01)。满意组的苏醒期躁动(Riker镇静/躁动评分5~7分)发生率、术后24h恶心呕吐(Likert评分≥3分)发生率、术后24和72h疼痛(Likert评分≥3分)发生率、术后168h认知恢复率(整体评分基础值80%)均显著低于不满意组(P值均0.01)。患者麻醉满意度不高的原因从主到次依次为术后24h恶心呕吐(OR=4.82,95%CI为1.85~12.59,P=0.001)、术前焦虑(OR=3.79,95%CI为1.60~8.94,P=0.002)、术后72h疼痛(OR=3.59,95%CI为1.30~9.93,P=0.014)、术后24h疼痛(OR=3.38,95%CI为1.42~8.03,P=0.006)、术后168h认知恢复不良(OR=2.84,95%CI为1.31~6.18,P=0.008)和麻醉持续时间长(OR=1.79,95%CI为1.06~3.04,P=0.030)。结论 PQRS分析提示,导致全身麻醉患者不满意的最主要原因是术后恶心呕吐,其次是术后疼痛、术前焦虑、麻醉时间长和术后1周内认知仍不能完全恢复。
[Abstract]:Objective to analyze the influencing factors of postoperative anesthetic satisfaction by using postoperative recovery quality scale (PQRS). Methods A total of 369 adult patients undergoing non-cardiac and cerebral surgery under general anesthesia were investigated and evaluated with PQRS at 2472 and 168h after operation. The patients' satisfaction was divided into complete satisfaction, general, unsatisfactory and very unsatisfactory. At any time, those who were completely satisfied were included in the satisfaction group, while the other patients were included in the unsatisfactory group. Univariate analysis and Logistic multivariate non-conditional regression analysis were performed for the indicators related to patients' dissatisfaction. Results 332 cases (90.0%) were included in satisfactory group and 37 cases (10.0%) in unsatisfactory group. The incidence of preoperative anxiety and anaesthesia time in the satisfactory group were significantly lower than those in the unsatisfactory group (P < 0.01). The incidence of restlessness (Riker sedation / restlessness score 5 ~ 7), nausea and vomiting (Likert 鈮，

本文编号：2424818