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手術中擺位傷害之護理

Nursing Care for Intraoperative Positioning Injuries

摘要


手術中安全合適的擺位較少被探討,合適的擺位可以讓手術範圍獲得最佳的暴露、讓麻醉人員最近的距離來監測呼吸道的通氣情形、維護病患生理的安全,並且可以避免不必要的暴露以維護病患尊嚴。手術中的擺位不良會讓病患受到傷害,短時間的傷害可能引發神經損傷,長時間的傷害會造成皮膚深度壓瘡,因此本篇文章將對手術中擺位之傷害做一探討,並針對照護方法提出建議,期讓臨床護理人員做手術中擺位之參考。

並列摘要


Few discussions have been published on appropriate surgery positioning. Ensuring the patient is in an appropriate pendulum position allows for optimal surgery scope exposition, puts the anesthetist in the closest proximity to the patient to monitor respiratory ventilation, helps maintain patient physiology security, and prevents surgical injury. A poor surgery pendulum position can result in patient injury. In the short-term, such injuries may cause neurotrosis, while over the long-term they may induce deep tissue pressure sores. This article discusses pendulum position injuries during surgery and provides suggestions for proper nursing care of patients undergoing surgical procedures. Clinical nursing staffs may reference this article to enhance patient care during and after surgery.

被引用紀錄


顏琇琳、鍾玉珠、陳佩英、宋佩芳(2016)。一位初次診斷結腸癌病患接受腹腔鏡手術之手術全期護理彰化護理23(3),41-50。https://doi.org/10.6647/CN.23.03.13
周芳瑜、何秀玉、郭俐伶、吳玉雲、吳素綿(2023)。運用達文西手術系統行冠狀動脈繞道手術於一位病人之手術全期護理經驗長庚護理34(),1-10。https://doi.org/10.6386/CGN.202304/SP_34_1.0010
黃玉玲、林慧玲、王方、吳淑芳(2015)。預防手術後壓瘡照護流程之發展護理雜誌62(6),98-104。https://doi.org/10.6224/JN.62.6.98
張雅芳(2018)。照護一位腹腔鏡直腸癌切除併行迴腸造口個案手術全期之護理經驗領導護理19(4),57-72。https://doi.org/10.29494/LN.201812_19(4).0005

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