[儿童手术前禁食 - - 实施自由禁食政策的经验]
Mathias Alexander Gerth1, Yannick Maximilian Mußmann2, Britta Büchler3
1Klinik für Anästhesiologie, Universitätsmedizin, Johannes Gutenberg Universität Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland. gerthm@uni-mainz.de.
Die Anaesthesiologie
|June 28, 2023
概括
对于儿科手术患者而言,一个新的自由禁食政策显著减少了禁食时间,并提高了满意度. 定期提醒工作人员对于这个术后护理研究的持续成功至关重要.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 在外科手术期间的医学.
- 改善临床实践的改善
背景情况:
- 传统的儿科禁食规则 (6-4-2) 可以导致长时间的禁食和不良事件.
- 一个自由的禁食政策 (6-4-0) 允许清晰的液体,直到OR到达实施.
- 本研究评估了新自由主义禁食政策的影响.
研究的目的:
- 评估儿科手术中自由的禁食政策的有效性和持久性.
- 评估对患者/家长满意度和术后结果的影响.
- 为了比较政策实施前后的实际禁食时间.
主要方法:
- 对接受选择性手术的儿科患者的回顾性分析.
- 6-4-0政策实施前后的禁食时间和结果的比较.
- 统计分析包括描述性统计,赔率比率和千平方测试.
主要成果:
- 自由禁食显著减少了清水禁食时间 (6.1小时至4.5小时).
- 患者和家长的满意度有所改善 (中位数为2.8至2.2),手术前的激动程度下降.
- 47%的患者实现了更短的禁食时间,暂时增加需要工作人员提醒.
结论:
- 多种干预措施,包括员工教育和明确的协议,成功地减少了儿科的禁食时间,并提高了满意度.
- 持续的成功需要不断加强和更新员工,而不仅仅是初步培训.
- 自由的禁食政策为儿科手术患者提供了显著的好处,特别是在后一天的手术中.
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