修改的护士领导的COUGH捆绑的有效性肥胖患者在腹手术后
Jumei Yang1, Barbara S Turner, Aline Hooi Ming Teh
1Post Anaesthesia Care Unit (Dr Yang), Preoperative Assessment Centre (Dr Teh), and Division of Anaesthesiology and Perioperative Medicine (Dr Liew), Singapore General Hospital, Singapore; and Duke University School of Nursing, Durham, North Carolina (Dr Turner).
Journal of nursing care quality
|June 23, 2023
概括
一个经过修改的护士领导的COUGH捆绑系统显著减少了肥胖患者在减肥手术后的氧气使用和住院时间. 这种干预可以改善术后的肺部护理结果.
科学领域:
- 麻醉学 麻醉学
- 外科手术的结果
- 肺部医学 肺部医学
背景情况:
- 肥胖会对术后的肺部结果产生负面影响,增加氧气使用,恢复时间和死亡率.
- 在新加坡的麻醉后护理单位 (PACU) 缺乏对接受减肥手术的肥胖患者的标准化肺部护理.
研究的目的:
- 为肥胖患者实施和评估修改后的护士领导的COUGH捆绑,用于腹部外科手术后的肥胖患者.
- 改善肺部结果,减少PACU和降级单位的资源利用.
主要方法:
- 一个前性的,单一的队列,测试前后的质量改进设计.
- 招募了151名接受减肥手术的肥胖患者.
- 一个修改后的护士领导的COUGH包被教导和实施.
主要成果:
- 在接受 COUGH 包的患者中,氧气消耗显著减少.
- 减少了在PACU和整体住院的停留时间.
- 改善肥胖减肥手术患者的术后肺部护理.
结论:
- 修改后的护士领导的COUGH捆绑有效地减少了腹腔外科手术后的氧气使用.
- 这种干预可以缩短PACU和住院时间.
- 实施标准化肺部护理包可以改善患者的康复和资源管理.
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