The influence of total improvement position on the comfort of the patients with abdominal surgery
Zheng Fengyan1, Cao Qian1, Zhang Liqing1, Gu Didan2, Zhang Weijian3
1.Operating Room, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015; 2.Anesthetic Recovery Room, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015; 3.Endoscopy Center, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015
Zheng Fengyan,Cao Qian,Zhang Liqing, et al. The influence of total improvement position on the comfort of the patients with abdominal surgery[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2018, 48(8): 611-614.
Abstract：Objective: To investigate the influence of total improvement position on the comfort of the patients with abdominal surgery. Methods: A total of 200 patients who underwent laparotomy from January to December 2016 were randomly divided into observation group and control group, with 100 cases in each group. Patients in the observation group used a modified type to improve the supine position according to the demand in pre-operative preparation room, intra-operation, and anesthesia resuscitation room, while the control group used the traditional supine position. The Kolcaba general comfort questionnaire (GCQ) was used to evaluate the comfort and satisfaction of the patients during the whole period of modified posture. Results: There was no significant difference between the overall score of the observation group (61.11±10.15) and the overall score of the control group (60.35±10.31) before the intervention. After adjusting for postures with adjustable postures, the overall comfort scores of the observation group at various time points after the operation (Time 1: 70.19±11.93; Time 2: 74.59± 10.85; Time 3: 85.12±11.09) and scores in all dimensions significantly higher than the postoperative scores in the control group (Time 1: 58.30±11.55; Time 2: 64.11±11.26; Time 3: 71.79±11.55), showing statistical differences (P<0.01). Conclusion: The use of adjustable posture can improve the comfort of patients who underwent general anesthesia for abdominal surgery and improve the quality of operating room care.
