床上呼吸操改善老年腹部外科手术患者呼吸功能的效果  

Effect of On-bed Breathing Exercise in Improving the Respiratory Function for Elderly Patients Underwent Abdominal Surgery

作　　者：周艳[1] 江萍[1] 邵蓉[1] 戈佩青[1] 夏薇红[1] 凤春燕 

机构地区：[1]上海市浦东新区人民医院护理部,上海201299

出　　处：《解放军护理杂志》2015年第15期70-72,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：上海市浦东新区卫生局科研课题项目(PW2011A-12)

摘　　要：目的探讨床上呼吸操在改善老年腹部外科手术患者呼吸功能中的应用效果。方法便利抽样法选择2011年12月至2013年6月在上海市浦东新区人民医院行胃肠手术的老年患者60例,按入院先后将其为观察组和对照组各30例,对照组患者术后给予常规呼吸道护理,观察组患者在对照组的基础上进行床上呼吸操的锻炼,评价并比较两组患者术后肺部感染的发生情况及下床时间。结果观察组患者术后的肺部感染发生率及下床时间均低于或短于对照组患者,差异有统计学意义(均P<0.05)。结论床上呼吸操不受时间、场地、人员的限制,锻炼简单方便,不增加患者的医疗费用,有利于改善老年腹部外科手术患者的呼吸功能,提高患者生活质量。Objective To explore the application effect of on-bed breathing exercise in improving the re- spiratory function for elderly patients underwent abdominal surgery.Methods By convenience sampling,60 cases of patients were selected and equally divided into observation group and control group. The control group received routine nursing care, while the observation group applied with on-bed systematic respiratory function exercise. The incidence of postoperative lung infection and off the bed time were evaluated and compared between two groups. Results The postoperative lung infection and off the bed time in observa- tion group was less/shorter than which in control group（all P〈0.05）.Conclusion The on-bed breathing exercise is not limited in time, location and personal, which is easy and convenient to perform with no extra medical fees, and can improve the respiratory function,and also improve the quality of life.

关 键 词：呼吸操 腹部外科手术 老年患者 锻炼 

分 类 号：R473.6[医药卫生—护理学]