改善恢復室病人嘔吐發生率

Improving the Vomiting Rate of Patients in the Surgical Recovery Room

邱琪偵(Chi-Chin Chiu) ； 沈育如(Yu-Ju Shen) ； 方雅晶(Ya-Ching Fang) ； 廖婉君(Wan-Chun Liao) ； 劉于甄(Yu-Chen Liu) ； 劉巧宥(Chiao-Yu Liu) ； 陳明山(Ming-Shan Chen) ； 謝豐吉(Feng-Chi Hsieh) ； 唐秀燕(Hsiu-Yen Tang)

《志為護理-慈濟護理雜誌》 20卷2期 (2021/04) Pp. 63-74

摘要

嘔吐是手術後常見問題，若能提早預防，可以增加病人在恢復室的照護品質。2018年4月13日至5月12日恢復室病人嘔吐發生率3.86%，主要真因為術後使用麻醉性止痛劑嘔吐的副作用、翻身作業與技巧不一致、未有推送病人技巧之教育訓練。專案自2018年6月1日至9月30日。擬定改善措施包含：給麻醉性止痛劑前，與醫師溝通預防性止吐劑使用、提供薄荷味香氣調節呼吸、提供冰敷止痛與緩解傷口腫脹，減緩注射止痛藥、舉辦翻身教育及體驗營、舉辦病床推送教育及體驗等。專案實施後，恢復室病人嘔吐發生率由3.86%降至1.65%。

關鍵字

恢復室 ； 嘔吐發生率

並列摘要

Vomiting is a common side effect of surgery. Thus, timely prevention could improve the quality of patient care in the recovery room. The incidence rate of patient vomiting in the recovery room from April 13, 2018 to May 12, 2018 was found to be 3.86%. This may be attributed to the side effects of postsurgical use of narcotic analgesics, inconsistency in patients turnover operations and skills, and a lack of training on transporting patients. A special project was conducted from June 1, 2018 to September 30, 2018 in which measures to improve patient vomiting were devised. These measured were communicating with physicians to prescribe preventive anti-emetics before administering narcotic analgesics; breathing training using mint aroma; relieving wound swelling and pain using ice packs; administering painkiller injections; organizing patient turn over training camps and hands-on practice; and organizing bed transporting hands-on practice and training. The patient vomiting rate in the recovery room decreased from 3.86% to 1.65% after the project was implemented.

並列關鍵字

recovery room ； vomiting incidence rate

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