指导泌尿外科高龄患者对麻醉及手术体位的认知与护理.pdfVIP

.1250. 国际护理学杂志2010 年8 月第29 卷第8 期 Int J Nurs ,Augusl 2010 ,Vo l. 29. N队 8 ·诊疗技术· 指导泌尿外科高龄患者对麻醉及于术体位的认知与护理 果丹云陈嬉索非菊梅林瑞瑶徐沛食 {摘 要1 目的探讨泌尿外科高龄患者对硬膜外麻醉及手术体位的认知情况。方法 对我院2∞8 年 1 月 ~2∞8 年 12 月 份收泊的 l ∞例泌尿外科商龄患者按手术先踊分为两组，实验姐和对照组各50 例。实验组销合困像和讲解给予麻醉及乎术体位 的指导。结果 两组对麻醉及子术体蚀的认知及配合情况有~辛辛性惹异。结论 对泌尿外科高龄患者进行麻醉及手术体位的指 导可以提高患者的主动配合能力，缩短手术前准备时间，提高手术效率。 {关键词] ~服外科; 高龄患者: 护理; 认知; 指导; 硬膜外麻醉 中阁分类哥哥: R473.6 文献标识码:日 Guiding and nursing geron阳I patien臼 of urinary surgery to co伊ition of anesthesia and operatiive position WU Dan - yun , CHEN Bi - su , U Ju - mei , et al. Department 0/ Operation Room , the First Æ庐lωted Hospital 0/ Shantou University, Shanωu 515041 , China [ Abstract] ObJective To investigate gerontal palie脚reco伊ition of epidural 栩栩th创ía and 0阳live position in 四川自鸣叫 Methods One hundred gerontal patients of urinary su耶叨 were randomized into control group (n 百 50) and experimental group (n =50) .四e experimental group were explained by picture and were guided to co伊ition of epidural an倒thesia and operative pωi­ tion. Resωωηle two groups were si伊ificant difIerence in matching and reco伊ition of anesthesia and operative position. Conclusions By 伊iding gel飞mtal patien恼rec咿闹。n of 叩ídur现1 anesthesia and operatíve p佣ition in urinary surgery. ít can shorten preoperative time , operate more e仔iciently and match operation more initiatively. [Key wor叫 Urinary 8U咆;ery; Geron凶 patients; Nursing; Reco伊Ìtion; Guideline; Epidural an刨出esia 姐:实验姐和对照细，每组患者各50 例，会组思者均为首次 隔着社会和锻济的发展，人们生活水平不断提高，人均 采用硬膜外麻醉。体位:麻醉体位左侧卧位，手术体位为膀 寿命普遍延长，人口老龄化日益明显，需手术治疗的高龄患 者相应增多。由于老年人各脏器功能避渐衰退，常伴有慢性 肮截石位。 脯，如何做好高宿舍外科患者的术中指导和护理，使他们安全 1.2 健康情况 班过手术关，是我们护理人员急需解决的问题。 2∞8 年 1 月