影响日间手术患者禁食决定的因素
1Staff Nurse, Department of Cardiorespiratory Research, Leeds Teaching Hospitals Trust, Leeds.
概括
日间外科手术患者常常比需要的时间更长的时间禁食. 了解患者禁食决策因素是改善手术前信息和护理的关键.
科学领域:
- 医学研究 医学研究
- 患者护理 患者护理
背景情况:
- 接受日间外科手术的患者被指示在手术前禁食.
- 目前的预评估实践可能无法完全解决患者禁食决策过程.
- 人们对患者如何确定他们禁食的持续时间知之甚少.
研究的目的:
- 调查影响日间外科手术患者禁食决定的因素.
- 为了确定最佳的方法,提供手术前的禁食信息.
主要方法:
- 定性描述性研究设计.
- 半结构化的电话采访,与10名白天病例患者进行.
- 对面试数据进行主题分析.
主要成果:
- 禁食决定受到三个关键主题的影响:将手术视为严重事件,患者作为积极合作伙伴的角色,以及遵守规则.
- 禁食的持续时间是由个人的决定和实际考虑决定的.
- 患者的知识,经验和信息偏好决定了他们的禁食方法.
结论:
- 预评估护士应该个性化禁食指令,并澄清禁食的根本原因.
- 量身定制的信息可以赋予患者权力,并可能减少不必要的禁食时间.
- 改善手术前的沟通可以提高患者的理解和坚持.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
71
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
71
Metabolic States of the Body: Fasting and Starvation
1.3K
During the initial hours of fasting, the body uses up its glycogen stores as an energy source. Once these glycogen reserves are depleted, the body begins breaking down stored triglycerides and structural proteins. During this stage, glycerol becomes a key substrate for gluconeogenesis, while free fatty acids undergo beta-oxidation to provide energy for tissues, such as skeletal muscle. In the fasting state, the body spares protein breakdown as much as possible to conserve muscle and structural...
1.3K
Metabolic States of the Body: The Postabsorptive State
292
The postabsorptive state usually starts about four hours after a meal and lasts until the next meal is eaten. During this time, the digestive system stops absorbing nutrients, and the body uses stored energy reserves to maintain stable blood glucose levels.
Initially, glycogen stored in the liver is broken down to release glucose into the bloodstream, while glycogen in the muscles is broken down to supply glucose for energy directly within the muscle cells. As glycogen stores diminish,...
Initially, glycogen stored in the liver is broken down to release glucose into the bloodstream, while glycogen in the muscles is broken down to supply glucose for energy directly within the muscle cells. As glycogen stores diminish,...
292
Endoscopic Procedures II: Colonoscopy
78
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
78
Pre-Procedural Guidelines for Assessing Blood Pressure
539
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
539


