早期半坐卧位结合早期活动对腹部术后患者康复的影响.pdfVIP

现代临床护理(Modem Clinical Nursing)2008．7(2) · 论著· 早期半坐卧位结合早期活动对腹部术后患者康复的影响 曹何琼。李春霞 (广东医学院附属医院肝胆外科，广东湛江，524001) 【摘要] 目的 探讨早期半坐卧位结合早期活动对腹部术后患者康复的影响。方法 按随机数字表法将患者随机分为 实验组和对照组，每组各40例，实验组制订详细的活动计划及方法对患者进行护理，对照组接受常规护理，分别对两组患者 术后舒适度及胃肠功能恢复情况进行比较。结果 与对照组相比，实验组患者不适症状明显减少，首次肛门排气时间、首次 排便时间提前，拔除胃管时间明显缩短，进食时间提前，差异有统计学意义(均P0．O1)。结论 早期半坐卧位结合早期活动 可促进腹部术后患者的康复。 【关键词] 腹部手术；早期半坐卧位；早期活动；康复护理 [中图分类号] R473．6 [文献标识码] A [文章编号] 1671—8283(2008)02—0001—03 [Abstract] Objective To investigate the effect of the semi·recumbent position combined with early mobilization on the rehabilitation of patients undergoing abdomen operation． Methods Eighty patients undergoing abdomen operation were randomly divided into two groups by random digits table：the experimental group and the control group．In the former group，the patients took semi·recumbent position combined with early mobilization and the patients in the latter received the routine care．The degree of comfort and recovery of gastrointestinal function were compared between the two groups． ResIllts Compare to the control group． the discomforts of the patients in experimental group were obviously reduced 0．05)．The differences in the time of first aerofltlXUS， defecation，the time for pulling out stomach canal and the time of eating were al1 significant(all P0．O1)． Conclusion The semi· recumbent position combined with early mobilization can improve the rehabilitation of patients tmdergoing abdomen operation． [Key words]abdomen operation；early semi-recumbent position；early mobilization；rehabilitation nursing 腹部术后患者常采用传统的护理方法进行护 分为实验组和对照组，每组各40例。实验组患者男 理。由于该方法要求患者术后长时间处于被迫体 22例，女 18例，年龄 28～68岁，平均年龄 46．4± 位，患者会出现情绪紧张、腰酸背痛。肢体麻木、腹 13．1岁；其中胃肠手术13例，胆道手术12例，脾 胀、恶心、呕吐及尿潴留等问题，引起全身不适，从 切除术5例，肝叶切除术4例，阑尾切除术3例，腹 而影响睡眠和生活质量【”。为了提高患者术后的舒