可调节式按需求改良体位在腹部手术患者中的应用效果  

The influence of total improvement position on the comfort of the patients with abdominal surgery

作　　者：郑凤燕[1] 曹茜[1] 张丽青[1] 谷迪丹[2] 张维建[3] 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, 32501)

机构地区：[1]温州医科大学附属第一医院手术室,浙江温州325015 [2]温州医科大学附属第一医院麻醉复苏室,浙江温州325015 [3]温州医科大学附属第一医院腔镜中心,浙江温州325015

出　　处：《温州医科大学学报》2018年第8期611-614,共4页Journal of Wenzhou Medical University

基　　金：温州医科大学附属第一医院科研孵化项目(FHR2014004);温州市科技计划项目(2015Y0214)

摘　　要：目的:研究可调节式按需求改良体位在腹部手术患者中的临床应用效果。方法:选择温州医科大学附属第一医院2016年1至12月间200例开腹手术患者,随机分为观察组和对照组,每组100例。观察组患者在术前准备室、术中、麻醉复苏室采用可调节式按需求改良卧位,对照组采用传统去枕平卧位。用手术室舒适状况量表(GCQ)评估全期改良体位患者的舒适度和满意度。结果:干预前观察组整体得分(61.11±10.15)和对照组整体得分(60.35±10.31)比较差异无统计学意义。而可调节式按需求改良体位干预后,观察组术后各个时间段的舒适度整体得分(Time1:70.19±11.93;Time2:74.59±10.85;Time3:85.12±11.09)和各个维度得分均显著高于对照组术后得分(Time1:58.30±11.55;Time2:64.11±11.26;Time3:71.79±11.55),差异均有统计学意义(P<0.01)。结论:采用可调节式按需求改良体位有利于提高全身麻醉腹部手术患者的舒适度,提高手术室护理质量。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; Time2： 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.

关 键 词：按需求体位 舒适度 术前准备室 麻醉复苏室 护理 

分 类 号：R472.3[医药卫生—护理学]