Volume 22 Issue 4
Apr.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(4): 713-716
XU Yinghao, WANG Lei, ZHANG Yexian, CHENG Yi, WANG Yan. The effect of lithotomy positions placement at different times before and after anesthesia on the comfort and placement time of patients undergoing general anesthesia surgery[J]. Chinese Journal of General Practice, 2024, 22(4): 713-716. doi: 10.16766/j.cnki.issn.1674-4152.003486
Citation: XU Yinghao, WANG Lei, ZHANG Yexian, CHENG Yi, WANG Yan. The effect of lithotomy positions placement at different times before and after anesthesia on the comfort and placement time of patients undergoing general anesthesia surgery[J]. Chinese Journal of General Practice, 2024, 22(4): 713-716. doi: 10.16766/j.cnki.issn.1674-4152.003486
shu

The effect of lithotomy positions placement at different times before and after anesthesia on the comfort and placement time of patients undergoing general anesthesia surgery

doi: 10.16766/j.cnki.issn.1674-4152.003486
  • 1.

    Operating Room, Pinghu First People ' s Hospital, Pinghu, Zhejiang 314200, China

Funds:

 2020PY078

  • Received Date: 2023-10-09
    Available Online: 2024-05-29
    Abstract
  •   Objective  Analyze the application effect of lithotomy positions at different times before and after anesthesia in patients undergoing general anesthesia surgery, and analyze their impact on preoperative anxiety, comfort, pressure injury, and placement time.  Methods  A total of 210 patients who underwent general anesthesia surgery at the lithotomy position in the operating room of the Pinghu First People ' s Hospital from January 2022 to August 2023 were selected as the study subjects. They were equally divided into a control group and an observation group using a random number table method. The control group patients were placed in the lithotomy position after induction of general anesthesia and intubation, while the observation group patients received posture education and placement before anesthesia. The position placement time, comfort scores, preoperative anxiety, and stress injury of patients in the two groups were compared.  Results  The positioning time of the observation group patients was (6.46±1.75) min, which was shorter than the control group [(10.14±2.28) min]. The comfort score of the observation group was 70.24±6.33, which was higher than the control group (59.55±7.47), with a statistically significant difference (P < 0.05). After intervention, the Amsterdam preoperative anxiety information scale (APAIS) was significantly lower than that of the control group, with statistically significant differences (P < 0.05). The incidence of pressure injury in the observation group was 3.8% (4/105), significantly lower than the 11.4% (12/105) in the control group (P < 0.05).  Conclusion  Conducting lithotomy position education and placement before general anesthesia surgery can shorten the time for position placement, reduce preoperative anxiety, improve patient comfort, and reduce the incidence of stress injury.

     

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