Efficacy of comprehensive nursing in stabilizing perioperative hemodynamic indicators and reducing complications in patients under general anesthesia.

Abstract

Objective: To evaluate the effects of a comprehensive nursing model on perioperative experiences and complications in patients undergoing general anesthesia.

Methods: A retrospective analysis was conducted on 98 patients who underwent general anesthesia at the First Affiliated Hospital, Jiangxi Medical College, Nanchang University from August 2022 to March 2024. Patients were divided into a traditional group (TG, n=41) and a comprehensive nursing group (CG, n=57) based on their perioperative nursing model. Surgical data, recovery metrics, stress-related indicators before and after surgery, and perioperative hemodynamic indicators were compared between the two groups. Postoperative cognitive function and complication rates were also assessed.

Results: The CG had a shorter hospital stay compared to the TG (P<0.05). On postoperative day 1, epinephrine and norepinephrine levels in the CG were lower than those in the TG (P<0.05). At T3 and T4, systolic blood pressure in the CG was lower than of the TG (P<0.05), and at T1, diastolic blood pressure was also lower in the CG (P<0.05). At T5, the heart rate in the CG was lower than of the TG (P<0.05). Awakening and extubation times were shorter in the CG than the TG (both P<0.05). On postoperative day 1, Mini-Mental State Examination scores were higher in the CG than the TG (P<0.05), while Visual Analogue Scale scores were lower (P<0.05). The total incidence of perioperative complications was 8.77% (5/57) in the CG, significantly lower than 26.83% (11/41) in the TG (P<0.05).

Conclusion: Comprehensive nursing interventions can effectively reduce perioperative stress, shorten emergence and extubation times, mitigate short-term cognitive decline, and decrease perioperative complications in patients undergoing general anesthesia.