术后气道及心理强化护理对老年气管切开患者的影响  

IMPACT OF POSTOPERATIVE INTENSIVE AIRWAY AND PSYCHOLOGICAL CARE FOR ELDERLY PATIENTS WITH TRACHEOTOMY

作　　者：蔡红艳[1] 黄旺兴[1] 彭桂嫦[1] 覃壮玲 

机构地区：[1]南方医科大学附属小榄医院耳鼻喉科,广东省中山市528415

出　　处：《中国煤炭工业医学杂志》2015年第5期836-838,共3页Chinese Journal of Coal Industry Medicine

摘　　要：目的探讨术后气道及心理强化护理对老年器官切开患者生活质量及临床恢复的影响。方法选取2012年1月—2014年4月于该院接受气管切开术治疗的100例老年患者作为研究对象,按照随机数字表法将其分为对照组与观察组二组,每组50例。对照组患者给予常规护理,观察组患者在常规护理的基础上给予术后气道及心理强化护理,对比二组患者的护理效果,比较不同护理方式对患者术后恢复及生活质量的影响。结果观察组物质生活、躯体功能、心理功能及社会功能评分分别为(49.6±5.4)分、(52.9±5.1)分、(55.5±4.9)分、(60.1±6.4)分,均明显高于对照组,组间对比差异有统计学意义(P<0.05);观察组拔管时间为(10.3±2.6)h,低于对照组,住院时间为(10.4±2.5)h,明显短于对照组(P<0.05);观察组护理期间并发症发生率为6.0%,明显低于对照组的28.0%,组间对比差异有统计学意义(P<0.05)。结论在接受气管切除术的老年患者中,应用强化心理护理联合气道护理,可改善患者的心理状态,优化其生活质量,降低术后并发症发生率,缩短患者的住院时间,优化临床治疗效果,值得推广。Objective To investigate postoperative airway and psychological recovery and strengthen the quality and impact of clinical care for elderly patients living organ cut. Methods Totally 100 elderly patients with tracheotomy were selected as research subjects from April 2012 to April 2014 in author＇s hospital, they were randomly divided into the observation group and the control group, 50 cases in each group. In the control group were treated with routine care, observation group were treated with postoperative airway and strengthen psychological care on the basis of routine care. The nursing effect was compared between the two groups of patients, the influence of different methods of care for patients with postoperative recovery and quality of life were analyzed. Results The material life, physical function, psychological function and social function scores in the observation group were （ 49.6± 5.4） points, （ 52.9 ± 5.1 ） points, （55.5 ±4.9） points, （60.1 ± 6.4） points, respectively, were significantly higher than the control group （P 〈0.05）. Extubation time of the observation group （10.3 ± 2.6） h was lower than the control group, the hospital stay was （10.4± 2.5） h, significantly shorter than the control group （P〈0.05） ; the complication rate was 6.0% during the observation group care, was also lower significantly than the 28.0% in the control group, with statistically significant （P〈0.05）. Conclusions In an interview with tracheal resection in elderly patients, the application of Aikido Care Alliance strengthen psychological care can improve the patient＇s mental state, optimize their quality of life and reduce the incidence of postoperative complications, shorter hospital stay of patients and optimize clinical outcomes. It is worthy to promoting in clinic.

关 键 词：气管切开术 心理护理 气道 生活质量 老年人 

分 类 号：R473.6[医药卫生—护理学]