手術中擺位傷害之護理

Nursing Care for Intraoperative Positioning Injuries

手術中安全合適的擺位較少被探討，合適的擺位可以讓手術範圍獲得最佳的暴露、讓麻醉人員最近的距離來監測呼吸道的通氣情形、維護病患生理的安全，並且可以避免不必要的暴露以維護病患尊嚴。手術中的擺位不良會讓病患受到傷害，短時間的傷害可能引發神經損傷，長時間的傷害會造成皮膚深度壓瘡，因此本篇文章將對手術中擺位之傷害做一探討，並針對照護方法提出建議，期讓臨床護理人員做手術中擺位之參考。

Few discussions have been published on appropriate surgery positioning. Ensuring the patient is in an appropriate pendulum position allows for optimal surgery scope exposition, puts the anesthetist in the closest proximity to the patient to monitor respiratory ventilation, helps maintain patient physiology security, and prevents surgical injury. A poor surgery pendulum position can result in patient injury. In the short-term, such injuries may cause neurotrosis, while over the long–term they may induce deep tissue pressure sores. This article discusses pendulum position injuries during surgery and provides suggestions for proper nursing care of patients undergoing surgical procedures. Clinical nursing staffs may reference this article to enhance patient care during and after surgery.