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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 |
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Cite this article: |
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.
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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.
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[1] 陈肖敏, 童彬, 朱美花, 等. “三位一体”围术期护理管理模式的应用及效果[J]. 中华现代护理杂志, 2014, 20(33): 4241-4243.
[2] NISHIDA K, DOITA M, KAKUTANI K, et al. Development of percutaneously insertable/removable interspinous process spacer for treatment of posture-dependent lumbar spinal-canal stenosis: preclinical feasibility study using porcine model[J]. Eur Spine J, 2012, 21(6): 1178-1185.
[3] 林芹, 王少萍, 黄莉, 等. 老年卧床患者压疮危险因素评估及护理干预[J]. 海南医学, 2014, 25(15): 2337-2338.
[4] 王桂兰. 精细化管理在儿科病人安全管理中的应用[J]. 国际护理学杂志, 2014, 33(7): 1806-1808.
[5] 徐梅, 王英丽, 赵琳, 等. 手术体位舒适性量表的形成及信度、效度检测[J]. 中国护理管理, 2014, 14(10): 1045-1047.
[6] CHENG K K,WONG E M, LING W M, et al. Measuring the symptom experience of Chinese cancer patients: a validation of the Chinese version of the memorial symptom assessment scale[J]. J Pain Symptom Manage, 2009, 37(1): 44-57.
[7] KOLCABA K, WILSON L. Comfort care: a framework for perianesthesia nursing[J]. J Perianesth Nurs, 2002, 17(2): 102-114.
[8] 徐晔, 邱惠琴. 改良手术体位安置方法预防并发症的护理进展[J]. 国际护理学杂志, 2012, 31(5): 772-775.
[9] 杨坤渹. 全麻下行腹部手术后6 h内改良低半卧位对患者舒适度的影响[J]. 中国医药科学, 2015, 5(9): 142-144.
[10] 荣德明, 张德辽, 刘俐, 等. 限制性和非限制性体位对术后病人康复的影响[J]. 护理学报, 2010, 17(12A): 45-47.
[11] 乔秋阁, 游道锋, 陶华洁, 等. 舒适卧位流程在肝癌患者射频消融术中的应用[J]. 中华现代护理杂志, 2016, 22(12): 1729-1732, 1733.
[12] 蒋琪霞, 刘娟, 刘玉秀. 两种不同角度的半卧位在预防机械通气患者误吸和压疮中的应用[J]. 中华护理杂志, 2016, 51(8): 927-932.
[13] 曾定芬, 李晓霞, 邱有波, 等. 头颈部恶性肿瘤患者全麻术后早期体位的研究[J]. 护理学杂志, 2014, 29(22): 18-21.
[14] 叶爱素, 郑凤燕, 叶媛媛, 等. 体位干预对PACU腹部手术患者舒适度和疼痛的影响[J]. 中国现代医生, 2016, 54(6): 118-121.
[15] 蔡雪, 李菲, 宋开兰. 麻醉术后体位护理的研究进展[J]. 护理学报, 2016, 23(20): 28-31.
[16] 龚春兰, 文国英, 龙翠燕, 等. 颈椎术后患者个性化侧卧位枕的研制与应用[J]. 中华护理杂志, 2014, 49(5): 637-638. |
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