英文摘要 |
This article describes the nursing experience of a middle-aged woman who underwent arthroscopic repair of a rotator cuff tear in the right shoulder. Between April 21 and 24, 2019, we collected data through preoperative and postoperative visits and intraoperative care, as well as from observations, bedside interviews, and a review of medical records. We employed the perioperative care model to conduct an overall assessment and generalized analysis, and it was confirmed that the patient had experienced anxiety, hypothermia, and acute pain. During the perioperative nursing care period, we proactively listened and provided care to the patient, put in the effort to understand her concerns, accompanied her to the operating room and taught her deep breathing and relaxation techniques, and provided her with information about the surgical and anesthesia procedures, as well as two wound care and rehabilitation advisories to reduce her anxiety. The patient was properly positioned and protected during the operation and proactively warmed to prevent hypothermia. After the operation, the patient was placed in an appropriate position and advised to do deep breathing exercises to divert attention and reduce pain, thus helping her feel safe and comfortable and be discharged uneventfully. We recommend that hospitals form an orthopedic quality team comprising surgical nurses, physicians, rehabilitation case managers, and physical therapists for home care after discharge, so that patients can receive continuous care and experience a higher quality of medical care. We aim to share this experience as a reference for clinical nursing staff in the future. |