摘要
[目的]了解心脏手术后病人住ICU期间身体暴露情况及病人对身体暴露的态度。[方法]采取结构式观察法，对心脏手术后20例病人住ICU期间日间（08：00～18：00）发生身体暴露的情形进行观察；同时采用自设问卷调查从ICU转出的50例病人对身体暴露的态度。[结果]共观察266h387例次身体暴露，平均每小时暴露的频次为1．5次±1．6次，未采取任何保护措施的有188例次（占48．6％），由护士引起的暴露为263例次（占70．0％），暴露最频繁的部位是胸部和腹部；病人最不愿意暴露的部位是会阴部和胸部，尤其是女性病人对有异性非医务人员在场时；引起暴露的原因中，交接班、察看皮肤及引流管情况排在第1位。[结论]心脏手术后病人住ICU期间身体暴露相对频繁，ICU护士应加强保护病人隐私的意识，根据实际情况采取有效的保护措施减少病人的身体箍露，从而维护病人的尊严，提供更为人性化的护理。
Objective：To evaluate the state of body esposure of patients in ICU after cardiac operation and attitude of patients to ward body exposure. Methods： A total of 20 postoperative patients in ICU were observed for the state of body exposure at daytime（8 am-6 pro） after underwent hear, operation. Besides,50 patients transported from ICU were investigated on their attitude toward body exposure through question naire. Results：387 times of body exposure were observed in 266 hours, averagely 1.5±1.6 times per hour. There were altogether 188 times （48.6%） of exposure without any protective procedure and 263 times （70.0%） caused by nurses. The area exposed the most frequently were thoracic and region abdominal. The area that patients were unwilling to bc exposed mostly were perinealand thoracic region, especially for female paticnts with male non -medical stalff at bedside, The most common time of body exposure was in shift for skin checking and drainage tube examination. Conclusion：Body exposure of posloperative patients in ICU after underwent heart operation was relatively frequent, Nurses in ICU should strengthen the awareness of prolection of patients＇ secrets. Nurses should take take effective protection measures based on paticnts＇ condition to diminsh body extx）sure of patients, so that to maintain their dignity and provide more humanistic care for them.
出处
《护理研究（下旬版）》
2006年第10期2733-2735,共3页
Chinese Nursing Researsh
关键词
身体暴露
人性化护理
心脏手术
ICU
body exposure
humanistic nursing care
heart operation
intensive care unit
