Hinojosa R J
J Post Anesth Nurs. 1992 Feb;7(1):3-14.
The purpose of this study was to identify documented interdependent and independent nursing interventions to prevent or relieve nausea and vomiting during the first 24 hours following uncomplicated cholecystectomy. A systematic sampling method was used to select 40 hospital records from 1986 to 1988. Results showed that nausea and vomiting was documented in only two PACU records and nine postoperative nursing unit records. Documentation was typically brief or absent altogether. There was no way to determine if this meant no occurrence of nausea and vomiting or just that interventions were not documented. Lack of interventions may be due to a fear of potentiating the anesthesia or belief that symptoms would subside with time. Documented interventions included repositioning patients (independent) and administering medications (interdependent). This study illustrates the need for education about nurses' responsibility to prevent or relieve postoperative nausea and vomiting and the importance in documenting the interventions used.
本研究的目的是确定已记录的相互依赖和独立的护理干预措施，以预防或缓解单纯性胆囊切除术后24小时内的恶心和呕吐。采用系统抽样方法，从1986年至1988年的医院记录中选取40份。结果显示，仅在两份麻醉后护理单元记录和九份术后护理单元记录中记录了恶心和呕吐。记录通常很简短或完全没有。无法确定这是意味着没有发生恶心和呕吐，还是仅仅意味着干预措施没有记录。缺乏干预措施可能是由于担心增强麻醉效果，或者认为症状会随着时间自行缓解。已记录的干预措施包括为患者重新摆放体位（独立干预）和给药（相互依赖干预）。本研究表明，有必要对护士预防或缓解术后恶心和呕吐的责任进行教育，以及记录所采用干预措施的重要性。
