分时护理在肺癌手术患者术后机械吸痰护理中的应用研究  

Application time-sharing nursing in mechanical phlegm-suction nursingin lung cancer patients after surgical treatment

作　　者：胡秀芬[1] 闫硕[2] 周文平[3] 

机构地区：[1]辽宁省肿瘤医院胸外科,辽宁沈阳110042 [2]沈阳军区总医院急诊医学部,辽宁沈阳110016 [3]沈阳军区总医院肝胆外科,辽宁沈阳110016

出　　处：《实用临床医药杂志》2015年第16期64-66,共3页Journal of Clinical Medicine in Practice

摘　　要：目的分析分时护理在肺癌手术患者术后机械吸痰中的护理疗效。方法选择78例肺癌术后患者随机分为实验组40例和对照组38例。对照组患者在机械吸痰护理中给予常规护理方案,实验组患者则根据患者选择吸痰时机护理。观察2组患者吸痰护理干预后血氧饱和度、氧分压以及心率,比较2组患者并发症的发生状况、患者住院时间、住院费用以及护理满意度。结果分时护理干预后,实验组患者的血氧饱和度、血氧分压显著高于对照组,心率明显小于对照组(P<0.05);分时护理后,实验组患者发生肺不张、气管黏膜损伤、肺部感染、呼吸不畅、气道堵塞以及支气管痉挛等并发症的例数显著少于对照组,差异具有统计学意义(P<0.05);分时护理后,实验组患者的住院时间与住院费用显著低于对照组患者,护理满意度明显高于对照组,差异具有统计学意义(P<0.05)。结论根据患者选择恰当的吸痰时机,能够显著升高血氧饱和度与血氧分压,降低心率与并发症的发生率,减少住院时间与住院费用,提升护理满意度。Objective To analyze the effect of time- sharing nursing in lung cancer patients in the postoperative mechanical suction, the prognosis for patients to contribute. Methods A total of 78 lung cancer patients were randomly divided into experimental group with 40 cases and control group with 38 cases. The control group treated with conventional nursing regimens, the experimen- tal group was given selective time nursing. The oxygen saturation, oxygen partial pressure and heart rate were observed after suctioning nursing intervention. And complications, hospital stay, hospital costs, and nursing satisfaction were compared. Results After time - sharing interventions, blood oxygen saturation in the experimental group was significantly higher, blood oxygen pressure and heart rate was significantly lower than the control group （P 〈 0.05）. After time - sharing nursing, atelectasis, tracheal mucosal damage, lung infections, shortness of breath, bronchospasm, airway blockage and the number of patients with complications in the experimental group was significantly less than that in the control group, the differences were statistically significant （P 〈 0.05）. After sharing nursing, hospitalization and hospital costs of patients in the experimental group was signifi- cantly lower than that in the control group , nursing satisfaction in the experimental group was significantly higher, the differences were significant（P ~ 0.05）. Conclusion Appropriate timing of phlegm- suction can significantly increase oxygen and blood oxygen saturation, heart rate and reduce the incidence of complications, shorten hospital stay and hospital costs, and enhance nurs- ing satisfaction.

关 键 词：分时护理 肺癌 机械吸痰 血氧饱和度 并发症 

分 类 号：R473.6[医药卫生—护理学]