Construction of a prevention strategy for agitation in patients undergoing general anesthesia surgery during orthopedic surgery

Corresponding author: LI Guohong, njligh@126.com

DOI: 10.12201/bmr.202412.00074

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  Abstract: Objective To construct the prevention strategy of agitation in patients under general anesthesia, it provides reference for clinical nursing practice.Methods Through literature review and expert correspondence, a strategy to prevent agitation during the awakening period in patients undergoing orthopedic general anesthesia surgery was developed. Results A total of 2 rounds of expert correspondence were conducted. The effective recovery rates of the 2 rounds of correspondence questionnaires were 91.3% and 95.2% respectively. The expert authority coefficients were 0.94 and 0.919 respectively. The Kendall harmony coefficients were 0.153 (P<0.001) and 0.163 (P< 0.001). In the second round of expert correspondence, the average importance of indicators at all levels ranged from 4.00 to 4.944, and the coefficient of variation ranged from 0.046 to 0.213. Finally, 3 first-level indicators, 15 second-level indicators, and 42 third-level indicators were determined. Conclusion The preventive strategy constructed in this study covers the entire perioperative process and has good scientific validity, reliability and clinical application value.

  Key words: Orthopedic surgery；Emergence Agitation；General anesthesia；prevention；Delphi method

  Submit time: 29 December 2024

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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