腹腔镜下肝叶切除术后体位护理对患者的影响  

The Effects of Body Position Nursing on Patients after Laparoscopic Hepatectomy

作　　者：彭湘群[1] 秦月兰[1] 徐晓平[1] 禹球[1] 熊敏[1] 赵敏[1] 

机构地区：[1]湖南省人民医院,湖南长沙410000

出　　处：《齐鲁护理杂志》2016年第22期1-3,共3页Journal of Qilu Nursing

基　　金：2013年度湖南省医药卫生科研计划课题项目(编号:B2013-075)

摘　　要：目的：探讨腹腔镜下肝叶切除术后体位护理对患者的影响。方法：将2013年6月~2015年8月接受腹腔镜下肝叶切除术的80例患者随机分为对照组和观察组各40例,对照组术后平卧6 h后取自由体位,并鼓励患者下床活动,3~5次/d;观察组术后平卧6 h后取头低臀高位,并鼓励患者下床活动,3~5次/d。观察两组术后疼痛情况、睡眠质量、胃肠功能和肺功能等指标。结果：观察组术后视觉模拟评分（VAS）、匹兹堡睡眠指数（PSQI）评分均明显低于对照组（P〈0.01）。结论：腹腔镜下肝叶切除术后体位护理可明显提高患者舒适度。Objective： To explore the effects of body position nursing on patients after laparoscopic liver resection. Methods ： A total of 80 patients who underwent laparoscopic bepatectomy for liver resection from june 2013 to 2015 were randomly divided into the control group and the observation group with 40 cases in each group. The control group could take free position after 6 h after postoperative supine, and was encouraged to get out of bed,3 - 5 times per day ;while the observation group could take a high head and low hip position after 6 h af- ter postoperative supine and was encouraged to get out of bed, 3 - 5 times per day. The postoperative pain, sleep quality, gastrointestinal function and pulmonary function were observed in the two groups. Results：The postoperative visual analogue scale scores and Pittsburgh sleep index scores of the observation group were significantly lower than those of the control group （P 〈 0. 01 ）. Conclusion. After laparo- scopic hepatectomy, body position nursing can significantly improve patients comfort conditions.

关 键 词：腹腔镜 肝叶切除术 体位护理 疼痛 睡眠质量 肺功能 

分 类 号：R473.6[医药卫生—护理学]