魏甜.普外科术后患者口渴及口渴痛苦程度的现况研究[J].上海护理,2023,23(2):
普外科术后患者口渴及口渴痛苦程度的现况研究
DOI:
中文关键词:  普外科  术后  口渴程度  口渴痛苦  影响因素
英文关键词:general surgery  post-operation  thirst intensity  thirst distress  influencing factors
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作者单位E-mail
魏甜* 复旦大学附属华山医院 weit1013@163.com 
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中文摘要:
      目的 调查普外科术后患者的口渴程度(thirst intensity,TI),口渴不适及口渴痛苦程度(thirst distress, TD)的现况及其影响因素,为改善普外科术后患者因口干、口渴引起的不适感提供支持。方法 对224例普外科术后患者采用一般资料调查表、口渴程度量表、围手术期口渴不适量表和口渴痛苦程度量表进行调查。结果 普外科术后患者口渴程度、口渴不适及口渴痛苦程度均偏高,其中不同年龄段的患者口渴程度不同;开腹手术的患者口渴程度大于未开腹的手术患者;年龄、工作状况及是否开腹是影响患者术后口渴不适的相关因素。是否开腹是普外科术后患者口渴程度、口渴不适及口渴痛苦程度的独立危险因素(均P<0.05)。结论 普外科术后患者口渴程度、口渴不适及口渴痛苦程度普遍较高,临床护理人员应根据不同年龄段的特点采取不同的护理干预措施,注意倾听患者的主诉;对开腹患者应提前做好健康宣教,尽量缩短术前禁食禁水时间,加强患者对手术计划的了解,同时医护应一起探讨患者术后的补液及进食饮水计划,尽量缓解普外科术后患者的口渴症状。
英文摘要:
      Objective To investigate the current status and influencing factors of thirst intensity (TI), thirst discomfort, and thirst distress (TD) in patients after general surgery in order to improve the symptoms of dry mouth, Provides support for hurt caused by thirst. Method The available information questionnaire, thirst level scale, perioperative thirst discomfort scale, and thirst pain level scale were used to investigate 224 postoperative general surgery patients. Result The degree of thirst, thirst discomfort, and thirst pain were all higher in postoperative general surgery patients, with different degrees of thirst in other age groups; the degree of thirst was greater in patients with open surgery than in patients with unopened surgery; age, work status and whether or not to open the abdomen were factors associated with postoperative thirst discomfort in patients. Whether the abdomen was opened or not was an independent risk factor for the degree of thirst, thirst discomfort, and thirst pain in patients after general surgery (all P<0.05). Conclusion The degree of thirst, thirst discomfort and thirst pain, are generally higher in postoperative general surgery patients. Clinical nursing staff should adopt different nursing interventions according to the characteristics of other age groups and pay attention to listening to patients" complaints; health education should be done in advance for open patients, shorten the preoperative fasting and water fasting time as much as possible, strengthen patients" understanding of the surgical plan. In contrast, medical and nursing care should discuss together the patients" postoperative rehydration and feed and drinking plans to try to relieve thirst symptoms in postoperative general surgery patients.
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