胸腰椎疾病患者全麻术后去枕平卧位依从性的影响因素与护理干预  

The Influence Factors and Nursing Interventions on the Compliance of Horizontal Position without Pillow after General Anesthesia in Thoracolumbar Disease Patients

作　　者：吕曼[1] 

机构地区：[1]安徽省合肥市第一人民医院脊柱外科,合肥230061

出　　处：《临床护理杂志》2013年第5期19-21,共3页Journal of Clinical Nursing

摘　　要：目的探讨胸腰椎疾病患者全麻术后去枕平卧位依从性的影响因素和干预措施。方法回顾性分析我科2012年8月～12月胸腰椎疾病全麻术后去枕平卧位依从性的影响因素，根据结果进行护理干预。结果胸腰椎疾病并行全麻手术患者术后6h内不能坚持体位指导152例。其中，因麻醉状态导致依从性差65例，占42．8％，医学相关知识缺乏20例，占13．2％，患者想急迫恢复健康15例，占9．9％，对医务人员信任度差17例，占11．2％，不舒适感23例，占15．1％，家属不配合12例，占7．9％。结论通过加强护患沟通，与患者及家属建立良好的医患关系；加强麻醉未清醒期间的安全管理和心理护理；落实责任制护理，重视健康教育等方式能提高胸腰椎疾病患者全麻术后去枕平卧位依从性。Objective To summarize the influence factors and nursing interventions on the compliance of horizontal posi- tion without pillow after general anesthesia in thoracolumbar disease patients. Methods The influence factors on the compli- ance of horizontal position without pillow after general anesthesia in thoracolumbar disease were reviewed retrospectively, based on which the nursing interventions were given to the patients. Results 152 after--general--anesthesia thoracolumhar disease patients who couldn＇t adhere to horizontal position were reviewed. 65 cases were due to narcotism （42. 8%） ; 20 cases were due to lack of related medical knowledge （13.2%）; 15 cases were due to the urgence for recovery （9. 9%） ; 17 cases were due to their low confidence degree with medical staff （11.2%） ; 23 cases were due to discomfort （15.1%）; 12 cases were due to family members＂ non--compliance （7. 9%）. Conclusions Strengthening nurse--patient communication, establishing good relationships with patients and their family mem- bers, strengthening the safety management and the psychological nursing before anaesthesia clear, carrying out primary nursing, and paying attention to health education could improve the compliance of horizontal position without pillow after general anesthesia in thoracolumhar disease patients.

关 键 词：胸腰椎疾病 全身麻醉 平卧 病人依从 护理干预 

分 类 号：R681.5[医药卫生—骨科学] R614.2[医药卫生—外科学]