肝癌切除术中不同手术体位对医患舒适度的影响  

Effects of different surgical position on the comfort of surgeons and patients during hepatectomy

作　　者：卜文君[1] 郑莉丽[1] 周雪瑜 钟奕[1] 

机构地区：[1]南方医科大学南方医院手术室,广州510515

出　　处：《中华现代护理杂志》2017年第5期685-687,共3页Chinese Journal of Modern Nursing

摘　　要：目的 探讨经腹肝癌切除术不同手术体位对患者及手术医师舒适度的影响.方法采用目的抽样法选取2014年10月—2015年10月南方医科大学南方医院收治的因肝脏恶性肿瘤行手术治疗的100例患者,采用计算机产生随机数的方法来进行随机分组,将患者随机分为观察组和对照组,每组50例.两组患者均由同一组手术医师采用基本相同的手术方式,对照组采用传统仰卧位法摆放体位,观察组患者采用改良体位方法摆放体位.评价术后患者的舒适度、手术医师操作的便利性舒适度,以及术后体位相关并发症等.结果观察组患者应用改良后的仰卧位摆放方式后,患者舒适度高于对照组,手术医师操作舒适度高于对照组,差异均有统计学意义（Z值分别为-3.458、-9.210,P＜0.01）.患者和手术医师的满意度明显增加,观察组患者的满意度为94.0%,手术医师的满意度为96.0%,高于对照组的74.0%和80.0%,差异均有统计学意义（χ2值分别7.440、6.061,P＜0.01）.结论肝癌切除术中应用改良手术体位,对减少术中手术医师身体疲劳感及增加患者术后舒适感具有良好作用.Objective To investigate the effects of different surgical position on the comfort of surgeons and patients during hepatectomy.Methods One hundred patients with liver carcinoma in Southern Hospital of Southern Medical University from October 2014 to October 2015 were selected by purposive sampling method. Patients were simply randomly divided into the observation group and the control group by computer generated random numbers,with 50 patients in each group. Patients in two groups were operated by the same team of surgeons using the same basic surgical approach. The control group adopted the traditional supine position, while the observation group used the modified position placement method. Patient＇s comfort,the convenience and comfort of surgeons as well as postoperative position related complications were evaluated.Results In the observation group,after the application of modified supine position placement,patients＇ comfort was significantly higher compared to the control group （Z=-3.458,-9.210;P〈0.01）. The convenience of surgeons significantly increased,and the operation comfort was significantly higher compared to the control group （χ2=7.440,6.061;P〈0.01）. The satisfaction of patients and surgeons significantly increased. In the observation group,patients＇ satisfaction was 94.0% and the surgeons＇ satisfaction was 96.0%,and they were significantly higher compared to the control group （patients：74.0%,surgeons：80.0%;P〈0.01）.Conclusions During hepatectomy,the application of modified operation position has a good effect on reducing intraoperative physical fatigue and improving the postoperative comfort of patients.

关 键 词：肝肿瘤 手术体位 舒适度 满意度 

分 类 号：R473.73[医药卫生—护理学]