降低麻醉術後恢復室病人口渴程度

Reducing Thirst Severity in Post-Anesthesia Patients at the Recovery Room

口渴被證實是全身麻醉術後病人最常見的不適反應之一，會導致病人感到焦慮、擔心及脫水等併發症。統計全身麻醉術後病人於轉出恢復室時口渴程度≧4分高達66.7%，本文旨在降低全身麻醉術後病人口渴程度，其原因包括：（1）缺乏麻醉後口渴評估工具；（2）缺乏照護規範；（3）護理師口渴認知率低；(4)口渴緩解設備不足。擬定並施行改善對策包括：訂定麻醉術後口渴評估工具、增設口渴評估於護理資訊系統、修訂麻醉術後照護規範、建立定期稽核及持續追蹤制度、訂定麻醉術後口渴評估與處置流程、舉辦在職課程、進行案例分析與回饋及增設口渴處理區；經方案實施後，全身麻醉術後病人於轉出恢復室時，口渴程度≧4分由66.7%降至25%，建議方案可推廣至其他痲醉術後照護單位。

Thirst has been confirmed as one of the most common discomfort reactions in patients after general anesthesia. Thirst can lead to complications such as anxiety, worry, and dehydration in postoperative patients. According to statistics the severity of thirst in postoperative patients upon transfer from the recovery room was rated as≧4 points in 66. 7% of cases. The aim of this paper is to reduce the severity of postoperative thirst in patients undergoing general anesthesia. The identified reasons for postoperative thirst include: 1. lack of a post-anesthesia thirst assessment tool, 2. lack of standardized thirst care protocols, 3. low awareness of thirst among nurses, and 4. insufficient thirst relief equipment. The team has formulated and implemented improvement strategies, including: the development of a post-anesthesia thirst assessment tool, the addition of a field for recording thirst assessment results in the nursing information system, revision of post-anesthesia care protocols, establishment of regular nursing quality audits and continuous monitoring systems, formulation of post-anesthesia thirst assessment and management procedures, provision of in-service training courses, regular case analysis and feedback, and the creation of a designated thirst management area. Following the implementation of the paper, the percentage of postoperative patients with a thirst severity rating≧4 points upon transfer from the recovery room decreased from 66.7% to 25%. The project achieved its objectives, and it is recommended to extend this program to other post-anesthesia care units.