棋牌大全下载安装

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                            当前位置: 代写一篇论文多少钱 > 医学论文 > 先天性唇裂患儿围手术期高质量护理探究

                            先天性唇裂患儿围手术期高质量护理探究

                            时间:2018-12-13 09:13作者:潘素梅
                            本文导读:这是一篇关于先天性唇裂患儿围手术期高质量护理探究的文章,心理等也会影响进食以及发音,因此先天性唇裂患儿需及时矫正。目前唇裂治疗方式为手术治疗,而围手术期高质量护理是提高手术质量并减少并发症的基础。

                              摘    要: 棋牌大全下载安装目的 分析先天性唇裂患儿围手术期的护理要点。方法 回顾分析2013年1月~2016年12月我院实施手术的30例先天性唇裂患儿为研究对象,所有患儿均给予综合性护理干预,分析手术效果、术后并发症以及家长对于护理服务满意度。结果 手术时间(30.0±4.1)min,术后1例患儿恶心呕吐,并发症发生率为3.3%,家长对于护理服务满意度为96.7%。结论 先天性唇裂患儿实施手术时在围手术期采取综合性护理干预可提高手术效果,获得家属认可。

                              关键词: 围手术期; 先天性唇裂; 护理满意度;

                              Abstract: 棋牌大全下载安装Objective To analyze the key points of perioperative nursing for children with congenital cleft lip.Methods 30 children with congenital cleft lip who underwent operation in our hospital from January 2013 to December 2016 were retrospectively analyzed. All the children were given comprehensive nursing intervention. The effect of operation,complications and parents' satisfaction with nursing service were analyzed.Results The operation time was(30.0±4.1) min. One child had nausea and vomiting after operation. The incidence of complications was 3.3%.The parents' satisfaction with service was 96.7%.Conclusion Comprehensive nursing intervention during perioperative period for children with congenital cleft lip can improve the effect of operation and get the approval of family members.

                              Keyword: 棋牌大全下载安装Perioperative period; Congenital cleft lip; Nursing satisfaction;

                            棋牌大全下载安装   XIANTIANXINGCHUNLIESHIKOUQIANGHEMIANBUCHANGJIANDEYIZHONGXIANTIANXINGJIXING,ZHUYAOSHIPEITAIZAOQIYINYICHUANYINSUHUOZHEMUTIHUANJINGDENGYINGXIANGFAYU。XIANTIANXINGCHUNLIEBUJINHUIYINGXIANGHUANERRONGMAO、XINLIDENGYEHUIYINGXIANGJINSHIYIJIFAYIN,YINCIXIANTIANXINGCHUNLIEHUANERXUJISHIJIAOZHENG。MUQIANCHUNLIEZHILIAOFANGSHIWEISHOUSHUZHILIAO,ERWEISHOUSHUQIGAOZHILIANGHULISHITIGAOSHOUSHUZHILIANGBINGJIANSHAOBINGFAZHENGDEJICHU。

                              1 、资料与方法

                              1.1 、一般资料

                              回顾2013年1月~2016年12月在我院开展手术治疗的30例唇裂患儿为研究对象,男17例,女13例,年龄1~1 0岁,平均(4.6±0.5)岁,唇裂类型:单侧唇裂16例,双侧唇裂8例,隐裂6例。本次手术及护理干预措施均获得患儿家属同意,签订相应知情同意书。
                             

                            先天性唇裂患儿围手术期高质量护理探究
                             

                              1.2 、方法

                              1.2.1 、术前护理

                              (1)XINLIHULI。CHUNLIEHOUHUIDAOZHIWEIYANGKUNNAN,SHIDEHUANERJIBENSHENGHUOBUNENGJISHIHUODEMANZU,RONGYICHUXIANKUNAO、FANZAODENGBINGYINGXIANGHUANERXINGGE,SUIZHENIANLINGDEZENGZHANGHUANERKAISHIZHUYIDAOQIZISHENDETESHUXING,HUOZHEYINQITAERTONGCHAOXIAOERCHUXIANXINGGEGUPI、NEIXIANGDENG,ZHIJIEYINGXIANGXINLIFAZHAN。JIASHUDUIYUZHILIAOBAOGUOGAOXIWANG,XIWANGYICISHOUSHUKEHUIFUDAOJIANKANGRENDEZHUANGTAI。SHUQIANJIJIYUHUANERGOUTONG,SHUOMINGSHOUSHUHOUHUIMINGXIANGAIBIAN,BINGSHUOMINGGAIZHONGQINGKUANGBUHUIYINGXIANGXUEXIDENG,SHIYONGGULIXINGYUYANBANGZHUQIJIANLIZHILIAOXINXIN;DUIYUJIAZHANGXUYAOCHONGFENSHUOMINGSHOUSHUYIBANHUODEXIAOGUO,YOUXIEXUYAODUOCIKAIZHANSHOUSHUXIUBU,BIMIANJIASHUDUIYUSHOUSHUGUOGAOQIWANG。(2)JICHUHULI。BAOZHENGBINGFANGWEISHENGHUANJING,JISHITONGFENG,ZHOUWEIWUJIANZHUSHIGONG,BAOZHENGHUANERSHUIMIAN。SHUQIANQIANYIWANBIMIANSHIYONGNANXIAOHUASHIWU,SHUQIAN6hJINSHI,SHUQIAN4XIAOSHIJINSHUI。JIANCHAHUANERKOUQIANGSHIFOUCUNZAIKUIYANG,BAOCHIKOUZHOUWEIPIFUWEISHENG,SHUQIAN1TIANQINGXICHUNBIBUWEI,ZHIDAOHUANERJIASHUJIANGQIZHIJIAJIANQU。

                              1.2.2、 术中护理

                              ZHUNBEIHAOSUOXUYAOPINJIQIXIE,JIANLIJINGMAITONGDAO,BAOZHENGSHUZHONGYONGYAOJIBUYE,CHUNLIEXIUBUCAIQUQUANMASHOUSHUFANGSHI,ZUIHAOJINXINGQIGUANNEICHAGUANQUANMA,YINSHUZHONGMAZUIYUSHOUSHUGONGYONGQIDAO,YINCICHAGUANBIXUXIAOXINQIETUOSHANGUDING,FANGZHIDAOGUANBACHU。SHUZHONGBUDUANPINGJIAQIGUANANQUANXING,TEBIESHIBAIFANGTIWEISHI、FANGZHIKAIKOUQIHEYANBUTIANCHONGWUSHI,FANGZHIQIGUANTUOLUOHUOZHECHARUGUOSHEN。SHUZHONGJIAQIANGXUNHUI,BANGZHUHUANERBAONUAN,BIMIANZHELIANG。

                              1.2.3 、术后护理

                            棋牌大全下载安装   HUANERHUIDAOBINGFANGHOUCAIQUYANGWOWEIBINGJIANGTOUPIANXIANGYICE,LIYUKOUQIANGFENMIWUDEPAICHU,BIMIANWUXI。CHUANGBIANBEIYANGQIJIXITANQI,BAOCHIHUXIDAOTONGCHANG。SHUHOU4XIAOSHIGUANCHASHIFOUJUYOUOUTUXIANXIANG,WUZHENGZHUANGKEJINLIUSHI,BINGGENJUZHUANGTAIZHUJIANBIANCHENGPUSHI。CHANGGUISHIYONGKANGSHENGSUYUFANGGANRAN,MIQIEGUANCHASHUQUSHIFOUJUYOUSHENXUE,BAOCHIFULIAOGANZAO,FANGZHIBITI、OUTUWUDENGWURAN,SHUHOUDIERTIANKEQUCHUFULIAOBINGMEIRISHIYONG3%PENGSUANJIUJINGCASHISHANGKOU。HULISHIDONGZUOQINGROU,JIANSHAOHUANERTONGKU,FANGZHIKUNAOYONGSHOUZHUASHANGKOU。DUIYUBINGFAZHENGXUYAOCAIQUYUJIANXINGHULI,RUCHUXIANHOUTOUSHUIZHONGKEJISHIWUHUAXIRU,BIMIANFAREYIJISHANGKOUGANRAN。

                              1.3、 观察项目

                              JILUSHOUSHUSHIJIAN、SHUHOUBINGFAZHENGFASHENGQINGKUANG,CAIQUYIYUANZIZHIDEHULIMANYIDUDIAOCHALIANGBIAODIAOCHAHULIMANYIDU,DIAOCHANEIRONGBAOKUOHULIJINENG、YUYANXINGWEIYIJIZHEZHUANGDENG,ZONGFENWEI100FEN,≥90FENWEIMANYI,≥80FENWEIYIBANMANYI,<80FENWEIBUMANYI,(MANYI+YIBANMANYI)/ZONGLISHU*100%

                              2 、结果

                              SHOUSHUSHIJIAN(30.0±4.1)min,SHUHOU1LIHUANEREXINOUTU,BINGFAZHENGFASHENGLVWEI3.3%,JIAZHANGDUIYUFUWUFUWUMANYIDUDIAOCHAZHONG,MANYI20LI,YIBANMANYI9LI,BUMANYI1LI,ZONGMANYILVWEI96.7%(29/30)。

                              3 、讨论

                              XIANTIANXINGCHUNLIESHIZHIXINSHENGERCHUSHENGSHIJIYOUCHUNBUFENHUOZHEWANQUANLIEKAIDEZHUANGKUANG,SHUYUXIANTIANXINGJIXING,ERSHOUSHUXIUFUSHIGAISHANDEFANGFA。XIANTIANXINGCHUNLIEDEHUANERMIANYILIDIXIA,RONGYICHUXIANGEZHONGBINGFAZHENG,XIANTIANXINGCHUNLIESHOUSHUJIAOWEITESHU,BUJINXUYAOSHISHICHANGGUIHULIGANYUGENGXUYAOGUANZHUHUANERJIJIAZHANGXINLIZHUANGKUANG。BENCIWEISHOUSHUQIHULIZHONGXIANSHISHIXINLIHULI,YINHUANERXINLIJIAOWEIGUPIBUYUANYIJIAOLIU,DAOZHIHULIYICONGXINGCHA,YINCIXUJIJIKAIDAO,TIGAOZHILIAOPEIHEDU,BINGXUYAOZHUYIHUANERJIASHUXINLIZHUANGKUANG,JIANSHAODUIYUSHOUSHUGUOGAOQIWANG,BIMIANYIHUANJIUFEN。CIWAISHUQIANJIJIZHUNBEISHOUSHU,BAOZHENGSHOUSHUZHUNBEICHONGZU,SHUZHONGXIEZHUYISHIKAIZHANSHOUSHU,BINGGENJUSHOUSHUTEDIANZUOHAODAOGUANHULI,SHUHOUZHUYICAIQUYUJIANXINGHULIGANYU,JIANSHAOBINGFAZHENGFASHENGLV,BINGJIANQINGHUANERFUDAN。JINGYISHANGZONGHEHULIGANYUHOUSHOUSHUSHIJIANWEI(30.0±4.1)min,JINYOUYILIHUANERCHUXIANOUTU,DUIZHENGGANYUHOUQUANYU,HUANERJIASHUDUIYUHULIFUWUMANYIDUWEI96.7%,JINYOUYILIJIASHURENWEIHULIZHOUDAOXINGXUYAOTIGAO,BENCIYANJIUHUODEJIEGUOYUQIANRENBAODAOJIBENYIZHI[1]。ZONGZHI,JINGYISHANGFENXIWOMENRENWEI:XIANTIANXINGCHUNLIEHUANERSHISHISHOUSHUSHIZAIWEISHOUSHUQICAIQUZONGHEXINGHULIGANYUKETIGAOSHOUSHUXIAOGUO,HULIGANYUZHONGXUYAOQIANGDIAOXINLIHULI。

                              参考文献

                              [1] LIUFENGRONG,WUJUNLING,BAIXUEMEI,DENGXIANTIANXINGCHUNELIEYINGYOUER1568LIDEHULI[J].ZHONGGUOMEITANGONGYEYIXUEZAZHI,2013,16(6):1005-1006.

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