术前体位训练对肾脏腹膜后腹腔镜手术患者的影响  

Effect of preoperative position training on patients with retroperitoneal laparoscopic surgery of the kidney

作　　者：覃文静 唐秀江 周燕 

机构地区：[1]广西宜州市中医医院,宜州市546300

出　　处：《护理实践与研究》2016年第21期76-78,共3页Nursing Practice and Research

摘　　要：目的：探讨术前体位训练对肾脏腹膜后腹腔镜手术患者的影响。方法：采取方便抽样的方法,选取2014年5月~2016年5月某三级甲等医院行肾脏腹膜后腹腔镜手术患者84例为研究对象,将其随机等分为试验组与对照组,对照组患者给予常规护理;试验组在常规护理的基础上实施体位训练。结果：术后第3天,两组患者血压、心率、Sp O2比较差异有统计学意义（P〈0.05）;两组切口疼痛评分比较差异无统计学意义（P〉0.05）;腰背部疼痛和健侧肩部疼痛的比较差异有统计学意义（P〈0.05）;两组患者舒适度中生理、心理精神、社会文化、环境4个维度得分均优于对照组,差异均具有统计学意义（P〈0.05）。结论：术前体位训练可减少患者手术中心率、血压的变化,减轻患者术后腰背部和健侧肩部的疼痛程度,并能提高肾脏手术患者术后舒适度。Objective：To explore the effect of preoperative postural training on patients with retroperitoneal laparoscopic surgery of the kidney. Methods：Se-lected 84 patients who underwent retroperitoneal laparoscopic operation from May 2014 to May 2016 and randomly divided them into experimental group and control group. The patients in the control group were given routine nursing. The patients in the experimental group were treated with preoperative postural training on the basis of routine nursing. Results：There were significant differences in blood pressure,heart rate and SpO2 between the two groups after 3 days of operation（P 〈 0. 05）. There was no significant difference in pain scores between the two groups（P ﹥ 0. 05）. There was significant difference in the pains at back and shoulders in the two groups（P 〈 0. 05）. The scores of physiology,psychology,social culture and environment in the comfort of patients of the experimental group were superior to those of the control group. The difference was statistically significant（P 〈 0. 05）. Conclusion：Preoperative posi-tion training can decrease the rate of heart rate and blood pressure in patients,reduce the pain degree of the patients with low back and healthy shoulders and improve the postoperative comfort of patients undergoing retroperitoneal laparoscopic operation of the kidney.

关 键 词：体位训练 腹膜后腹腔镜手术 生命体征 舒适 

分 类 号：R473.6[医药卫生—护理学]