老年语后聋患者人工耳蜗植入术的围术期护理

Perioperative nursing care of elderly postlingual deafness patients with cochlear implantation

目的 探讨老年语后聋患者人工耳蜗植入术围术期的护理方法. 方法 2010 年2 月—2014年4月对15例老年语后聋患者行人工耳蜗植入术,根据老年患者特点和人工耳蜗植入术特殊性进行并发症观察,监测围术期血压、脉搏,针对性的进行心理干预和康复指导. 结果 15例患者在围术期均情绪稳定,无并发症. 2例患者入院时血压收缩压＞150 mmHg,术前降至正常;3例患者术后出现轻度头晕、恶心. 患者满意度为100%. 结论 以老年患者的生理、心理特性为依据,对围术期患者的心理护理及基础护理进行有针对性的完善,是获得术后恢复快、且预后好的效果的重要保证。

Objective To discuss the perioperative nursing care of elderly postlingual deafness patients with cochlear implantation. Methods Cochlear implementation had been carried out in 15 elderly postilingual deafness patients from February 2010 to April 2014, and we observed complications according to their characteristics and the specificity of cochlear implantation, monitored the perioperative blood pressure and pulse, and provided the targeted psychological interventions and rehabilitation guidance. Results All of patients had steady mood during perioperative period without complications. Two patients acquired blood pressure beyond 150mmHg when admitted, but decreased to normal before operation;three patients presented slight dizziness and nausea. The patient′s satisfaction was 100%. Conclusions Based on elderly physiological and psychological characteristics, we improve psychological and fundamental nursing targeted for perioperative patients, which was a significant guarantee for a quick recovery and a good prognosis.