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find Keyword "舒适度" 14 results
  • 舒泰润滑尿道对留置导尿患者术后舒适度的影响

    【摘要】 目的 探讨全身麻醉后导尿时使用舒泰润滑尿道对患者术后舒适度的影响。 方法 2010年2-3月将择期手术的普通外科患者60例,随机分为观察组、对照组各30例。两组均在全身麻醉后进行导尿,观察组插入导尿管前使用舒泰对尿道进行充分的润滑,然后按常规置入尿管;对照组按常规导尿,并对两组患者术后麻醉苏醒24 h内的导尿舒适度进行观察比较。 结果 对照组患者术后尿道疼痛程度、尿道不适症状明显高于观察组(Plt;0.05)。 结论 全身麻醉后在导尿时使用舒泰可减轻患者术后尿道的疼痛和尿道不适症状,减少患者的痛苦,提高护理质量。

    Release date:2016-08-26 02:18 Export PDF Favorites Scan
  • 眼科患者外周静脉留置针舒适度状况调查分析

    目的 讨论眼科患者术后采用外周静脉留置针对舒适度的影响及留置位置选择对生活自理的影响。 方法 选取2012年10月-11月住院行手术治疗、术后使用外周静脉留置针的100例眼科患者为调查对象,就外周静脉留置针在治疗过程中的留置时间、留置位置、留置疼痛感及对生活自理的影响等涉及患者舒适度的问题进行问卷调查,并对调查结果进行统计分析。 结果 患者留置针留置时间为2~4 d,不同留置位置其无菌透明敷贴卷边情况差异有统计学意义(Hc=15.179,P=0.002),不同留置位置其疼痛程度无差异,留置针敷贴卷边程度与留置时间呈正相关(rs=0.363,P<0.001),不同留置位置对生活的影响情况差异有统计学意义(Hc=17.003,P=0.001)。留置针留置过程中患者自觉症状较轻。 结论 眼科患者采用外周静脉留置针,穿刺部位应尽可能选择在前臂,可减少留置针敷贴卷边情况的发生,并能减少留置针对患者生活的影响,以提高其舒适度。

    Release date:2016-09-07 02:33 Export PDF Favorites Scan
  • 改良肛管置入法在重症监护病房患者保留肛管中的应用

    目的 总结改良肛管置入法的应用及效果。 方法 2010年4月-2011年6月按入院先后将76例需留置肛管且神智清楚的重症监护病房患者分为对照组与改良组,每组各38例,对照组常规安置保留肛管,改良组采用盐酸丁卡因胶浆润滑置管,比较两种置管方式对患者的影响。 结果 改良组一次性置管成功率、患者不良反应评价均优于对照组,且置管前后患者血压、心率无明显变化。 结论 采用盐酸丁卡因胶浆置管技术不仅可减轻患者的痛苦,使患者生命体征保持稳定,同时体现了人性化护理的优势。

    Release date:2016-09-08 09:12 Export PDF Favorites Scan
  • 小儿全麻术后经口与经鼻吸氧效果及舒适度比较

    【摘要】 目的 比较小儿全麻术后入麻醉苏醒室(post anesthesia care unit, PACU)经口与经鼻吸氧效果及舒适度。 方法 2009年4-5月,将符合纳入标准的100例患儿随机分为两组(n=50)。A组为入PACU时先经口吸氧5 min,再经鼻吸氧5 min;B组为入PACU时先经鼻吸氧5 min,再经口吸氧5 min;分别观察吸氧前后的呼吸、心率、脉搏氧饱和度(SpO2)、镇静评分(Ramsay评分)、舒适度的改变。 结果 两组经口和经鼻吸氧后的SpO2和舒适度比较,两种吸氧方式吸氧5 min后均能够有效改善患儿的SpO2(Plt;0.05);经鼻吸氧比经口吸氧能够更好的改善患儿的SpO2(Plt;0.05);经口吸氧的舒适度优于经鼻吸氧(Plt;0.01)。 结论 患儿不能耐受经鼻吸氧时,可考虑经口吸氧,以改善患儿的氧饱和度和吸氧的舒适度;患儿处于缺氧状态,优先考虑经鼻吸氧能更好的改善患儿的SpO2。

    Release date:2016-09-08 09:51 Export PDF Favorites Scan
  • Comparative Study between SmartCare Weaning and Protocol-Directed Weaning in COPD Patients

    Objective To compare the advantages between SmartCare weaning and protocoldirected weaning in COPD patients regarding five aspects including comfort degree of COPD patients in weaning stage, workload of medical staff, weaning success rate, weaning time, and complications associated with mechanical ventilation. Methods COPD patients who’s planning to receive ventilation weaning were randomly divided into a SmartCare weaning group ( SC group) and a protocol-directed weaning group ( SBT group) . The comfort degree of patients and workload of medical staff were assessed by the visual analogue scale ( VAS) as the weaning plan started. 0 was for the most discomfort and maximal workload, and 10 was for the most comfort and minimal workload. Data fromthe following aspects had been recorded: times of blood gas analysis, weaning success rate, weaning time, self-extubation rate, the rate of re-intubation within 48 hours, and ventilator-associated pneumonia ( VAP) incidences. Results 40 patients were selected and divided into the SC group ( n =19) and the SBT group ( n =21) . There was no significant difference in the enrolled age and APACHEⅡ between two groups. The VAS scores was higher in the SC group than that in the SBT group in the first three days ( Plt;0.01) . The weaning time was shorter in the SBT group than that in the SBT group [ ( 4.7 ±2.7) days vs. ( 5.5 ±3.2) days] , without significant difference between two groups ( P gt;0.05) . There were no differences in times of blood gas analysis, weaning success rate, weaning time, self-extubation rate, the rate of re-intubation within 48 hours, and ventilator-associated pneumonia ( VAP) incidences between two groups ( P gt; 0.05) .Conclusion As compared with protocol-directed weaning, SmartCare weaning can increase comfort degree of patients and reduce the workload of medical staff with similar weaning success rate, weaning time, and complications associated with mechanical ventilation.

    Release date:2016-09-13 03:53 Export PDF Favorites Scan
  • Preliminary Study on Comfortableness of Motorized Wheelchair Cushion

    This paper aims to explore the thermal feelings of different cover materials effect on wheelchair cushion comfortableness, and to build a mathematical model for motorized wheelchair cushion comfortableness. By measuring temperature and humidity between the contact face of motorized wheelchair cushion and human body as well as the setting posture adjustment time while cushion cover materials are nylon cloth, leather, fishnets cloth. At the same time, each volunteer took a questionnaire about the comfort of different cushion cover materials. Results showed that fishnets cloth was most comfortable, leather was worst, while nylon cloth was in between the two. The experimental objective data were consistent with the subjective data. We built a back propagation (BP) neural network mathematical model for motorized wheelchair cushion comfortableness. This study will provide objective reference to motorized wheelchair for the designers and users.

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  • Comparison of Efficacy Study of Simple Negative Pressure Drainage and It Combined with Chest Compression Bandaging after Radical Mastectomy for Breast Cancer

    ObjectiveTo compare the differences in preventing subcutaneous effusion, skin flap necrosis, and patient comfort between simple negative pressure drainage and negative pressure drainage combined with chest compression bandaging after radical mastectomy for breast cancer. MethodsOne hundred and ninety-six patients underwent radical mastectomy for breast cancer from January 2010 to December 2012 in this hospital were collected.The simple negative pressure drainage (SNPD group, n=84) and negative pressure drainage combined with chest compression bandaging (NPD+CB group, n=112) after radical mastectomy for breast cancer were used to prevent postoperative subcutaneous effusion.The postoperative complications, postoperative 3 d drainage volume, and patient comfort were compared in two groups. ResultsOne hundred and ninety-six patients with breast cancer were females.The differences of general clinical data were not statistically significant in two groups (P > 0.05).The differences of chest wall mean extubation time, axillary mean extubation time, postoperative 3 d mean drainage volume, and incidences of subcutaneous effusion and skin flap necrosis were not statistically significant in two groups (P > 0.05).The rate of comfort satisfactory in the SNPD group was significantly higher than that in the NPD+CB group [76.2%(16/84) versus 22.3%(25/112), P < 0.001].The chemotherapy was not affected after operation in two groups. ConclusionsComparing with negative pressure drainage combined with chest compression bandaging, simple negative pressure drainage do not increase postoperative subcutaneous effusion and skin flap necrosis, but it greatly improves the patients satisfactory rate.

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  • Comfort Level of Chest Tube Size in Lung Cancer Patients with Video-assisted Thoracoscopic Surgery Lobectomy: A Prospective Cohort Study

    ObjectiveTo determine if comfort level was associated with chest tube size(16F or 28F) among lung cancer patients with video-assisted thoracoscopic surgery (VATS) lobectomy. MethodsWe performed VATS lobectomy for 163 patients with lung cancer in our hospital between February and May 2014. There were 70 males 93 females. The patients were allocated into two groups including a 28F group and a 16F group. There were 75 patients at age of 53.18±14.73 years with insertion of one chest drain of 28F in the 28F group. And there were 88 patients at age of 56.62±12.62 years with insertion of one chest drain of 16F in the 16F group. Heart rate and variation of pulse, breathing rate and variation of breathing rate, pain scores, comfort level, and activities daily living (ADL) of the two groups were compared. ResultsThere was no significant difference in the patient characteristics and operation data between the two groups. There were statistical differences in variation of heart rates on the 1st day, 2nd day, and 3rd day after operation between the 16Fgroup and the 28F group (9.67±3.33 times/min vs.18.54±5.33 times/min, P=0.037; 7.89±2.88 times/min vs. 19.01±4.67 times/min, P=0.045; 7.67±3.01 times/min vs. 20.88±5.34 times/min, P=0.021). The percentage patients of mild pain in the 16F group (77.65%) was higher than that in the 28F group (49.78%, P=0.023) with a statistical difference. The independent ambulation and comfort level in the 16F group(67.05%, 67.05%) were significant higher than those in the 28F group (45.78%,55.11%, P=0.023, P=0.026). ConclusionOur findings suggest that drainage via a small-bore chest tube provides meaningful postoperative comfort level in the patients with VATS lobectomy.

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  • Clinical Effect of Postoperative No Indwelling Urethral Catheters after Pulmonary Lobectomy: A Prospective Cohort Study

    ObjectiveTo evaluate the effect of postoperative no indwelling urethral catheters in lung operation. MethodsIn this prospective cohort study, we recruited 100 patients who were scheduled for pulmonary lobectomy under general anesthesia in a single institution of Thoracic Surgery Department in West China Hospital between April and December 2014. These patients were divided into two groups including a no indwelled urethral catheter group (NIUC, 50 patients) and an indwelled urethral catheter group (IUC, 50 patients). The clinical effect was compared between the two groups. ResultsThere was no statistical difference in incidence of postoperative urinary retention or urinary tract infection between the two groups (P=0.433, 0.050). However, the comfort degrees(0 degree) of patients in the NICU group was significantly higher than that of the ICU group with a statistical difference (P=0.002). While postoperative hospitalization time in the NICU group (P=0.023) was shorter than that in the ICU group (P=0.004). Prostatic hyperplasia was the high risk factor for the lung postoperative urinary retention (P=0.056). ConclusionPostoperative no indwelling urethral catheters in lung operation has the benefit of improving the comfort degrees of inpatients and increasing the postoperation urinary retention.

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  • 无创呼吸机治疗肺性脑病使用右美托咪定的疗效影响观察

    目的观察右美托咪定在肺性脑病患者使用无创呼吸机时对疗效的影响。 方法选取2013年6月-2014年5月收治的52例使用无创呼吸机的慢性阻塞性肺疾病患者作为观察对象,以随机数字法将患者分为观察组(27例)和对照组(25例)。两组患者均同时使用伟康BiPAP synchrony型无创呼吸机治疗,采用压力支持/控制模式。观察组在治疗期间给予盐酸右美托咪定镇静;对照组在患者有意识障碍时使用四肢约束装置、家人劝阻、头部固定等方法,24 h观察期内不使用任何镇静药物。观察两组患者在动脉血气指标、舒适度评价及无创呼吸机使用依从性方面的区别。 结果两组患者在治疗2 h时pH值、动脉血二氧化碳分压(PaCO2)、动脉血氧分压指标比较差异均无统计学意义(P > 0.05),治疗12、24 h后pH值、PaCO2比较差异有统计学意义(P < 0.05),观察组优于对照组。使用无创呼吸机后观察组舒适度维持在较高水平,对照组舒适度明显下降,两组患者舒适度评分比较差异有统计学意义(P < 0.05)。观察组患者使用无创呼吸机的依从性良好率(88.89%)优于对照组(56.00%),差异有统计学意义(P < 0.05)。 结论右美托咪定可改善患者使用无创呼吸机时的舒适度及治疗依从性,从而提高对肺性脑病的临床疗效。

    Release date:2016-10-28 02:02 Export PDF Favorites Scan
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