Edis Helena
Recovery Staff Nurse, Nottingham University Hospitals NHS Trust.
Br J Nurs. 2017 Nov 9;26(20):1102-1108. doi: 10.12968/bjon.2017.26.20.1102.
Caring for patients with dementia emerging from general anaesthesia in the recovery room can be very challenging. Sedation is sometimes necessary in order to nurse patients effectively and avoid any negative consequences of poor post-anaesthetic care. No local or national guidelines could be found to suggest best nursing practice in this situation. Three small-scale innovations were introduced into the recovery room in one hospital as part of a quality improvement project to give alternatives to chemical restraint. These were: music and distraction therapy, maximising the use of the 'About Me' document and improved access to staff training. The simple innovations were well received by recovery room staff. Further research is needed to quantify the benefits of these innovations and further work is needed to develop use of the carer's passport in recovery.
在恢复室护理从全身麻醉中苏醒的痴呆患者可能极具挑战性。为了有效地护理患者并避免麻醉后护理不佳带来的任何负面后果，有时需要进行镇静。在这种情况下，未找到当地或国家指南来建议最佳护理实践。作为一项质量改进项目的一部分，一家医院在恢复室引入了三项小规模创新措施，以替代药物约束。这些措施包括：音乐与分散注意力疗法、最大限度地利用“关于我”文档以及增加工作人员培训机会。这些简单的创新措施受到了恢复室工作人员的好评。需要进一步研究来量化这些创新措施的益处，并且需要进一步开展工作以在恢复过程中更好地使用护理人员护照。
