Scoliosis operations: the role of the nurse in the postoperative course and prevention of complications

Sava Mitic ,
Sava Mitic
Contact Sava Mitic

Sanitary Medical School of aplied science „Visan”, Zemun , Belgrade , Serbia

Milos Vojinovic ,
Milos Vojinovic

Sanitary Medical School of aplied science „Visan”, Zemun , Belgrade , Serbia

Department for Hyperbaric Medicine, University Hospital Center Zemun , Belgrade , Serbia

Marija Ivezic
Marija Ivezic

Sanitary Medical School of aplied science „Visan”, Zemun , Belgrade , Serbia

Institute for Orthopedic Surgery “Banjica” , Belgrade , Serbia

Published: 01.05.2021.

Volume 37, Issue 2 (2021)

pp. 2002-2007;

Abstract

The aim of our study was to determine the frequency of scoliosis operations in the period from September 1, 2018 to March 1, 2019. year at the Institute of Orthopedic Surgery “Banjica”, the distribution of patients by sex and age, the most common complications and physiological responses of patients in the postoperative course, as well as the importance of the participation of nurses in this process. Scoliosis is a deformity of the spine in the frontal plane. The role of the nurse in the preoperative and postoperative course is very demanding and defined by clear protocols. In our study, we found that the majority of patients were female 57 (71%), and that the largest number of respondents 55 (72%) were aged 11 to 13 years. The largest number of patients 57 (71%) did not have comorbidity. When analyzing the physiological response of patients, we determined on the basis of the Numerical Scale that the largest number of patients 75 (96%) had a need for opioid analgesics in the first 4 hours after surgery. In relation to the length of stay of patients in JIN, the largest number of patients 69 (86%) remained in JIN 24 hours after surgery. Based on our study, we believe that continuous medical education of nurses is necessary in acquiring the necessary skills for the care of patients who have undergone scoliosis surgery. The emphasis should be on communication skills with this, especially vulnerable, population.

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