昏迷气管切开患者腰穿术后的体位护理  

Postoperative Position Nursing of Patients with Comatose Tracheotomy after Lumbar Perforation

作　　者：鹿红静 LU Hong-jing(Liaoyang Central Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市中心医院,辽宁辽阳111000

出　　处：《中国医药指南》2020年第14期275-277,共3页Guide of China Medicine

摘　　要：目的探讨昏迷气管切开者腰穿术后的体位护理方法,明确相关要求。方法选择2016年8月至2017年12月期间我院收治的60例昏迷气管切开患者,均接受腰椎穿刺术,等分为Ⅰ组与Ⅱ组,每组各30例,Ⅰ组在术后给予传统的去枕平卧位,Ⅱ组在术后给予去枕屈膝平卧位与抬平头侧卧位,每2 h更换1次,比较术后两种不同体位护理方法对患者产生的影响。结果Ⅱ组患者术后头痛、腰背痛与皮肤受压发生率均低于Ⅰ组(P<0.05);Ⅱ组护理舒适率为93.33%,较高于Ⅰ组73.33%,差异较有统计学意义(P<0.05);Ⅱ组术后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分与Ⅰ组相比,差异均有统计学意义(P<0.01)。结论昏迷气管切开者穿刺后接受有效体位护理干预,有助于降低术后并发症发生率,提升治疗舒适度,改善心理状态,值得推广。Objective To investigate the position nursing method of the patients with comatose tracheotomy after lumbar puncture and to clarify the relevant requirements.Methods 60 cases of coma tracheotomy admitted to our hospital during the period of 2016.8-2017.12 were all treated with lumbar puncture.They were divided into groupⅠand groupⅡ,each with 30 cases.GroupⅠwas given traditional pillow positions after surgery,GroupⅡgave the sleeping position of Quxiping and the lateral position of the lifting head after surgery.It was replaced once every 2 H to compare the effects of the two different posture nursing methods on the patients after surgery.Results The incidence of postoperative headache,back pain and skin pressure were lower in groupⅡpatients than in groupⅠ(P<0.05).The nursing comfort rate in GroupⅡwas 93.33%,which was higher than that of GroupⅠ73.33%,and the difference was more statistically significant(P<0.05);Compared with GroupⅠ,the scores of SSAS and SDS were statistically significant(P<0.01).Conclusion The effective position nursing intervention of the coma tracheotomy is helpful to reduce the incidence of postoperative complications,improve the comfort of treatment and improve the psychological state.

关 键 词：昏迷 气管切开 腰穿术 体位护理 效果观察 

分 类 号：R473.6[医药卫生—护理学]