Chen Ziqi, Liu Chunyi, Chen Wenyue
Division of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.
Front Surg. 2024 Jul 3;11:1395013. doi: 10.3389/fsurg.2024.1395013. eCollection 2024.
To evaluate the effect of comfort nursing on postoperative nausea and vomiting in patients with idiopathic scoliosis undergoing posterior correction surgery.
92 patients with idiopathic scoliosis were taken as the subjects and segmented into a control group and an experimental group ( = 46/each group). The former received routine care, while the latter one performed comfortable care. The observation period is 48 h after surgery. Record and compare the incidence, grade, frequency, and pain level of nausea and vomiting in both groups, as well as postoperative physical signs and symptoms, drug use, and postoperative recovery. Investigating the patient's satisfaction with nursing care. The research data is analyzed using SPSS26.0 software. < 0.05 means statistical significance.
Within 48 h after surgery, the number of nausea and vomiting in the control is 24 and the experimental group is 8, with an incidence rate of 52% and 16%. The latter is significantly lower than that in the control. The average number of nausea and vomiting episodes in the control is 2.5, significantly higher than the 0.45 episodes in the experimental set. There is a significant difference in the frequency of nausea and vomiting/temperature and urine volume/scores of nausea, vomiting, dizziness, headache, decreased appetite, and discomfort between the two groups (< 0.05).
Comfortable care has a relieving effect on postoperative nausea and vomiting in patients with idiopathic scoliosis after posterior correction surgery. It can low down the incidence and frequency of nausea and vomiting, and reduce the score of related symptoms. Comfortable care can also help patients recover after surgery, increase dietary intake, and improve nutritional status. Comfortable care has a significant effect on postoperative nausea and vomiting in cases with idiopathic scoliosis undergoing posterior correction surgery, which can improve their postoperative recovery and quality of life.
评估舒适护理对特发性脊柱侧凸患者后路矫正手术后恶心呕吐的影响。
选取92例特发性脊柱侧凸患者作为研究对象,分为对照组和试验组(每组46例)。前者接受常规护理,后者实施舒适护理。观察期为术后48小时。记录并比较两组恶心呕吐的发生率、分级、频次及疼痛程度,以及术后身体体征和症状、药物使用情况和术后恢复情况。调查患者对护理的满意度。采用SPSS26.0软件对研究数据进行分析。P<0.05表示差异有统计学意义。
术后48小时内,对照组恶心呕吐例数为24例,试验组为8例,发生率分别为52%和16%。试验组显著低于对照组。对照组恶心呕吐发作的平均次数为2.5次,显著高于试验组的0.45次。两组之间恶心呕吐频次/体温及尿量/恶心、呕吐、头晕、头痛、食欲减退和不适评分存在显著差异(P<0.05)。
舒适护理对特发性脊柱侧凸患者后路矫正手术后的恶心呕吐有缓解作用。它可降低恶心呕吐的发生率和频次,并降低相关症状评分。舒适护理还可帮助患者术后恢复,增加饮食摄入量,改善营养状况。舒适护理对特发性脊柱侧凸患者后路矫正手术后的恶心呕吐有显著效果,可改善其术后恢复情况和生活质量。