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| 全麻术后患者转运安全现状与临床工作人员运动性疲劳的关系 |
| Relationship between current status of patient transport safety after general anesthesia and the exercise-induced fatigue of clinical staff |
| 投稿时间：2023-01-29 |
| DOI：10.3969/j.issn.1000-0399.2024.01.019 |
| 中文关键词: 全麻手术 患者转运 临床工作人员 运动性疲劳 |
| 英文关键词: General anesthesia Patient transport Clinical staff Exercise-induced fatigue |
| 基金项目:中华医学会杂志社护理科研重点课题（编号：CMAPH-NRP2021011），上海市卫生健康委员会科研项目（编号：20234Y0262），上海交通大学医学院科技基金项目（编号：JYH2210），上海交通大学医学院附属瑞金医院院级课题（编号：RJHK-2022-02），上海交通大学医学院护理学科建设项目（编号：SJTUHLXK2023） |
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| 中文摘要: |
| 目的 调查全麻术后患者转运安全性现状，探讨其与临床工作人员运动性疲劳的相关性。方法 采用便利抽样法，选取2022年8~10月上海交通大学医学院附属瑞金医院403例全麻术后患者，按照患者转运安全性的评判标准，分为风险组（转运存在风险，n=46）和安全组（转运安全，n=357）；按照患者转运后引流管滑脱情况，分为滑脱组（n=38）和未滑脱组（n=365）。记录患者一般资料与搬运时间，观察转运前后生命体征、氧饱度和疼痛变化，分析转运安全性的影响因素；选择参与上述403例患者转运的工作人员（1 209名临床工作人员），采用主观疲劳量表进行测评，分析其与转运安全性的相关性。结果 全麻术后患者搬运时间为（53.98±6.67）s，临床工作人员运动性疲劳总体得分为（13.12±2.60）分；二元logistic回归分析显示：性别、手术部位、搬运时间与疼痛变化幅度是全麻术后患者转运发生风险的重要影响因素。临床工作人员在风险组患者的运动性疲劳得分高于安全组，在滑脱组患者的运动性疲劳得分高于未滑脱组。Spearman相关性分析显示：患者转运前后心率与收缩压变化幅度与临床工作人员的运动性疲劳均呈正相关（P <0.05）。结论 全麻术后患者存在中低水平的转运风险，性别、手术部位、搬运时间与疼痛变化幅度是患者转运发生风险的危险因素。临床工作人员的运动性疲劳总体处于中高水平，且与患者的转运安全性息息相关。 |
| 英文摘要: |
| Objective To investigate the current status of patient transport safety after general anesthesia and explore the correlation with the exercise-induced fatigue of clinical staff.Methods From August to October 2022, 403 patients after general anesthesia from Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine were selected as the research objects by using convenience sampling method. According to the evaluation criteria for patient transport safety, patients were divided into the risk group(n=46) and the safety group(n=357). According to the condition of drainage tube slippage after patient transfer, patients were divided into the slip group(n=38) and the nonslip group(n=365).The general information and transport time of patients were recorded, and changes in vital signs, oxygen saturation and pain of patients before and after transport were observed, and the influencing factors of transport safety were analyzed. A total of 1 209 clinical staff were selected and evaluated with the rating of perceived exertion scale to analyze the correlation with the safety status of transport.Results The transport time of patients after general anesthesia was(53.98 ± 6.67) seconds, and the overall score of exercise-induced fatigue of clinical staff was(13.12 ± 2.60) points.Binary logistic regression analysis showed that gender, surgical site, transport time and pain change range were important influencing factors for the risk of patient transport after general anesthesia. Clinical staff in the risk group had higher exerciseinduced fatigue scores than those in the safety group, and clinical staff in the slip group had higher exercise-induced fatigue scores than those in the non-slip group. Spearman correlation analysis showed that the patients' heart rate and systolic blood pressure change range before and after transport were positively correlated with exercise-induced fatigue of clinical staff(P<0.05).Conclusion The patients after general anesthesia have a medium to low level of transport risk, and gender, surgical site, transport time and pain change range are risk factors for the occurrence of transport risk.The overall level of exercise-induced fatigue of clinical staff is at a medium to high level, and it is closely related to the transport safety of patients. |
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