CAJ | 학술논문

2012年1月～2015年1月我科经胸部途径施行腔镜甲状腺手术108例，术中施行舒适护理，术前、术中、术后不同时期根据手术需要适当调整患者体位。108例腔镜甲状腺手术中均未出现因体位不当，护理失误引起的并发症。术后2 d回访患者，呕吐2例，根据Wong－Banker面部表情疼痛量表评估头部、腰背部疼痛，0分46例，1分51例，2分11例。我们认为舒适护理在腔镜甲状腺手术体位中的应用不仅体现以“患者为本”的护理内涵，还能够提高手术室护理服务的整体质量及护理在医疗工作中的地位。
2012년1월～2015년1월아과경흉부도경시행강경갑상선수술108례，술중시행서괄호리，술전、술중、술후불동시기근거수술수요괄당조정환자체위。108례강경갑상선수술중균미출현인체위불당，호리실오인기적병발증。술후2 d회방환자，구토2례，근거Wong－Banker면부표정동통량표평고두부、요배부동통，0분46례，1분51례，2분11례。아문인위서괄호리재강경갑상선수술체위중적응용불부체현이“환자위본”적호리내함，환능구제고수술실호리복무적정체질량급호리재의료공작중적지위。
[Summary] A total of 108 cases of endoscopic thyroidectomy via thoracic approach were conducted in our department between January 2012 and January 2015.The comfortable nursing was applied during the operation.The patients’ body position was adjusted properly according to requirements of the operation at different periods of pre-operation, intra-operation and post operation.No complications due to nursing mistakes or improper position occurred in the 108 patients. Follow-up checkups on the second postoperative day found 2 patients with vomiting.According to the Wong-Banker Faces Pain Scale to evaluate the head and back pain, there were 46 cases of 0 point, 51 cases of 1 point, 11 cases of 2 points.We got the conclusion that the application of comfortable nursing for proper position of patient not only reflects the nursing principle of "Patients First", but also improves the entire quality of nursing services.