耳鼻咽喉科全麻术后患者安全风险因素与护理对策

Safety risk factors and nursing strategy of patients after otorhinolaryngology general anesthesia

目的总结耳鼻咽喉全麻术后患者存在的安全风险因素,实施针对性的护理对策,以保证患者的就医安全。方法选取2016年6月至2017年10月在我院接受手术治疗的218例患者作为研究对象,对术后存有的风险因素进行回顾性分析。结果术后患者出现低氧血症12例,恶心呕吐11例,尿潴留9例,意外拔管7例,术部出血6例,上呼吸道梗阻4例,术部感染2例,跌倒2例。经及时对患者采取针对性的治疗护理,均痊愈出院。结论针对耳鼻咽喉全麻术后患者存有的护理安全风险因素,规范术后护理措施,可降低术后护理安全隐患,提升临床护理质量。

Objective To sum up the safety risk factors in patients undergoing general anesthesia of the ear,nose and throat,and implementing targeted nursing measures to ensure the patient＇s medical safety. Methods Patients of 218 examples who underwent surgery in our hospital from June 2016 to October 2017 were selected as the study subjects,and retrospective analysis was performed on the postoperative risk factors. Results There were 12 cases of postoperative hypoxemia,11 cases of nausea and vomiting,9 cases of urinary retention,7 cases of accidental extubation,6 cases of bleeding in the operation department,4 cases of upper respiratory tract obstruction,2 cases of surgical infection,and 2 cases of falls. After timely targeted treatment care for patients,they all recovered from the hospital. Conclusion The nursing care safety risk factors in patients undergoing general anesthesia of otorhinolaryngology and standard postoperative nursing measures can reduce postoperative care safety hazards and improve clinical nursing quality.