腹腔镜胆囊切除术后并发眩晕症的护理干预
Nursing Journal of Chinese People's Liberation Army(2005)
Abstract
目的通过护理干预减少有眩晕病史患者腹腔镜胆囊切除术后眩晕症状及相关并发症的发生。方法将43例患者随机分为干预组(31例)与对照组(12例)。干预组术前评估眩晕史,加强健康教育,术后严密观察病情,卧床48 h以上,并采取渐进式下床训练的方法。对照组常规医疗、护理。结果护理干预组合并有眩晕史的31例发生恶心呕吐6例,占19%,与对照组症状发生率100%相比有显著性差异(P<0.01)。干预组无1人发生跌倒,与对照组的跌倒发生率17%相比有统计学意义(P<0.05)。结论对拟行腹腔镜胆囊切除术且有眩晕史的患者进行积极的护理干预可以减轻患者术后不适、缓解心理压力、杜绝跌倒的发生,提高护理品质。
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Key words
fall,laparoscope cholecystectomy,nursing intervention,vertigo
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