规范化护理在特发性脊柱侧凸围手术期的应用

IF 1.2 4区 医学 Q3 NURSING Australian Journal of Advanced Nursing Pub Date : 2021-11-29 DOI:10.32629/ajn.v2i3.527
W. Liang
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引用次数: 0

摘要

目的:探讨全麻下特发性脊柱侧凸畸形矫正围手术期规范化护理方案。方法:回顾性分析2020年7月至2021年8月收治的28例青少年特发性脊柱侧凸(AIS)患者作为研究对象。我院手术室制定的护理方案严格执行,术前对患者及手术风险进行全面评估,精心准备手术室、手术器械及术中药物,严格无菌操作,手术医疗团队熟练配合,术后密切观察病情变化。结果:28例患者手术顺利,全部康复。证实患者无皮压损伤症状、神经系统损伤、严重超时、术后瘫痪、失血性休克等严重不良事件。结论-后路矫形手术治疗脊柱侧凸手术难度大,手术时间长,手术风险高。围手术期护理存在许多危险因素。按照规范化、专业化的护理方案,在整个围手术期进行严格的干预,可以提高手术室的护理质量,从而提高手术效率,降低手术风险,保证患者的安全,促进患者的快速康复。
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Application of Standardized Nursing in the Perioperative Period of Patients with Idiopathic Scoliosis
Objective — To explore the standardized nursing program for idiopathic scoliosis deformity correction under general anesthesia during perioperative period. Methods — Retrospective analysis 28 patients with adolescent idiopathic scoliosis (AIS) as the research object admitted from 2020 July to August 2021. The nursing plan formulated in the operating room of our hospital was strictly implemented, patients and surgical risks were comprehensively evaluated before surgery, the operating room, surgical instruments and intraoperative drugs were carefully prepared, the operation was performed with strict aseptic techniques, the surgical medical team cooperated skillfully, and the changes of the condition were closely observed after surgery. Results  — Operations were smoothly conducted for all the 28 patients with full recovery. The patients were proved without presence of symptoms of skin pressure injury, nervous system injury, serious timeout, postoperative paralysis, hemorrhagic shock and other serious adverse events. Conclusions  — Posterior orthopaedic surgery for scoliosis is proved to be difficult for operation with long duration and high risks. There are many risk factors in perioperative nursing. According to standardized and specialized nursing programs, strict intervention throughout the perioperative period can improve the quality of nursing in the operating room, which can improve the efficiency of surgery, reduce the risk of surgery, ensure the safety of patients, and promote the rapid recovery of patients.
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来源期刊
CiteScore
2.30
自引率
7.10%
发文量
27
审稿时长
>12 weeks
期刊介绍: The Australian Journal of Advanced Nursing publishes a wide variety of original research, review articles, practice guidelines, and commentary relevant to nursing and midwifery practice, health- maternity- and aged- care delivery, public health, healthcare policy and funding, nursing and midwifery education, regulation, management, economics, ethics, and research methodology. Further, the journal publishes personal narratives that convey the art and spirit of nursing and midwifery. As the official peer-reviewed journal of the ANMF, AJAN is dedicated to publishing and showcasing scholarly material of principal relevance to national nursing and midwifery professional, clinical, research, education, management, and policy audiences. Beyond AJAN’s primarily national focus, manuscripts with regional and international scope are also welcome where their contribution to knowledge and debate on key issues for nursing, midwifery, and healthcare more broadly are significant.
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