集束化护理在CABG围术期呼吸道管理中的应用  

Care Bundles of Respiratory Management During Coronary Artery Bypass Grafting Perioperation

作　　者：尹红[1] 李娜[1] 马玉容[1] 

机构地区：[1]山东省青岛市市立医院,山东青岛266000

出　　处：《中国医学创新》2015年第15期16-19,共4页Medical Innovation of China

基　　金：国家自然科学基金青年科学基金项目(81400024)

摘　　要：目的:探讨集束化护理对CABG围术期呼吸道管理的干预效果。方法:选择2012年1月-2014年1月某院心脏外科行CABG的患者100例,按随机数字表法分为观察组及对照组各50例,观察组应用集束化护理,对照组采用常规传统护理。观察两组患者掌握正确呼吸功能训练方法率及依从性、术后并发肺不张及肺部感染数、住院时间及对护理工作满意度。结果:观察组患者掌握正确的深呼吸训练方法、正确的咳嗽排痰法及依从性、患者对护理工作的满意度均高于对照组,差异均有统计学意义(P<0.05);术后并发肺不张、肺部感染的几率降低,住院时间较对照组减少,差异均有统计学意义(P<0.05)。结论:集束化护理提高了CABG围术期呼吸道管理的护理质量,减少了肺部并发症的发生,促进了患者的康复。Objective：To investigate the effects of care bundles to respiratory management in coronary artery bypass grafting （CABG） perioperative.Method：The data of 100 cardiovascular surgical patients undergone CABG in a hospital from January 2012 to January 2014 were selected.According to random number table, the patients were divided into observation group （50 cases） and control group（50 cases）.Patients in the observation group were served care bundles, while the control group patients were given the traditional nursing mode.Two groups were observed with the indexes as follows, the adherence and the rates of successfully grasp the right method of respiratory function training, the numbers of patients complicated with postoperative atelectasis and lung infection, the hospitalization time and patients’ satisfaction with hospital nursing.Result：The patients of observation group master the correct way of deep breathing training and sputum clearance by coughing, the results of compliance and satisfaction were significantly higher than that of control group, these differences had statistical significance（P〈0.05）.Patients of observation group complicated with postoperative atelectasis and lung infection were obviously less than the control group, and hospitalization time were reduced compared with the control group, the differences were statistical significance（P〈0.05）.Conclusion：The result showed that care bundles can effectively improve the quality of nursing of managing respiratory tract during the perioperation of patients with coronary artery bypass grafting （CABG）, reduce postoperative lung complications and promote rehabilitation of patients.

关 键 词：CABG 呼吸道管理 集束化护理 

分 类 号：R473.6[医药卫生—护理学]