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      关于浅论神经外科手术患者围手术期高危因素相关性及护理策略网站位置: >> 护理论文 >> 外科护理论文 >> 浏览文章
      浅论神经外科手术患者围手术期高危因素相关性及护理策略

      论文导读:相关管理。结果:对患者在围手术期存在的高危因素进行正常评估后,针对患者进行有效护理,护理后发现患者在手术的过程中存在的高危因素以及患者在手术之后出现并发症的概率存在着明显的不同,C组明显优于D组(P  关键词:神经外科;手术患者;围手术期;高危因素;护理策略  1005-0515(2013)9-152-02  在医院的神经外科对患者进

      神经外科手术患者围手术期高危因素相关性分析及护理对策摘要:目的:探讨针对医院神经外科手术患者在围手术期存在的高危因素,分析其具体的相关性,并且研究有效的护理策略。策略:选择我院2010年10月—2012年10月神经外科手术患者400例。针对患者采用随机数字表的策略将全部患者平均分成C组与D组。针对C组患者选择的是责任大包干制整体护理模式的策略进行管理,针对D组患者选择的是常规的护理模式进行相关管理。结果:对患者在围手术期存在的高危因素进行正常评估后,针对患者进行有效护理,护理后发现患者在手术的过程中存在的高危因素以及患者在手术之后出现并发症的概率存在着明显的不同,C组明显优于D组(P<0.05)。结论:分析患者存在的高危因素,之后在围手术期研究有效的护理措施对患者实施护理,最终获得了显著的疗效,成功降低了并发症出现的概率,为后续手术的成功奠定了坚实的基础。
        关键词:神经外科;手术患者;围手术期;高危因素;护理策略
        1005-0515(2013)9-152-02
        在医院的神经外科对患者进行手术具有非常大的风险,在此处进行手术的患者病情都十分的严重,并且所获疾病的种类也非常的复杂,对患者进行手术之后会对其造成非常大的创伤,并且患者在手术完成之后出现并发症的概率非常大,在医院中属于风险非常高的科室。近几年,我国医院神经外科的领域在迅速的扩大,高精技术得到了越来越广泛的应用,为了能够满足科室中的诸多需求,要求护理人员应该不断拓展自己的知识面,使自己能够熟练诸多的新型技术。在这种形势下,给护理人员带来了空前的压力。对此要求护理人员应该详细了解患者在围手术期存在的高危因素,并且认真研究具体的护理策略,充分树立风险防范的意识,有效保证患者的人身安全【1】。现将高危因素的分析以及护理策略的研究报告如下。
        1、资料与策略
        1.1 一般资料
        选择我院2010年10月—2012年10月400例神经外科颅脑手术患者,在所有的手术患者中,男220例,女180例,患者的最小年龄为2岁,患者的最大年龄为83岁,患者的平均年龄为(42.6±2.3)岁。将所有的患者采用随机数字表法进行平均分组。所有的患者中,学历为大专以及大专以上的患者有80例,学历为初中文化以上的患者有180例,学历为小学文化的患者有120例,没有接受过任何教育的患者有20例。在两组患者中,所有患者的性别以及患者病程的长短都没有显著的差异(P>0.05)。
        1.2策略
        1.2.1 对患者进行分组的策略
        采用随机数字表法将400例患者进行随机平均分组,每组患者200例。比较两组患者营养状况等一般情况,都没有显著性差异(P>0.05)。
        1.2.2 分析存在的高危因素
       、倩颊呋加懈哐梗赫馐窃斐苫颊咴谕瓿陕允质踔蠓⑸俪鲅榭龅闹饕碛,当患者出现了这种情况之后,对患者在手术过程中以及对患者完成手术之后都会造成非常严重的影响。②患者出现了心律失常。③患者患有心绞痛,要求医生应该选择非常稳定的环境对患者进行相关的手术。④患者出现了急性心肌梗死的情况:患者在围手术期,如果出现了此种病症会对患者的生命造成非常严重的威胁,严重的情况下会造成患者在完成颅脑手术之后死亡。⑤患者的肺功能不建全:这种情况会对患者在手术过程中施加的麻醉造成非常严重的影响。⑥患者在手术过程中或者手术之后出现了出血的情况:导致患者出现此种情况可能与对患者进行抗凝治疗有着一定的关系。⑦患者患有糖尿。赫饣岬贾禄颊咴谑质踔蠛苣延仙丝凇2】。
        1.2.3 对患者进行护理的策略
        分析患者存在的高危因素,研究并实施针对性的围手术期护理:①对患者进行基础的抢救:合理的建立有效的应急准备措施,主要应用在人工呼吸以及人工循环等方面。②认真观察患者的病情出现的变化。对患者的生命体征进行密切的监测,例如如果发现了患者的意识障碍非常严重,并且非常的烦躁不安,甚至出现了昏迷的情况,此时应该及时的通知医生。③密切观察患者是否存在病理特征以及体征。检查患者是否存在体内脏器受损等情况,一经发现及时对患者进行急救。
        1.2.4 对患者进行手术之前的有效护理
        起初认真检查患者的病情状况,参照患者以往的病史,认真检查患者相关疾病的指标,例如高血压以及冠心病等。之后由具体的评估结果来有效制定具体的疾病预防以及护理的方案。然后根据设定的目标进行有效实施,最终做出准确的评价。详细了解患者内心的诸多需求,对其进行个性化的护理,最终有效使患者能够针对医生的治疗树立信心。在准备对患者进行手术之前,对患者的体内器官的每项功能进行相关的检查,最终能够有效研究出对患者在手术过程中存在的高危因素进行处置的策略【3】。
        1.2.5 对患者进行手术之后的有效护理
        要求责任护士应该首先将患者的管床进行固定,对其除了进行认真的基础护理之外,全方位观察患者的生命体征以及患者的伤口情况,做好引流护理以及并发症的护理,这样能够在最短时间发现患者病情发生的变化,并且进行有效的处理。
        2、结果
        将C、D两组患者在围手术期存在的危险因素的情况以及出现并发症的情况进行比较之后发现,C组患者显著优于D组患者(P<0.05),具体情况见下表。
        3、讨论
        经过本组的研究之后发现,分析患者存在的高危因素,之后在围手术期研究具体有效的护理措施对患者进行护理,成功降低了患者在术后出现并发症的概率,最终能够有效保证对患者成功完成手术,使患者的病情状况能够快速的好转,显著提高患者存活与生活质量。
        参考文献:
        [1]章英.神经外科手术患者心理健康状况相关因素的研究[J].吉林医学,2011,(15):195-200.
        [2]赵喜滨.520例老年骨科患者围手术期风险因素浅论神经外科手术患者围手术期高危因素相关性及护理策略相关性分析[J].新疆医科大学学报,2008,(30):335-339.
        [3]姚长义,宋瑞琢.老年颅内肿瘤手术治疗与神经外科手术患者围手术期高危因素相关性及护理策略相关范文由写论文的好帮手http://www.abcanuncios.com提供,转载请保留 .围手术期危险因素分析[J].中华神经外科杂志.2005,(06):105-109. 全文地址:http://www.abcanuncios.com/wkhllw/lw11093.html
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