肥胖症患者：围手术期护理概述

The bariatric patient: an overview of perioperative care.

作者信息

Fencl Jennifer L, Walsh Angela, Vocke Dawn

出版信息

AORN J. 2015 Aug;102(2):116-31. doi: 10.1016/j.aorn.2015.05.007.

DOI:10.1016/j.aorn.2015.05.007

Abstract

Obesity (ie, a body mass index of ≥30 kg/m(2)) is increasing in the United States. As a result, more overweight individuals are being surgically treated for weight loss, thus making it imperative for perioperative RNs to understand obesity's effects on patients' health, its contribution to significant comorbidities (eg, diabetes, cardiovascular disease, hypertension, sleep apnea, musculoskeletal issues, stroke), the perioperative care requirements (eg, specialized instruments and equipment, positioning and lifting aids), and unique needs of these patients (eg, diet, counseling). It is vital that the perioperative nurse accurately assesses the patient undergoing bariatric surgery to provide safe and appropriate nursing interventions during the perioperative continuum of care.

摘要

在美国，肥胖（即体重指数≥30 kg/m²）的发生率正在上升。因此，越来越多超重的人接受手术减肥治疗，这使得围手术期注册护士必须了解肥胖对患者健康的影响、肥胖导致严重合并症（如糖尿病、心血管疾病、高血压、睡眠呼吸暂停、肌肉骨骼问题、中风）的情况、围手术期护理要求（如专用器械和设备、体位摆放和搬运辅助工具）以及这些患者的特殊需求（如饮食、咨询）。围手术期护士准确评估接受减肥手术的患者，以便在围手术期连续护理过程中提供安全、恰当的护理干预，这至关重要。