确定尾切除术后儿童恶心和吐的危险因素
Rüya Naz1, Nurcan Özyazıcıoğlu2, Mete Kaya3
1Pediatric Surgery Department, University of Health Sciences, Bursa Yüksek Ihtisas Research and Training Hospital, Bursa, Turkey.
概括
在接受尾切除的儿童中,术后恶心和吐 (PONV) 与疼痛,家族病史和尾穿孔有关. 儿科护士应在手术前评估PONV风险,以有效管理.
科学领域:
- 儿科手术 儿科手术
- 麻醉学 麻醉学
- 护理 护理 护理 护理
背景情况:
- 手术后恶心和吐 (PONV) 是儿科手术中常见的并发症.
- 尾切除术是儿童常见的手术手术,而PONV则是一个重大挑战.
- 识别风险因素对于有效管理这一群体的PONV至关重要.
研究的目的:
- 为了调查与手术后恶心和吐 (PONV) 相关的危险因素,在接受尾切除的儿科患者中.
- 确定预测儿童PONV的特定临床和人口因素.
主要方法:
- 进行了一项前性,描述性,横截面研究.
- 163名 (5至18岁) 接受尾切除手术的儿童被录取.
- 数据采集使用患者表格,巴克斯特缩面部尺度和Wong-Baker面部疼痛评分尺度.
主要成果:
- 术后疼痛的严重程度,手术时间和第一次口服养的时间与PONV有显著的关联.
- 后勤回归确定了术后疼痛,家族PONV病史和尾孔作为关键风险因素.
- 患有非穿孔性尾炎且没有PONV的患者的手术时间更短,口服养更早.
结论:
- 患有PONV的家族史,严重的术后疼痛,更长的手术时间和延迟的口服养是儿科尾切除患者PONV的重要危险因素.
- 儿科护士在手术前PONV风险评估和管理中发挥着至关重要的作用.
- 基于证据的干预措施应根据个体患者的风险水平来实施.
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