Cheng C J C, Smith I, Watson B J
Addenbrooke's NHS Trust, Cambridge, UK.
Anaesthesia. 2002 Aug;57(8):805-11. doi: 10.1046/j.1365-2044.2002.02698_5.x.
Patients undergoing procedures under general anaesthesia as day cases are routinely given a set of instructions regarding activities to avoid in the first 24 h after discharge. Day surgery units generally specify the need for a responsible carer from time of discharge for a period of 24 h. This study looks at the compliance of 240 patients with postoperative instructions. Of the patients studied, 4.1% drove, 1.7% made important decisions, 3.3% drank alcohol, 0.8% took sedatives and 10% cooked, ironed or looked after children. All patients were discharged into the care of a responsible adult. However, 13.3% failed to have a carer with them for 24 h and 1.3% spent the night alone at home. Of our cohort, 25% were unable to comply with the postoperative instructions in full. The majority of non-compliance occurred on the day following surgery, suggesting that patients may feel that the advice is excessively cautious.
作为日间手术患者接受全身麻醉手术的患者，通常会收到一套关于出院后24小时内避免从事的活动的指示。日间手术科室一般规定，出院后24小时内需有一名责任护理人员。本研究观察了240例患者对术后指示的遵守情况。在研究的患者中，4.1%开车，1.7%做出重要决定，3.3%饮酒，0.8%服用镇静剂，10%做饭、熨烫衣物或照顾孩子。所有患者均出院后由一名责任成年人照顾。然而，13.3%的患者在24小时内没有护理人员陪伴，1.3%的患者独自在家过夜。在我们的队列中，25%的患者无法完全遵守术后指示。大多数不遵守情况发生在术后当天，这表明患者可能觉得这些建议过于谨慎。
