Brosnan H
Rush University, College of Nursing, Chicago, Illinois 60612.
Nurs Clin North Am. 1991 Mar;26(1):17-31.
Management of the adolescent idiopathic scoliosis patient has many intricate considerations. Whether the patient is braced or surgery is recommended, there is a lot of teaching, assessing, and compassion when dealing with adolescents whose biggest concern is being like their peers. It is important to allow as much independence in decision making as possible, whether it be about bracing or surgical intervention, as long as they clearly understand the consequences. Newer, better surgical instruments, anesthesia, nursing care, and postoperative mobility all have changed the management of the operative scoliosis patient significantly. Nursing assessment of neurologic, respiratory, function, emotional, and developmental needs of the adolescent patient, however, have not changed. If we, as nurses, understand the rationale for assessments, treatments, and restrictions, we can teach our patients and their families.
青少年特发性脊柱侧弯患者的管理涉及许多复杂的考量因素。无论建议患者采用支具治疗还是手术治疗，在应对那些最关心能否与同龄人一样的青少年时，都需要进行大量的指导、评估并给予关怀。在决策过程中，无论是关于支具治疗还是手术干预，只要他们清楚了解后果，就应尽可能给予他们更多的决策自主权。更新、更好的手术器械、麻醉技术、护理以及术后活动能力等方面的改善，都极大地改变了脊柱侧弯手术患者的管理方式。然而，护士对青少年患者神经、呼吸、功能、心理及发育需求的评估并未改变。作为护士，如果我们理解评估、治疗及限制措施的基本原理，就能教导我们的患者及其家属。
