【摘要】 目的了解我院创伤骨科择期手术患者术前禁食禁饮的管理现状,为临床术前禁食禁饮科学管理提供依据。方法采用自行设计的调查问卷对299例创伤骨科择期手术患者进行面对面访谈及评估。结果患者普遍对术前禁饮食的意义认知不足,仅有33.8%的患者明白禁饮食对于手术的重要性;且大部分患者实际术前禁饮食时间过长,85.3%的患者术前实际禁食时间12～16h,89.0%的患者术前实际禁饮时间4～12h,禁饮食期间诉说口渴者237(79.3%),饥饿者158例(52.8%),出现低血糖反应者12例(4.0%),焦虑者36例(12.0%)。结论术前禁食禁饮时间管理现状不容乐观,需加强管理,统一制定并强制推行规范的禁食禁饮管理方案;加强医护培训,改变传统习惯;健康宣教到位,提高患者依从性。更多还原

【Abstract】 Objective To understand the present situation of fasting and prohibition of drinking before traumatic orthopaedic surgery in our hospital,so as to provide evidence for related management.Methods Face-to-face interview and assessment were conducted to 299 patients to undergo a traumatic orthopaedic surgery using a self-designed questionnaire.Results The patients were not aware of the significance of prohibiting food and drinks before the surgery.Only 33.8%really understood it.In fact,most patients were prohibited from eating and drinking for to long,with 85.3% of them fasting for 12-16 hand 89.0% of them stopped drinking for 4-12 h,as well as 237(79.3%)suffering from thirst and 158(52.8%)from hunger,and 12(4.0%)with hypoglycemic reactions and 36(12.0%)with anxiety.Conclusion The control on the time of preoperative fasting and prohibition of drinking is not optimistic.It is necessary to strengthen the management and implement a standardized program for it.The training of medical staff should be conducted to change the traditional practice,and health education should be implemented to improve patients′compliance.更多还原