手术患者围手术期输血成分的护理

Amanda Regina da Silva Góis, R. Xavier, R. Mola, Gerlene Grudka Lira, Brígida Maria Gonçalves de Melo Brandão, F. S. Abrão
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摘要

简介:输血包括在临床或外科治疗中静脉给予血液成分。在术前,其目的是改善组织氧合,促进血流动力学和止血平衡。目的:了解外科患者围手术期输血成分的护理。方法:采用定性方法进行描述性、探索性研究。采用扎根理论,并不断进行比较分析。来自一所大学医院的18名护士和28名护理技术人员参加了这项研究。数据是在2019年10月至2020年2月期间通过社会人口调查问卷和半结构化访谈收集的。结果:本研究形成了输血过程护理的中心范畴,即输血前护理;输血期间的护理;并根据规范化护理方法对输血后的护理进行了探讨。结论:由于围手术期手术的特点,护理应按照一定的逻辑顺序进行计划和实施。护士需要间接护理;相反,护理技术人员直接护理病人。
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Nursing care in the transfusion of blood components to surgical patients in the perioperative period
Introduction: blood transfusion consists of the administration of blood components intravenously in clinical or surgical treatments. In the preoperative period, it is performed with the objective of improving tissue oxygenation, as well as promoting hemodynamic and hemostatic balance. Objective: to understand nursing care in the transfusion of blood components to surgical patients in the perioperative period. Method: this is a descriptive and exploratory study with a qualitative approach. Grounded Theory was used, with constant comparative analysis. A total of 18 nurses and 28 nursing technicians from a university hospital took part in the study. Data were collected between October 2019 and February 2020, through a sociodemographic questionnaire and semi-structured interviews. Results: the study resulted in the central category nursing care during transfusion, which gave rise to the categories: caring for before transfusion; caring for during transfusion; and caring for after transfusion, which were discussed according to the standardized nursing methodology. Conclusion: it was understood that nursing care is planned and implemented following an ordering of practices in a logical sequence due to the characteristics of the procedure in the perioperative period. Nurses demand indirect care; in contrast, nursing technicians engage in direct patient care.
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