改良护士引导咳嗽束治疗减肥手术后肥胖患者的效果。

IF 1.2 4区 医学 Q3 NURSING
Journal of nursing care quality Pub Date : 2024-01-01 Epub Date: 2023-06-22 DOI:10.1097/NCQ.0000000000000731
Jumei Yang, Barbara S Turner, Aline Hooi Ming Teh, Geoffrey Haw Chieh Liew
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引用次数: 0

摘要

背景:肥胖通常影响术后肺部预后,并与氧气使用量增加、恢复时间和住院时间、出院到高水平护理、费用、发病率和死亡率有关。局部问题:新加坡一家医院麻醉后护理病房(PACU)没有针对减肥手术后肥胖患者的标准化肺部护理包。方法:本质量改善项目采用前瞻性、单队列、测试前和测试后干预设计,共招募151例患者。干预措施:对减肥手术后的肥胖患者进行了改良的护士引导咳嗽束的教学和实施。结果:接受护士引导的咳嗽束治疗的减肥术后患者在PACU和降压病房的耗氧量明显减少。PACU和住院时间也有所减少。结论:改进的护士引导咳嗽束能减少患者减重手术后的氧气使用和住院时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of a Modified Nurse-Led COUGH Bundle for Obese Patients After Bariatric Surgery.

Background: Obesity commonly affects postsurgical pulmonary outcomes and is associated with increased oxygen usage, length of recovery and hospital stay, discharge to high levels of care, cost, morbidity, and mortality.

Local problem: No standardized pulmonary care bundle for obese patients after bariatric surgery was available in the postanesthesia care unit (PACU) at a hospital in Singapore.

Methods: This quality improvement project was a prospective, single-cohort, pre- and posttest intervention design with 151 patients recruited.

Interventions: Teaching and implementation of a modified nurse-led COUGH bundle was carried out on obese patients after their bariatric surgery.

Results: Postbariatric surgery patients with the nurse-led COUGH bundle had significantly less consumption of oxygen in the PACU and step-down units. The PACU and hospital length of stay were also reduced.

Conclusions: The modified nurse-led COUGH bundle can reduce patients' oxygen usage and hospital stay after their bariatric surgery.

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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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