Chen Yin-Chen, Wu Shu-Fang Vivienne
Department of Nursing, Taipei Veterans General Hospital, ROC.
Hu Li Za Zhi. 2011 Aug;58(4):69-74.
Nausea and vomiting is a common post-operative complication that exacerbates patient discomfort and puts tension on suture lines, which may cause hematomas beneath surgical flaps and place patient at risk of aspiration pneumonia. Nausea and vomiting decreases patient comfort and satisfaction and increases hospital stay length and costs. Postoperative nausea and vomiting are common occurrences. Nurses typically give medicine in accordance with doctors' orders without understanding patient symptoms. Such results in less than optimal holistic care management. This situation encouraged the author to collect references on current international trends related to postoperative nausea and vomiting treatment in the clinical setting. The author further worked to recommend a care management protocol based on findings. This paper describes risk factors of postoperative nausea and vomiting and the related drugs, prevention procedures, and treatment recommendations. Finally, the author developed a simple care flow chart suited for use in internal clinical situations that may provide a valuable reference for medical professionals.
恶心和呕吐是常见的术后并发症,会加剧患者的不适,并给缝合线带来压力,这可能导致手术皮瓣下出现血肿,并使患者面临吸入性肺炎的风险。恶心和呕吐会降低患者的舒适度和满意度,并增加住院时间和费用。术后恶心和呕吐很常见。护士通常按照医生的医嘱给药,而不了解患者的症状。这导致整体护理管理不够理想。这种情况促使作者收集有关临床环境中术后恶心和呕吐治疗的当前国际趋势的参考文献。作者进一步根据研究结果努力推荐一种护理管理方案。本文描述了术后恶心和呕吐的危险因素、相关药物、预防措施和治疗建议。最后,作者制定了一个适用于内部临床情况的简单护理流程图,可为医疗专业人员提供有价值的参考。