手术推车床头抬高对患者舒适度的影响研究

摘要

Objective To explore the operation trolley head of bed elevation in the shuttle patients on patient comfort degree. Methods Respectively from the trolley workers, patients and their families tripartite questionnaire review investigation in January 2015 100 surgery the patient supine cart Shu moderate. Cart head of bed elevation of 10 degrees, 20 degrees and 30 degrees, were also from the trolley workers, comfort for patients and their families tripartite questionnaire 2015 in February, a total of 60 patients; comparison in March 2015 carts in the supine and head of bed elevation 20 degrees Shu of the 116 patients with moderate. Results The Car while lying down, workers, family members of patients and the patients themselves feeling of comfort from three sides was significantly different (P< 0.01). Cart head of bed elevation of 10 degrees, the cart workers thought the patient comfortable degree and the patients themselves experience between a difference (P = 0.014), and family members of patients and workers, and between the patients themselves and feel no difference (P > 0.05); Cart head of bed elevation at 20 degrees, third party identity of comfort sense similar (P > 0.05);trolley bed elevation of 30 degrees, cart workers think patient's comfort degree among family members of patients and have difference (P = 0.015), suffering from himself and Between the workers and their families on the identity of comfort no statistically significant difference (P> 0.05); at 10 degrees elevation, 20 degrees, and 30 degree three angles between, the comprehensive satisfaction no statistical difference (P> 0.05). Cart head of bed elevation at 20 degrees, patient comfort was significantly higher than that of the cart flat when (P = 0.001). Conclusion From this research can conclude that in the transfer of patients in the process, the operation trolley head of bed elevation can significantly increase the patient's comfort and needs to be further clinical research its operability for guiding clinical practice.%目的：探讨手术推车床头抬高在接送患者的过程中对患者舒适度的影响。方法分别从推车工人、患者本人及其家属三方调查问卷回顾性调查研究2015年1月份100例手术患者平卧推车时的舒适度；分别将推车床头抬高10°、20°和30°，亦分别从推车工人、患者本人及其家属三方调查问卷2015年2月份共60例患者的舒适度；比较在2015年3月份推车在平卧和床头抬高20度时各116例患者的舒适度。结果推车平卧时，工人、患者家属及患者本人三方对舒适度的感受明显不同(P﹤0.01)。推车床头抬高10°时，推车工人认为的患者舒适度与患者本人亲身感受之间差异有统计学意义(P=0.014)，而患者家属与工人、以及与患者本人之间的感受差异无统计学意义(P>0.05)；推车床头抬高20°时，三方对舒适度的认同感相近(P>0.05)；推车床头抬高30°时，推车工人认为的患者舒适度与患者家属之间差异有统计学意义(P=0.015)，患者本人与工人、以及与其家属之间对舒适度的认同差异无统计学意义(P>0.05)；在抬高10°、20°以及30°三种角度之间，三方综合满意度差异无统计学意义(P>0.05)。推车床头抬高20°，患者的舒适度明显高于推车平放时(P=0.001)。结论从该次研究可得出结论，在接送患者过程中，手术推车床头抬高能明显增加患者的舒适度，有待临床进一步探究其可操作性，用于指导临床实践。