病態性肥胖病人之減重手術護理

Nursing Care for Bariatric Surgery Patients

由於現代靜態的生活型態，肥胖症已成為日益嚴重的全球性問題。肥胖症與很多疾病及健康損害風險的增加相關，目前內科治療對病態性肥胖治療的長期效果有限，當病態性肥胖造成威脅生命時，外科減重手術是有效的治療。護理病態性肥胖接受減重手術的病人，除提供一般手術病人護理外，尚需的特殊照護有：使用特殊壓脈帶測量血壓、預防深層靜脈血栓、術後飲食原則，有別於臨床上接受腹部手術病人等。本文目的在於介紹及分享臨床上照護減重手術病人的經驗，希望藉由此文介紹減重手術及其護理，以提供肥胖治療趨勢及手術護理之參考。

The sedentary lifestyle, common to most modern societies, has turned obesity into an increasingly prevalent and universal problem. Obesity correlates positively with many diseases and health risk factors. Medical therapies currently used to treat obesity are generally limited in terms of long-term effectiveness. Bariatric surgery has been demonstrated an effective treatment for morbid obesity. Special nursing care considerations for bariatric surgery include providing wider cuffs for blood pressure checks, preventing deep venous thrombosis and post operation dietary education in order to accommodate changes in the gastrointestinal system. The purposes of this article were to introduce obesity therapy trends as well as to share nursing care principles for those undergoing bariatric surgery.