鼻内镜手术后复查换药前对患者评估及护理.docVIP

鼻内镜手术后复查换药前对患者评估及护理[摘要] 目的：探讨鼻内镜手术后复查换药前对患者的评估及护理。方法：对80例鼻内镜手术后复查换药前患者进行评估及护理。换药前重点加强以下方面的评估，询问患者特殊疾病史，身体一般情况的观察，了解疼痛的耐受情况，观察惧怕、焦虑心理反应。针对评估存在的问题采取有效的护理干预。结果：80例鼻内镜手术后复查换药患者最大限度地预防和减轻换药时的痛苦及不良反应，配合医生顺利完成鼻腔换药。结论：尽管患者鼻内镜换药有一定的痛苦及不良反应，但有效的护理干预有助于预防和减轻患者换药时的痛苦及不良反应，配合医生顺利完成换药。 [关键词] 鼻内镜术后；复查换药前；评估；护理 [中图分类号] R473.76 [文献标识码]C [文章编号]1673-7210（2009）05（a）-133－０2 Evaluation and nursing of the patient before reexamining and redressing them after the operation with inner-nose mirror BAI Suping, XU Wei, XU Haifeng (Department of Otorhinolaryngology, the People’s Hospital of Xili, Nanshan District, Shenzhen City, Shenzhen518026,China) [Abstract] Objective: To discuss how to evaluate and nurse the patients before reexamining and redressing them after the operation with the inner-nose mirror. Methods: After we evaluated and nursed 80 patients before reexamining and redressing them after the operation with the inner-mirror, we suggested that attention be paid to the following key-points in evaluation, request for the diseases history of the patient, close observation of all the details of the patient, such as the tolerance of pains and psychological reaction to their fears and worries, and effective and careful resolutions to the above problems in evaluation. Results: We helped the above 80 patients to prevent and lessen their pains and sufferings when they were being reexamined and redressed. Therefore, doctors could redress them easily. Conclusion: Although patients suffer greatly and react badly when they are being redressed with the inner-nose mirror, effective nursing and treatment may prevent and lessen their sufferings and have their positive reaction and doctors can redress them at ease. [Key words] After the operation with inner-nose mirror; Before reexamining and redressing; Evaluation; Nursing 鼻内镜手术已经成为治疗慢性鼻窦炎、鼻息肉的最主要治疗手段，鼻内镜手术复查换药非常重要，它不仅能减少术后并发症的发生，而且对提高手术成功率和疾病治愈率都有十分重要的意义。复查换药常规是向鼻腔喷洒1%麻黄素和1%地卡因表面麻醉药混合液后再用鼻内镜详细检查，清除鼻腔和窦口窦腔内的凝血块、分泌物干痂等，最后用生理盐水冲洗