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患者在腹腔镜腹腔外科手术的无阿片类药物 versus 基于阿片类药物的护理途径的外科经验:一种定性研究
Alexander Olausson1, Eva Angelini1, Birgit Heckemann1,2
1Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
International journal of nursing studies advances
|May 15, 2024
概括
接受减肥手术的患者报告了类似的外科经验,无论是无阿片类药物或基于阿片类药物的麻醉. 无阿片类药物麻醉可能需要策略来解决诱导期间的患者控制.
科学领域:
- 麻醉学 麻醉学
- 腹部外科 腹部外科
- 定性研究是指质量研究.
背景情况:
- 基于阿片类药物的麻醉仍然是减肥手术的标准,尽管有越来越多的证据表明无阿片类药物的替代方案.
- 在减肥手术中,患者对无阿片类药物护理途径的经验了解有限.
研究的目的:
- 为了比较无阿片类药物和基于阿片类药物的麻醉途径之间的减肥手术期间的患者经验.
- 为了确定外科手术期间患者旅程的相似之处和差异.
主要方法:
- 定性面试研究,涉及随机对照试验中患者的战略样本.
- 20名患者 (10名没有阿片类药物,10名基于阿片类药物) 在手术后3个月接受了采访.
- 半结构面试使用定性内容分析进行了分析.
主要成果:
- 患者在手术前经历了各种各样的情绪,包括预期和恐惧.
- 在麻醉诱导和恢复方面注意到了相似之处,一些没有阿片类药物的患者报告了提高意识和失去控制.
- 疼痛管理经验各不相同,无阿片类药物患者注意到皮肤电神经刺激 (TENS) 的局限性,而阿片类药物患者对阿片类药物表示信心.
结论:
- 腹部外科手术患者在基于阿片类药物和无阿片类药物途径中都有共同的外科经验.
- 在无阿片类药物麻醉诱导期间,特别注意患者的控制感对于实施至关重要.
- 需要进一步的研究来优化无阿片类药物策略,并增强患者护理体验.
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