在脊髓刺激中进行手术前咨询:植入式脉冲发生器相关不便的指定驱动器?
Erkan Kurt1, Linda Kollenburg2, Sisley Joosten2
1Department of Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands; Department of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
概括
患者对脊髓刺激 (SCS) 植入物的满意度与全面的手术前咨询有关. 关于植入物相关疼痛和不适的充分信息可以提高对持续性脊柱疼痛综合征 (PSPS) 患者不便的接受.
科学领域:
- 神经外科 神经外科
- 疼痛管理 疼痛管理
- 医疗器械 医疗器械
背景情况:
- 脊髓刺激 (SCS) 可以缓解持续性脊髓疼痛综合征 (PSPS) 的疼痛.
- 植入式脉冲发生器 (IPG) 的放置可能会造成影响生活质量和患者满意度的不便.
- 这些与IPG相关的问题在临床实践中经常被忽视.
研究的目的:
- 调查患者满意度,IPG相关不便和手术前咨询之间的关系.
- 分析这些因素在PSPS患者接受SCS与IPG植入部或腹部区域的PSPS患者.
主要方法:
- 从电子健康记录中追溯收集数据.
- 预期患者满意度调查问卷评估羞耻感,疼痛,活动障碍,睡眠,服装不适以及手术前咨询.
- 对IPG和痕位置进行照片分析,分为部和腹部象限.
主要成果:
- 81名参与者的75.3%观察到患者满意度.
- 满意的患者报告了关于IPG疼痛和不适的更广泛的手术前咨询 (p < 0.001).
- 在满意和不满意组之间,在羞耻 (9.9%),IPG部位疼痛 (25.9%),活动障碍 (51.9%) 和服装不适 (51.9%) 中发现了显著的差异.
结论:
- 全面的手术前信息和共享决策对于优化患者对IPG相关问题的满意度至关重要.
- 大多数患者接受SCS相关的缺点,如果足够了解预期.
- 这凸显了管理患者对IPG不便的期望的重要性.
相关概念视频
01:26Cardiac Catheterization IV: Nursing Management
1.2K
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
1.2K
01:23Peripheral Artery Disease V: Postoperative Nursing Management
637
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
637
01:22Aneurysm IV: Nursing Management
627
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
627