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首页> 外文期刊>Research journal of pharmacy and technology >Evaluation of Nursing Intervention for Difficult Airway Breathing among Obese Patients Undergoing Postoperative Recovery after General Anesthesia
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Evaluation of Nursing Intervention for Difficult Airway Breathing among Obese Patients Undergoing Postoperative Recovery after General Anesthesia

机译：在全身麻醉后术后恢复术后恢复的困难气道呼吸护理干预的评价

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Background: Difficult Airway Breathing in the post anesthesia period is high in obese patients; after surgery, the roles of the nurses in the recovery room are vital in assessing and monitoring the response of these patients to ventilation, and intervene to maintain oxygenation and ventilation. Aim of this study: The study aimsto evaluate the nursing intervention about difficulty in airway breathing among obese patients who undergoing postoperative recovery after general anesthesia, and tofind out the relationship between nurses demographic characteristics and their level of intervention. Methodology: A descriptive study has been carried out to evaluate nursing intervention for difficult airway breathing among obese patients undergoing postoperative recovery after general anesthesia in Al-Diwaniyah hospitals for the period from September 20lh 2016 to July 15th 2017. Non probability (purposive) sample of (50) nurses who work in recovery rooms at four hospitals in Al-Diwaniyah Health Directorate. The sample has been collected by using evaluation instrument which consists of two parts: part I: demographical characteristics of the nurse which consist of 9 items. Part II: observational checklist for the nurses in the recovery room which consists of 9 domains and 62 items. The instrument has been validated by 20 experts each of them have more than 10 years' experience in specialty (the mean of experience years is 24.95). The internal consistency of the instrument is determined by person correlated coefficient which was (r = 0.893). The analyzed data have been conducted through application of descriptive statistics (Frequencies, Percentages, Mean of Scores, Standard deviation, and Relative Sufficiency). Also inferential statistics (Analysis of variance ANOVA, Chi squared, and t- test analysis). Results: Results of the study shows that 92% of nurses use to wear special nursing uniform, and 84% of them prepare of instruments and equipment, also 82% of them monitored patients, in addition 76% of nurses give care to patient's position, 74% use suctioning technique, 60% of them oerforms open airway, 56% of nurses implements oxygen mask resuscitation, 52% performs pulse oximeter, while 78% of nurses' practices never administer medications. Also A significant association between overall evaluations of nurses' practices in regards to age of the sample, a highly significant association regarding levels of education, years of working in nursing, and years of experience in recovery room. Conclusions: The study concluded that many nurses did not follow the procedures and protocols in giving care to the patient during recovery care. Also educational level, years of experience and age have strong impact on quality of nursing care. Recommendations: The study recommended engaging recovery room nurses in special training course to improve knowledge and practice regarding difficult airway breathing after general anesthesia, and to include nurses graduated with bachelor degree in providing nursing management in recovery room. Also health directorate should provide poster fixed on recovery room walls including responsibilities and duties of nurses, and providing a special nursing form for documenting of medications administration and nursing notes in patient's chart.
机译：背景：肥胖患者在麻醉后呼吸困难呼吸困难;手术后，护士在恢复室中的角色对于评估和监测这些患者通风的反应至关重要，并干预维持氧合和通气。本研究的目的：研究瞄准斯科评估了在全身麻醉后进行术后恢复的肥沃患者呼吸困难的护理干预，并加以护理人口统计特征与其干预水平之间的关系。方法：已经进行了描述性研究，以评估肥胖患者在2016年9月20LH至2017年7月15日至7月15日期间的肥胖患者术后复苏术后患者术后恢复的困难气道呼吸的护理干预。非概率（目的）样本（50）在Al-Diwaniyah卫生局卫生局在四家医院工作的护士。通过使用由两部分组成的评估仪器收集样品：第一部分：护士的人口统制特征，由9件商品组成。第二部分：恢复室护士的观察清单，由9个域和62项组成。该仪器已被20名专家验证，每个专家都有超过10年的专业经验（经验年龄为24.95）。仪器的内部一致性由（r = 0.893）的人相关系数决定。通过应用描述性统计（频率，百分比，分数，标准偏差和相对充足）来进行分析的数据。还推理统计（方差分析Anova，Chi平方和T-测试分析）。结果：研究结果表明，92％的护士用来佩戴特殊的护理制服，84％的人准备仪器和设备，还有82％的监测患者，另外76％的护士给患者的立场， 74％使用抽吸技术，60％的Oerforms Open Sourway，56％的护士实现氧气掩模复苏，52％进行脉搏血氧仪，而78％的护士实践从未施用药物。在对样本年龄的年龄的情况下，护士的实践的整体评价之间也是一项重要的关联，这是一个关于教育水平的高度重大关联，在护理工作年份以及恢复室的多年经验。结论：研究得出结论，许多护士没有遵循恢复护理期间给予患者的程序和协议。此外，教育水平，多年的经验和年龄对护理质量产生了强烈影响。建议：该研究推荐在特殊培训课程中吸引恢复室护士，以改善一般麻醉后困难的呼吸道的知识和实践，并包括护士毕业的学士学位，在恢复室提供护理管理。卫生局还应在恢复室墙上提供海报，包括护士的职责和职责，并为患者图表中的药物管理和护理说明提供特殊的护理表格。

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