对腹部手术患者晨晚间护理依从性的调查

Survey on compliance of patients with abdominal operation for morning and evening care

目的提高患者对晨晚间护理的依从性，促进患者早日康复。方法对普通外科100例腹部手术患者发放问卷，调查患者对晨晚间护理的依从性。结果晨晚间护理依从性好的患者占55％，依从性一般占37％，依从性差占8％。患者拒绝晨晚间护理主要原因有身体虚弱、伤口疼、不想动；患者接受晨晚间护理主要原因有使自己清洁卫生、舒适；患者最易接受的护理为雾化吸人；拒绝程度最高的护理为刷牙。结论掌握患者对晨晚间护理的态度，主动进行护理干预，有助于患者术后康复。

Objective To improve the compliance of patients for morning and evening care, and to promote early rehabilitation of patients. Methods Questionnaires were given to 100 patients who had been operated on abdominal region in department of general surgery for investigating the compliance of patients for morning and evening care. Results The patients whose compliances were good accounted for 55%, common accounted for 37%, and bad accounted for 8%. The main reasons that patients, whose compliances were bad, refused morning and evening care were the weak status, the pain of wound and the unwillingness to move. The main reasons that patients, whose obediences were good, accepted morning and evening care were cleaning and unfolding for theirself. The most acceptable nursing is airway humidifying. The most unacceptable nursing is tooth brushing. Conclusions Handing the pose of patients for morning and evening care, and actively adopting nursing intervention, are helpful in the healing of the patients postoperatively.