胃肠道手术全身麻醉后老年患者的口渴经验和护理需求:一种定性研究
Ting Li1, Wen-Hui Dong1, Shuo Wang2
1Wuxi Medical College, Jiangnan University, Wuxi 214122, Jiangsu Province, China.
经过胃肠道手术的老年患者经常在麻醉后护理单位 (PACU) 经历明显的口渴和不适. 解决这些口渴经历和护理需求对于改善康复和患者舒适至关重要.
科学领域:
- 麻醉学 麻醉学
- 老年医学 老年医学
- 手术护理 医疗护理
背景情况:
- 手术后的口渴是胃肠道手术全身麻醉后老年人的常见和令人痛苦的症状.
- 饥渴会对患者的舒适性产生负面影响,增加焦虑,并可能阻碍康复.
- 关于老年手术患者的具体口渴经历和护理需求的研究有限.
研究的目的:
- 为了研究老年患者胃肠道手术后的口渴的主观经验.
- 为了确定与管理这种患者群体的口渴相关的特定护理需求.
- 为开发针对性干预措施提供信息,以缓解术后的口渴.
主要方法:
- 使用半结构面试进行的定性现象学研究.
- 在全身麻醉下接受胃肠道手术的12名老年患者被有目的地取样.
- 数据使用Colaizzi的七步方法进行分析,以提取关键主题.
主要成果:
- 四个主要主题出现了:强烈的口渴感,情绪困扰 (焦虑,易怒),切解口渴的实际挑战,以及患者对护理的期望.
- 患者报告了显著的主观口渴经历和持续时间.
- 关键的挑战包括当前干预和护理反应时间的局限性,以及对更主动和及时的护理关注的渴望.
结论:
- 在全身麻醉下进行胃肠道手术后,老年患者经常经历大量的口渴和不适.
- 目前的干预措施缓解口渴往往被患者认为是不充分的.
- 多学科的术后治疗方法对于有效地控制口渴和提高老年手术患者的术后舒适度至关重要.
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