Hardy Tabet Connie, Lopez-Bushnell Kathy
J Perianesth Nurs. 2018 Dec;33(6):790-800. doi: 10.1016/j.jopan.2017.01.009. Epub 2018 Feb 1.
This study was aimed to identify potential obstructive sleep apnea (OSA) in ambulatory surgical patients and create perianesthesia nursing protocols using a reliable and validated screening tool.
Descriptive survey.
A nurse-initiated OSA survey was conducted in 1,118 preoperative ambulatory patients using the STOP-Bang Questionnaire to identify patients at risk for OSA. The findings resulted in the development of protocols, patient education, and interventions.
Ambulatory surgical patients were not routinely assessed for OSA before this study. The study verified that 10% of patients scheduled for ambulatory elective surgery had undiagnosed OSA and, because of the OSA identification, 16% of all scheduled surgeries were canceled. There were no unnecessary hospitalizations after the nurse-initiated OSA protocol.
The STOP-Bang Questionnaire is a useful tool for screening patients with risks of OSA in the ambulatory surgical setting. This study supports using nursing best practices and safe patient care.
本研究旨在识别门诊手术患者中潜在的阻塞性睡眠呼吸暂停（OSA），并使用可靠且经过验证的筛查工具制定围麻醉期护理方案。
描述性调查。
对1118例术前门诊患者进行了由护士发起的OSA调查，使用STOP-Bang问卷来识别有OSA风险的患者。研究结果促成了方案、患者教育及干预措施的制定。
在本研究之前，门诊手术患者未常规接受OSA评估。该研究证实，计划进行门诊择期手术的患者中有10%患有未确诊的OSA，并且由于识别出了OSA，所有计划手术中有16%被取消。在护士发起的OSA方案实施后，没有出现不必要的住院情况。
STOP-Bang问卷是在门诊手术环境中筛查有OSA风险患者的有用工具。本研究支持采用护理最佳实践和安全的患者护理。
