摘要
麻醉覺醒是當麻醉深度不足以達到無意識狀態時，所產生的術中意識，發生率估計約為每1000例中有1-2例。麻醉覺醒會對病人造成重大影響，產生心理、認知的混亂，但卻時常被忽略。概念分析是一種常見的方法，用於深入探討特定概念的含義、特徵以及其在實際情境中的應用。雖然麻醉覺醒在某些方面被視為一種併發症，但它同時也是一個具有特定意義的概念，期透過此概念分析幫助護理人員識別並監測病人是否出現麻醉覺醒的特徵。本文根據Walker & Avant（2019）的概念分析步驟進行，包括統整相關文獻定義此概念，並透過典型、邊緣、相反及相關案例等描述釐清概念，進而確認影響麻醉覺醒的前因後果及實證測量工具。期透過此概念分析，協助臨床照護人員對此概念有更多的認識與應用，協助護理人員為手術病人提供具體有效地術前、中、後評估和介入措施，提升照護品質。
並列摘要
Anesthesia awareness, which occurs when anesthesia depth is insufficient to achieve unconsciousness, manifests as intraoperative consciousness, and has an estimated incidence of 1-2 cases per 1,000. It significantly impacts patients, leading to psychological and cognitive confusion, yet it is often overlooked. Concept analysis is a common method used to delve into the meaning, characteristics, and practical applications of specific concepts. Though viewed as a complication in some aspects, anesthesia awareness is also a concept with specific significance. The aim of using concept analysis to better understand anesthesia awareness is to assist nursing staff in identifying and monitoring signs of its occurrence. This article follows the concept analysis steps outlined by Walker & Avant (2019), integrating relevant literature to define the concept, clarifying it through descriptions of model, borderline, contrary, and related cases, and confirming antecedents, consequences, and empirical measurement tools influencing anesthesia awareness. Through this concept analysis, clinical care providers can gain a deeper understanding and application of anesthesia awareness, aiding nursing staff in providing specific and effective preoperative, intraoperative, and postoperative assessments and interventions for surgical patients, thereby enhancing the quality of care.