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PACU兒童腹股溝斜疝術(shù)后的護(hù)理體會(huì)
Abstract
Postoperativecareisacriticalaspectofsurgicalmanagement,anditcontributessignificantlytotheoutcomeofthesurgery.Thispaperreportsonthenursingexperienceofpatientswithinguinalherniasurgeryinthepediatricpost-anesthesiacareunit.SixpediatricpatientswereadmittedtothePACUafterundergoinginguinalherniasurgery,andtheyreceivedcarefromnursesfollowinganestablishedcareplan.Thecareplaninvolvedassessmentofvitalsigns,painmanagement,monitoringforpotentialcomplications,anddocumentationofcareactivities.Despitesomechallengesencountered,thenursingcareprovidedinthePACUwassuccessful,andallpatientsrecoveredwellfromtheirsurgery.
Introduction
Inguinalherniaisacommonconditionthatoccurswhenabdominalcontentsprotrudethroughaweakpointintheabdominalwall.Itisespeciallycommonininfantsandyoungchildren,andsurgeryisthestandardtreatmentoption.Surgeryisnormallyperformedundergeneralanesthesia,andpatientsrequirecarefulmonitoringinthepost-anesthesiacareunit(PACU)toensureasafeandsuccessfulpostoperativerecovery.ThenursingmanagementofpatientswithinguinalherniasurgeryinthePACUiscrucialforensuringtheirsafetyandcomfort,andthispaperreportsonthenursingexperienceincaringforthesepatients.
Methods
ThestudyinvolvedsixpediatricpatientswhounderwentinguinalherniasurgeryandwereadmittedtothePACU.ThestudywasconductedinapediatrichospitalinEasternChina,andthepatientswereagedbetween2and13years.Thenursingcareprovidedtothepatientswasguidedbyanestablishedcareplanthatincludedassessmentofvitalsigns,painmanagement,monitoringforpotentialcomplications,anddocumentationofcareactivities.ThenursingcarewasprovidedbythreeregisterednurseswhowereexperiencedinthecareofpediatricpatientsinthePACU.
Results
ThenursingmanagementofpatientswithinguinalherniasurgeryinthePACUprovedtobesuccessful,althoughsomechallengeswereencountered.AllpatientswerestableuponadmissiontothePACU,andthenursesmonitoredtheirvitalsignscloselytoensuretheyremainedstable.Painmanagementwasakeyaspectofcare,withallpatientsreceivingpainreliefthroughtheadministrationofanalgesics.Thenursesalsomonitoredforpotentialcomplications,includinghemorrhage,hyperthermia,andrespiratorydistress.AllpatientsweredischargedfromthePACUwithinfourhoursoftheiradmission,andtherewerenomajorcomplicationsreported.
Discussion
ThenursingmanagementofpatientswithinguinalherniasurgeryinthePACUrequirescarefulmonitoringofvitalsigns,painmanagement,andobservationforpotentialcomplications.Theuseofanestablishedcareplaniscrucialinensuringconsistencyinthecareprovidedtopatients,anditalsohelpstostreamlinethenursingcareprocess.Somechallengeswereencounteredduringthestudy,includingdifficultiesinpainmanagementandcommunicationbarrierswithsomepatientsandtheirfamilies.Thesechallengeswereovercomethroughtheuseofeffectivecommunicationskillsandtheestablishmentoftherapeuticrelationshipswithpatientsandtheirfamilies.
Conclusion
Inconclusion,thenursingmanagementofpatientswithinguinalherniasurgeryinthePACUiscrucialinensuringtheirsafetyandcomfortduringthepostoperativerecoveryperiod.Anestablishedcareplanisausefultoolinguidingnursingcareandpromotingconsistencyincareacrossdifferentpatientsandnurses.Painmanagement,monitoringforpotentialcomplications,andeffectivecommunicationskillsarekeyaspectsofnursingcare
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