Influences of different lying positions in patients after intestinal fistula surgery
10.3760/cma.j.cn115682-20201027-05942
- VernacularTitle:肠瘘术后患者应用不同卧位的效果观察
- Author:
Fangzheng JIANG
1
;
Jie LI
;
Min WANG
;
Nan WU
;
Yangyang XUE
;
Xianghong YE
;
Yunzhao ZHAO
;
Jian'an REN
;
Zhihui TONG
;
Weiqin LI
Author Information
1. 东部战区总医院重症医学中心普通外科7 ICU，南京 210002
- Keywords:
Intestinal fistula;
Posture;
Abdominal surgery;
Anesthesia, general;
Postoperative period;
Comfort
- From:
Chinese Journal of Modern Nursing
2020;26(35):4868-4872
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influences of different lying positions on vital signs and comforts in patients with tracheal intubation removed after intestinal fistula surgery.Methods:From October 2018 to June 2019, convenience sampling was used to select 150 patients with intestinal fistula surgery after general anesthesia in Intensive Care Unit of the General Hospital of Eastern Theater Command were selected as the research object. After waiting for the patient to wake up from anesthesia, the tracheal intubation was removed, and the lying position was changed after normal spontaneous breathing through the nose. Patients were randomly divided into 5 groups, 30 cases in each group. Group A was in the supine position; group B was in the lying position with the head of the bed raised by 15°; group C was in the lying position with the head of the bed raised by 30°; group D was in the lying position with the head of the bed raised by 45°; group E was in the lying position with the head of the bed raised by 15° to 45 °. At the beginning, the head of the bed was shaken to 15 °; and after two hours, the head of the bed was shaken to 30 °, and after another two hours, the head of the bed was shaken to 45 °. After 5 groups of patients fixed the angle of the lying position, when the patient complained of discomfort or the body position changed spontaneously, the patient changed the lying position. The duration of the lying position, uncomfortable symptoms and pain degree of abdominal incision were compared among 5 groups.Results:Patients with tracheal intubation removed after intestinal fistula surgery had a longer persistence in the 15° and 30° lying positions within 6 hours, respectively (72.27±12.41) min and (69.37±9.10) min. There were statistically significant differences in the persistence time of 5 different lying positions ( P<0.01) . The number of patients in group B and C with waist pain was less, and there were more patients with painless incisions, and there were statistically significant differences among 5 groups ( P<0.05) . Conclusions:Among patients with tracheal intubation removed and normal spontaneous breathing through the nose after intestinal fistula surgery, the 15° to 30° lying position within 6 hours after the operation can prolong the patient's adherence to the lying position, reduce the incidence of abdominal incision pain and waist pain, and reduce the probability of dizziness, nausea and vomiting.
