Yangyang Tian1, Junxiu Lin2, Fei Gao3. 1. Department of Neurosurgical Intensive Care Unit, The First Hospital of Jilin University Changchun, Jilin Province, China. 2. Department of Central Sterile Supply, Liaocheng Third People's Hospital Liaocheng, Shandong Province, China. 3. Department of Surgery and Anesthesiology, Ji'nan Stomatological Hospital (Binzhou Medical University Hospital) Ji'nan, Shandong Province, China.
Abstract
OBJECTIVE: To explore the effects of comfort care on the recovery quality of oral and maxillofacial surgery patients undergoing general anesthesia. METHODS:Ninety-eight oral and maxillofacial surgery patients undergoing general anesthesia were recruited for this prospective study and were then randomly divided into two groups. The patients in the experimental group (49 cases) underwent comfort care, and the patients in the control group (49 cases) underwent routine care. Several indexes, including the hemodynamic indexes, the analgesic dosages, the recovery times, the extubation complications, the recovery room indwelling times, the related complications, and the final satisfaction scores were recorded and compared between the two groups. RESULTS: Compared with the control group, the analgesic dosages and the recovery times in the experimental group were largely decreased (P<0.05), the occurrences of cough reactions during extubation were strongly reduced (P<0.05), and the recovery room indwelling times were also effectively shortened (P<0.05). In addition, the patients' hemodynamics in the experimental group were more stable during the recovery period (P<0.05), and the other complications, except for incision dehiscence, were significantly reduced (P<0.05), and the patient satisfaction scores were also much higher in the experimental group than they were in the control group (P<0.05). CONCLUSION: The recovery times of oral and maxillofacial surgery patients undergoing general anesthesia were largely shortened, and the complications during the recovery period were effectively reduced with the help of the comfort care, so it is worthy of further research and clinical promotion. AJTR
RCT Entities:
OBJECTIVE: To explore the effects of comfort care on the recovery quality of oral and maxillofacial surgery patients undergoing general anesthesia. METHODS: Ninety-eight oral and maxillofacial surgery patients undergoing general anesthesia were recruited for this prospective study and were then randomly divided into two groups. The patients in the experimental group (49 cases) underwent comfort care, and the patients in the control group (49 cases) underwent routine care. Several indexes, including the hemodynamic indexes, the analgesic dosages, the recovery times, the extubation complications, the recovery room indwelling times, the related complications, and the final satisfaction scores were recorded and compared between the two groups. RESULTS: Compared with the control group, the analgesic dosages and the recovery times in the experimental group were largely decreased (P<0.05), the occurrences of cough reactions during extubation were strongly reduced (P<0.05), and the recovery room indwelling times were also effectively shortened (P<0.05). In addition, the patients' hemodynamics in the experimental group were more stable during the recovery period (P<0.05), and the other complications, except for incision dehiscence, were significantly reduced (P<0.05), and the patient satisfaction scores were also much higher in the experimental group than they were in the control group (P<0.05). CONCLUSION: The recovery times of oral and maxillofacial surgery patients undergoing general anesthesia were largely shortened, and the complications during the recovery period were effectively reduced with the help of the comfort care, so it is worthy of further research and clinical promotion. AJTR
Authors: Lena M Chen; Deborah A Levine; Rodney Hayward; Margueritte Cox; Phillip J Schulte; Adam D DeVore; Adrian Hernandez; Paul A Heidenreich; Clyde Yancy; Gregg C Fonarow Journal: J Hosp Med Date: 2018-03 Impact factor: 2.960
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