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題 名 | 影響腹部手術後病人首次下床時反應之因素 |
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作 者 | 高雪芬; | 書刊名 | 明志工專學報 |
卷 期 | 19 1987.05[民76.05] |
頁 次 | 頁59-83 |
分類號 | 419.73 |
關鍵詞 | 下床; 反應; 手術; 因素; 首次; 病人; 腹部; 影響; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究共收集100名病人首次下床時所測得之客觀姿位性反應資料與主觀自覺症狀,為本研究用以分析的依變項;至於自變項則為年齡、性別、手術術式、手術時間長短、傷口長度、失血量、臥床時數及下床方式等八項影響因素。結果顯示在姿位性反應方面,手術後病人於站立五分鐘後仍無法有效的秋復基線血壓及心跳,逐步迴歸及簡單線性迴歸與相關來檢定,發現其中以年齡之影響最大,其次為手術術式,至於其他各因素則須在彼此交互作用下,才會造成顯著之影響。自覺症狀方面。以傷口疼痛之出現率最高,佔61%,其次為頭暈,佔40%,及雙腳無力,佔33%。以對數迴歸檢定,發現其中以採快而主動下床者及臥床時數愈釀者,傷口疼痛的比率顯著增加,而頭暈則不受上述因素之影響,至於雙腳無力亦以採快而主動方式下床者出現率較高。以一方分類之變異數分析檢定姿位性反應與自覺症狀間之關係,發現兩者間並無相關。 |
英文摘要 | The purpose of this study was to investigate the factors influencing the responses of patients in general surgery undergoing abdominal procedures in their first attempt in postoperative ambulation, whereby significant predictive indices could be evolved so as to ameliorate the discomfort in this initial phase and make a safe ambulation possible. The study comprised 100 patients, each of whom was closely followed up from the first contact in the first postoperative day up till the time when ambulation is initiated. The information obtained objectively from the responses to postures and the registered data of subjective symptoms in the initial attempt in ambulation served as dependent variables in analysis. as for independent variable, eights factors were involved, and they were age, sex, the type of surgery, the duration of operation, the extent of surgical wound, the amount of blood loss , the hours of confinement in bed and the way of ambulation. The results from the analyses showed that in responses to postures of the postoperative patients whose blood pressure and heart rate did not return to baseline levels after standing up for 5 minutes, as deduced by stepwise multiple regression and simple linear regression and correlating, age was the dominating factor and that the type of surgery ranked next. As to other factors significant influence could only be found under their respective in tractions. Regarding the rate of subjective symptoms, pain of surgical wound mounted supreme, accounting for 61%, whereas dizziness and feebleness of legs were in decreasing order, respectively amounting to 40% and 33%. Determination by logistic regression showed that in those who adopted the 1st type of ambulation (quick and active) and those who spent more hours in bed, the rate of surgical pain significantly rose, while dizziness was entirely not affected. There was no correlation between postural responses and subjective symptoms as analysis was made by one way ANOVA. |
本系統中英文摘要資訊取自各篇刊載內容。