经受股骨关节绕道术的患者的短期结果和护理干预措施:一项为期五年的回顾性研究
Sevcan Avcı Işık1, Elif Budak Ertürk1, Hakkı Tankut Akay2
1Baskent University Health Sciences Faculty, Department of Nursing, Ankara, Turkey.
概括
股骨突外科手术的结果受到诸如闭塞和重新手术等并发症的影响. 加强关于戒烟和运动的护理教育可能会改善患者的康复.
科学领域:
- 血管外科 血管外科
- 患者的治疗结果.
- 护理干预 护理干预
背景情况:
- 脊椎关节绕道手术是对外围动脉疾病的关键治疗方法,旨在恢复血液流动并防止肢体损失.
- 手术后的并发症可能会对这种手术的短期结果产生负面影响.
- 有限的研究存在于特定的护理干预措施,用于管理股骨突围术后的并发症.
研究的目的:
- 为了评估短时间 (30天) 的关节关节旁路手术的结果.
- 评估在术后期间记录的护理干预措施.
- 为了确定影响患者在此血管手术后的结果的因素.
主要方法:
- 在五年时间内,对经历了股骨突外科手术的患者进行了回顾性研究.
- 数据收集包括初级通透性,无截肢生存率,并发症和护理干预措施.
- 分析的重点是确定常见的并发症及其对患者结果和住院时间的影响.
主要成果:
- 初级通透率为80.9%,没有截肢的生存率为95.6%.
- 常见的并发症包括紧急重新手术 (27.9%),手术部位感染 (14.7%) 和闭塞 (10.3%).
- 没有初级通透性的患者经历了显著更长的重症监护室停留时间.
结论:
- 阻塞和紧急重新手术等并发症对短期的股骨关节绕道术结果产生了负面影响.
- 长时间住院和ICU住院与术后并发症有关.
- 更多地关注护理主导的患者教育,特别是关于戒烟和运动,可以改善康复.
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