评估护士从业人员的外科手术期间的角色及其结果:在外科手术护理中的前性观察研究
Limor Chen1,2, Ziv Gil3, Nasra Idilbi4,5
1Rambam Medical Center, Haifa, Israel.
Journal of advanced nursing
|September 27, 2025
概括
在手术前和医院后阶段,执业护士的干预措施显著减少了住院时间和出院后的并发症. 这突显了护士从业人员在优化外科护理途径和患者康复方面的价值.
科学领域:
- 手术护理 手术护理
- 护理实践 护理实践
- 医疗保健结果的结果
背景情况:
- 执业护士 (NP) 在术后护理中发挥着至关重要的作用.
- 优化NP角色可以改善患者的治疗结果和医疗保健效率.
研究的目的:
- 在外科手术前期评估执业护士 (NP) 的角色.
- 评估NP干预和医疗保健结果之间的关联,包括停留时间 (LOS),术后急诊室 (ED) 访问和30天的再入院.
主要方法:
- 在以色列第三级护理中心 (2022-2023) 进行了一项前性观察研究.
- 包括从儿科整形外科,整体外科和乳腺和口腔服务的188名患者.
- 关于干预和结果 (LOS,ED访问,再录取) 的数据使用多变量回归收集和分析.
主要成果:
- 执业护士平均每位患者进行6.7次干预.
- 中度至高的术前NP干预与较短的LOS相关.
- 中等到高的医院后NP干预与更少的急救诊所访问和更低的30天再入院率有关.
结论:
- 在手术前和医院后阶段的NP干预显著改善了患者的结果.
- 在术后护理中优化NP角色可以减少医院LOS,急救诊所和再入院.
- 扩大NP角色可以提高护理连续性和患者康复轨迹.
相关概念视频
01:23Peripheral Artery Disease V: Postoperative Nursing Management
378
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...
378
01:15Nursing Evaluation
4.2K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
4.2K
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
287
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
287
01:08Role of Communication in the Nursing Process III: Evaluation and Documentation
1.9K
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
1.9K
01:11Guidelines for Writing Outcome
3.6K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
3.6K
01:30Current Trends in Nursing II
3.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
3.3K