聋哑病人优质护理在麻醉恢复室应用.docVIP

聋哑病人优质护理在麻醉恢复室的应用 河南省中平能化医疗集团总医院麻醉科（467000）王湘萍 摘要：目的 探寻对特殊人群-聋哑病人的优质护理在术后恢复室（PACU)的应用效果。方法 通过术前干预，分析PACU聋哑病人的心理、生理、护理需求，在优质护理的管理模式指导下，采取相应的护理措施和技巧。结果 针对聋哑病人的人性化管理使麻醉苏醒期聋哑病人的心理和生理处于最佳状态。结论 对聋哑人的优质护理，注重尊重其人格，在平等和谐气氛中满足患者的心理和生理需求，同时通过娴熟的护理技术让聋哑患者的护理需求也得到满足，增强患者满意度和信任度，减少并发症的发生，保证苏醒期的安全。 关键词 聋哑病人 术前干预 恢复室 优质护理 The application of quality nursing for deaf patient in Post-anesthesia Care Unit /Wang XiangPing// Department of anesthesiology, General Hospital of China Pingmei Shenma Group, Pingdingshan , Henan province, 467000, China. Abstract: Objective To investigate the effects of quality nursing for the special populations of deaf patient in the post-anesthesia care unit (PACU). Methods Preoperative intervention was used to identify the needs of deaf patients in PACU in psychology, physiology and nursing. And relevant nursing measures and skills were taken under the guidance of quality nursing. Results The humanized management to deaf patients made them both psychology and physiology in best conditions during the recovery period of anesthesia. Conclusions In an equal and harmonious atmosphere, the quality nursing and the emphasize on respect for deaf patients meet their needs both in psychology and physiology, at the same time, the accomplished nursing skills meet their nursing needs, enhance their satisfaction and trust, reduce the complications, and ensure the safety in recovery phase. Keywords Deaf patients; Preoperative intervention; post-anesthesia care unit; Quality nursing 外科疾病的麻醉及手术治疗在治愈疾病的同时也会给患者带来生理和心理的双重创伤。PACU作为术后麻醉苏醒、监护和处理的场所，提供机体手术创伤后最早的纠正和治疗，对术后病人的恢复和围术期疾病痊愈十分重要。聋哑病人的心理状况更加复杂，他们在医治疾病的同时更渴望人格平等。针对聋哑病人的特殊性，在遵循以病人为中心的优质服务的同时，我们运用以人为本的护理技巧，探寻一种创新的、个体的、整体性的、有效的护理模式[1]。我院自2006年创建PACU至今，共收治了10例聋哑患者,在PACU优质护理管理上取得了一些经验，报告如下： 1 术前干预 1.1 术前1d由麻醉医师和麻醉护士组成优质服务小组去访视患者,收集病人一般资料，评估病情，了解患者手术及护理计划，制订麻醉恢复期护理计划。 1.2与患者面对面交流 首先自我介绍，而后进行术前宣教。具体方法：①将手术室及PACU的环境、麻醉、手术体位制作成图片【2】结合手语及写字板简要介绍手术的过程、入住PACU原因与必要性、麻醉清醒后可能存在各种不适，包括导尿管的不适，详细解释，减轻患者恐惧心理。②解释拔管前后吸痰的重要性。③介绍以往同种疾病手术成功