Clinical Nursing·Surgical Nursing
Application of panning axial turnover in placement of surgical positions before thoracic surgery
Fan Kun, Feng Jinteng, He Haiqi, Wu Qifei, Wen Xiaopeng, Fu Junke, Zhang Linjuan, Zhang Guangjian
Published 2019-05-01
Cite as Chin J Prac Nurs, 2019,35(13): 994-997. DOI: 10.3760/cma.j.issn.1672-7088.2019.13.008
Abstract
ObjectiveTo evaluate the application of panning axial turnover in placement of surgical positions before thoracic surgery.
MethodsFrom June 2017 to September 2017, altogether 140 patients who underwent thoracic surgery were enrolled in and randomly divided into two groups: the observation group and the control group. The control group was treated with traditional turnover method, while the observation group were treated with axial turnover.
ResultsNo significant changes were found in blood pressure, heart rate and respiratory rate (P>0.05) after turning over. There was no significant difference between the observation group and the control group about turn over time, (7.06±0.78)s vs. (7.01±0.81)s (P>0.05). The subjective evaluation results of the medical staff in the observation group were significantly better than those of the control group (Z=-7.111, P<0.01) and the shift rate of double-lumen endotracheal tube in the observation group was 3.7% (2/54), which was significantly lower than 21.6% (11/51) of the control group (χ2=6.158, P<0.05).
ConclusionsThe panning axial turnover properly guided the turn-over work with the principle of human body mechanics, which was more labor-saving and requires less operators. Besides, the panning axial turnover effectively reduced the double-lumen tracheal intubation shift rate. It′s worthy of clinical promotion.
Key words:
Surgical turnover; Surgical position; Lateral position; Thoracic surgery
Contributor Information
Fan Kun
Department of Thoracic Surgery, the First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, China
Feng Jinteng
Department of Thoracic Surgery, the First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, China
He Haiqi
Department of Thoracic Surgery, the First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, China
Wu Qifei
Department of Thoracic Surgery, the First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, China
Wen Xiaopeng
Department of Thoracic Surgery, the First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, China
Fu Junke
Department of Thoracic Surgery, the First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, China
Zhang Linjuan
Department of Anesthesiology, the First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, China
Zhang Guangjian
Department of Thoracic Surgery, the First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, China
