摘要
目的分析经皮冠状动脉介入治疗术病人术前禁食禁水的情况,为医生和护士共同制定科学的术前禁食禁水方案作参考。方法采用方便抽样法,用自设调查表,以访谈形式对120例经皮冠状动脉介入治疗术病人调查禁食禁水的意义、指导禁食禁水时间、实际禁食禁水时间、手术开始时间、术中有无恶心呕吐及误吸。结果(1)病人实际禁食禁水时间远远超过医生护士指导的时间,差异有统计学意义(P<0.01)。(2)指导禁食时间与常规规定的时间差异有统计学意义(P<0.01),而与美国麻醉医师协会重新修订的术前禁食标准差异无统计学意义。指导禁水时间与常规、美国麻醉医师协会标准差异均存在统计学意义(P<0.05或P<0.01)。(3)实际禁食时间与常规差异无统计学意义,而与美国麻醉医师协会标准差异有统计学意义(P<0.01)。实际禁水时间与常规、美国麻醉医师协会标准之间差异均有统计学意义(P<0.01)。结论医护人员必须明确术前禁食禁水的意义并向病人详细解释;禁食禁水要区别对待;重视术前禁食禁水的医嘱,确保正确执行;医护人员需要不断了解国内外专业动态,掌握新信息,学习新知识,改进技术。
Objective To investigate the current situation on preoperative abstaining from food and water of PCI patients for the purpose of providing information for doctors to make a plan for preoperative abstaining from food and water. Methods Convenience sampling was used to select 120 inpatients undergoing PCI, followed by investigating the importance of abstaining from food and water, demanded time and actual time of for abstaining from food and water, time for PCI, incidence of nausea, vomiting and aspiration. Results （1） The actual duration for abstaining from food and water was significantly longer than that demanded by doctors （P〈0.01）. （2） The instructed fasting duration was significantly different from that routinely demanded （P〈0.01）, but insignificantly from that required in the new-regulated standard by ASA. The instructed banning water duration were significantly different from that routinely demanded and ASA standard. （3） The actual fasting duration was insignificantly different from that routinely demanded but significantly from ASA standards （P〈0.01）. The actual banning water duration were significantly different from that routinely demanded and ASA standard. Conclusion Doctors and nurses should understand and even explain to the patients the significance of PCI preoperative abstaining from food and water. Abstaining from food and water should be treated separately. We should attach importance to the medical orders on abstaining from food and water, ensuring the proper implementation. The medical workers should keep pace with the advance in medicine at home and abroad, keeping learning new knowledge and improving techniques.
出处
《护理学报》
2008年第10期36-38,共3页
Journal of Nursing（China）
