CAJ | 학술논문

目的：探讨腰椎术后首次下床预防体位性低血压规范化流程的实施方法及效果。方法选择我科2014年1－6月腰椎手术患者共264例，随机分为对照组（未实施规范化流程）和观察组（实施规范化流程）各132例，比较两组患者体位性低血压（有症状者）的发生率。结果按AAS和AAN标准：对照组有50例患者在术后首次下床时出现不同症状、不同程度的体位性低血压，发生率为37．9％；观察组有11例患者出现体位性低血压，发生率为8．3％。结论腰椎术后首次下床规范化流程的实施可预防体位性低血压的发生，避免患者跌倒、骨折、再骨折、切口撕裂、腰椎内固定松动或钉棒断裂骨折或再骨折等护理不良事件的发生，确保患者安全，从而减少患者投诉或医疗纠纷。
목적：탐토요추술후수차하상예방체위성저혈압규범화류정적실시방법급효과。방법선택아과2014년1－6월요추수술환자공264례，수궤분위대조조（미실시규범화류정）화관찰조（실시규범화류정）각132례，비교량조환자체위성저혈압（유증상자）적발생솔。결과안AAS화AAN표준：대조조유50례환자재술후수차하상시출현불동증상、불동정도적체위성저혈압，발생솔위37．9％；관찰조유11례환자출현체위성저혈압，발생솔위8．3％。결론요추술후수차하상규범화류정적실시가예방체위성저혈압적발생，피면환자질도、골절、재골절、절구시렬、요추내고정송동혹정봉단렬골절혹재골절등호리불량사건적발생，학보환자안전，종이감소환자투소혹의료규분。
Objective To study the implementation and effect for the standardized process of prevention orthostat‐ic hypotension for patients after lumbar spine surgery first time out of bed .Method 264 patients undergoing lumbar surgery in our department from Jurnary 2014 to to June 2014 was selected and randomly divided into control group (not implementation of standardized processes) and observation group (the implementation of standardized proces‐ses) ,132 cases in each group .The incidence of orthostatic hypotension (with symptoms) was measured and com‐pared between the two groups of patients .Result By AAS and AAN criteria:50 patients in the control group was with different symptoms after surgery for the first time out of bed ,and with varying degrees of orthostatic hypoten‐sion ,the rate was 37 .9% .11 patients in observation group had orthostatic hypotension ,the rate was 8 .3% .Con‐clusion Implementation of the standardized process of for patients after lumbar spine surgery first time out of bed will helpful to prevent orthostatic hypotension ,and to avoid falls ,fractures or re‐fracture adverse events during nursing .