下咽异物经纤维喉镜取出预防呕吐的护理干预

Nursing Intervention of Preventing Vomiting Caused by Taking Foreign Body from the Hypopharyngeal by Laryngofiberoscope

目的探讨下咽异物经纤维喉镜取出减少呕吐发生的护理干预措施。方法给患者术前发放表格进行心理紧张度问卷调查，将128例患者随机分为两组：A组（观察组）。B组（对照纽），A组在B组的基础上进行针对性心理疏导和卫生宣教，同时提供音乐治疗等护理干预。结果呕吐发生率A组（观察组）7．8％，B组（对照组）20．3％，经统计学处理差异有显著意义（P〈0．05）。情绪稳定比较术前术后有差别。结论护理干预能有效减少经纤维喉镜取下咽异物呕吐的发生率，稳定情绪，从而提高下咽异物取出术的成功率。

Objective To study the nursing intervention measures of decreasing vomiting caused by taking foreign body from the hypopharyngeal by laryngofiberoscope. Methods 128 patients investigated with psychological tensity questionnaire before the operation were divided into two groups： group A （observation group ） and group B （control group ） randomly. The patients in group A received pertinent mental easing and hygiene education and were provided with nursing intervention such as music therapy and so on based on group B. Results The vomiting incidence of group A （observation group ） is 7. 8% and that of group B （control group ） is 20.3%, which were processed by statistics showing significant differences （P 〈 0.05）. Conclusions Nursing intervention can decrease the incidence of vomiting caused by taking foreign body from the hypopharyngeal by laryngofiberoscope effectively so as to increase the success of the operation.