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中华肥胖与代谢病电子杂志 ›› 2020, Vol. 06 ›› Issue (01) : 66 -69. doi: 10.3877/cma.j.issn.2095-9605.2020.01.015

所属专题: 经典病例 文献

护理园地

270例腹腔镜代谢手术护理配合
舒玲1, 王朝阳1,()   
  1. 1. 250013 山东济南,山东大学附属济南市中心医院手术室
  • 收稿日期:2019-03-06 出版日期:2020-02-28
  • 通信作者: 王朝阳

270 laparoscopic metabolic surgeries’ nursing cooperation

ling Shu1, Zhaoyang Wang1,()   

  1. 1. Operating room of Jinan Central Hospital Affiliated to University of Shandong, Ji'nan 250013, China
  • Received:2019-03-06 Published:2020-02-28
  • Corresponding author: Zhaoyang Wang
  • About author:
    Corresponding author: Wang Zhaoyang, Email:
引用本文:

舒玲, 王朝阳. 270例腹腔镜代谢手术护理配合[J]. 中华肥胖与代谢病电子杂志, 2020, 06(01): 66-69.

ling Shu, Zhaoyang Wang. 270 laparoscopic metabolic surgeries’ nursing cooperation[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2020, 06(01): 66-69.

目的

总结270例腹腔镜代谢手术的护理配合体会。

方法

对2013年10月至2018年12月期间在山东大学附属济南市中心医院完成的的270例腹腔镜代谢手术,进行术前访视了解病情,做好心理护理和全面评估,术中提供全面安全护理,准确配合胃校准管,吻合器、超声刀等器械的使用。

结果

270例腹腔镜代谢手术均获得成功,无中转开腹,患者及家属满意度96.8%,手术医生满意度99.5%。无手术护理并发症发生。

结论

充分的术前准备、合适的手术体位与防护、护士的熟练配合是手术成功的保障。

Objective

A summary of experiences for nursing cooperation on 270 metabolic laparoscopic surgeries.

Methods

For 270 laparoscopic metabolic surgeries in period from October 2013 to December 2018 in our hospital, there were preoperative visits. It should be divided into two periods. Before the operation, it is vital for nurses to visit patience and strictly understand the state of the illness, with proper mental caring and comprehensive evaluation. During the operation period, nurse should provide comprehensive and secure nursing services while accurately coordinating usage of series equipment such as gastric calibration tube, stapler, and ultrasonic scalpel.

Results

All 270 metabolic laparoscopic surgeries succeed without transferring laparotomy approach during operation. The percentage of satisfaction for patience and their families is 96.8% while for doctors is up to 99.5%. There are no operational nursing complication occurring.

Conclusions

It is necessary to provide adequate pre-operational preparation while choosing and protecting proper operational position for ensuring success rate of operation. Meanwhile, skillful cooperation from nurse is also important for successful operation.

[1]
范洁,刘兴振,曹明洋.减重手术患者围手术期心理特点及护理[J].护理实践与研究杂志,2013, 10(11): 122-123.
[2]
Kwok CS, Pradhan A, Khan MA, et al. Bariatric surgery and its impact on cardiovascular disease and mortality: a systematic re-view and meta-analysis[J]. Int J Cardiol, 2014, 173(1): 20-28.
[3]
Gloy VL, Briel M, Bhatt DL, et al. Bariatric surgery versus non-surgical treatment for obesity:a systematic review and meta-analy-sis of randomized controlled trials[J]. BMJ, 2013, 347: f5934.
[4]
阿迪力·艾尼瓦尔,艾克拜尔·艾力. 减重代谢手术治疗肥胖型OSAS的应用现状[J/CD].中华普外科手术学杂志(电子版),2018,12(6): 538-540.
[5]
马佩. "三驾马车"预防无创通气患者面部压力性损伤早期干预的效果观察叨[J].齐齐哈尔医学院学报, 2016, 37(31): 3974-3976.
[6]
黄丽,袁翔,陈亿, 等. 医护一体化在代谢手术围手术期患者心理干预中的应用[J/CD]. 中华肥胖与代谢病电子杂志, 2016, 8(3): 138-141.
[7]
沈黎黎,袁惠. 手术室护理干预在预防老年骨科手术切口感染的临床分析[J]. 中国煤炭工业医学杂志, 2016, 19(3): 452-454.
[8]
王玉琴,周水连,金艳, 等. 不同量表对Wilson病扭转痉挛型患者压疮风险评估的比较[J]. 安徽医药, 2015(8): 1621-1622.
[9]
杨程显,李戈,张立颖Braden量表评估压疮风险的研究进展及展望[J].护理学报, 2014(7): 25-27.
[10]
曹艳,王娟,王艳, 等. 3种压疮评估量表对肿瘤内科患者临床效度的测定[J]. 新疆医科大学学报, 2016(8): 981-983, 988.
[11]
Kristiina Junttila, Sanna Salanterae, Maija Hupli. Developing terminology for documenting perioperative nursing interventions[J]. International journal of medical informatics, 005(6): 461-471.
[12]
Zampieron A, Aldo S, Corso M.A retrospective study of nursing diagnoses, outcomes, and interventions for patients admitted to a cardiology rehabilitation unit[J].International journal of nursing terminologies and classifications: the official journal of NANDA International, 2011(4): 148-156.
[13]
Gallagher Ruth W, Polanin, Joshua R. A meta-analysis of educational interventions designed to enhance cultural competence in professional nurses and nursing students[J]. Nurse education today, 2015(2): 333-340.
[14]
Liew NC, Alemany GV, Angchaisuksiri P, et al. Asian venous thromboembolism guidelines:updated recommendations for the prevention of venous thromboembolism[J]. Int Angiol, 2017, 36(1): 1-20.
[15]
Liew NC, Chang YH, Choi G, et al. Asian venous thromboembolism guidelines:prevention of venous thromboembolism[J]. Int Angiol, 2012, 31(6): 501-516.
[16]
Bhatia P, John SJ, Kalhan S, et al. Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and acall for prevention[J]. J Minim Access Surg, 2015, 11(4): 276-278.
[17]
Goitein D, Matter I, Raziel A, et al. Portomesenterc thrombosis following laparoscopic bariatric surgery:incidence, patterns of clincical presentation, and etiology in a bariatric bariatric patient population[J]. JAMA Surg, 2013, 148(4): 340-346.
[18]
卓光镄,印慨,常绪生, 等. 腹腔镜袖状胃切除术治疗肥胖症合并2型糖尿病19例短期疗效分析[J], 中国实用外科杂志, 2012, 32(9): 762-766.
[19]
American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. ASMBS updated position statement on prophylactic measures to reduce the risk of venous thromboembolism in bariatric surgery patients[J]. Surg Obes Relat Dis, 2013, 9(4): 493-497.
[20]
朱萍芳,张鹏,黄晓娜, 等. 腹腔镜袖状胃切除术围手术期静脉血栓栓塞的预防策略[J]. 腹腔镜外科杂志, 2018, 023(001): 26-30.
[21]
张蕙茹,孙德秀. 手术室护理管理在控制医院感染中的作用分析[J].当代医学, 2014, 20(9): 123.
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