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題名:術後噁心嘔吐照護流程之發展
書刊名:護理雜誌
作者:陳尹真吳淑芳 引用關係
作者(外文):Chen, Yin-chenWu, Vivienne Shu-fang
出版日期:2011
卷期:58:4
頁次:頁69-74
主題關鍵詞:照護指引術後噁心術後嘔吐Clinical guidelinesPostoperative nauseaPostoperative vomiting
原始連結:連回原系統網址new window
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  • 共同引用共同引用:0
  • 點閱點閱:54
噁心嘔吐是手術後常見的併發症,術後嘔吐的出現噁心或嘔吐的情形」。噁心和嘔吐是手術後最常見現,易使縫合處產生壓力,導致手術部位的血的併發症,約有 20-30%的術後病人會出現此問題腫,亦會置病人於吸入性肺炎的危險,其結果(McCracken, Houston, & Lefebvre, 2008)。術後噁心不僅降低病人的舒適感及滿意度,亦增加住院天嘔吐會加重病人的不適,增加縫線裂開、食道破裂數及費用。臨床常見個案出現術後噁心嘔吐的情的危險,亦會延長恢復室留觀的時間( Kapoor, Hola, 形,護理人員除了依醫囑給藥外,對於此症狀的Adamson, & Mathis, 2008)。持續的嘔吐可能會造成電了解及所能提供的措施卻微乎其微,引發筆者匯解質不平衡和脫水,術後出現的嘔吐動作,易使縫整國內外相關文獻,合併考量國內醫院目前術後合處產生壓力,導致手術部位的血腫;另外,病人受噁心嘔吐治療的現況,發展出術後噁心嘔吐照護麻醉藥物的影響使得呼吸道反射受到抑制,易使病人流程。本文內容包括引起術後噁心嘔吐的危險因發生吸入性肺炎的危險。因此,筆者彙整相關文獻,子、預防術後噁心嘔吐的相關藥物和措施、以及術後噁心嘔吐的治療等。最後藉由彙整相關之文試圖整理出目前國內外術後噁心嘔吐的評估及處置趨獻,整理出目前國內外術後噁心嘔吐的評估及處勢,試著發展出適合國內臨床外科情境的簡易照護流置趨勢,發展一套適合國內臨床外科情境的簡易程圖,藉以提供臨床醫護人員在面臨術後噁心嘔吐處照護流程圖,藉以提供臨床醫護人員在面臨術後置之參考。 噁心嘔吐之參考。
Nausea and vomiting is a common post-operative complication that exacerbates patient discomfort and puts tension on suture lines, which may cause hematomas beneath surgical flaps and place patient at risk of aspiration pneumonia. Nausea and vomiting decreases patient comfort and satisfaction and increases hospital stay length and costs. Postoperative nausea and vomiting are common occurrences. Nurses typically give medicine in accordance with doctors’ orders without understanding patient symptoms. Such results in less than optimal holistic care management. This situation encouraged the author to collect references on current international trends related to postoperative nausea and vomiting treatment in the clinical setting. The author further worked to recommend a care management protocol based on findings. This paper describes risk factors of postoperative nausea and vomiting and the related drugs, prevention procedures, and treatment recommendations. Finally, the author developed a simple care flow chart suited for use in internal clinical situations that may provide a valuable reference for medical professionals.
其他
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