心脏开胸手术患者术后呼吸道的护理措施  

Nursing measures for postoperative respiratory tract in patients undergoing cardiac thoracotomy

作　　者：张艳阳 陈亚娟 汪莉 ZHANG Yan-yang;CHEN Ya-juan;WANG Li(Baoji Center Hospital,Baoji 721008,China)

机构地区：[1]宝鸡市中心医院,陕西宝鸡721008

出　　处：《临床医学研究与实践》2019年第13期174-176,共3页Clinical Research and Practice

摘　　要：目的探讨心脏开胸手术患者术后呼吸道的护理措施及应用效果。方法将我院心胸外科80例实施心脏开胸手术患者按随机数表法分为常规组(n=40)和干预组(n=40)。常规组应用常规护理,干预组在此基础上应用术后呼吸道护理干预。比较两组患者的术后并发症发生情况、术后住院时间、住院费用及护理前、后生活质量评分。结果干预组术后肺部感染、肺不张发生率显著低于常规组(P<0.05)。干预组的术后住院时间显著短于常规组,住院费用显著低于常规组(P<0.05)。护理后,两组的生理职能、生理机能、社会功能、精力、情感职能、精神健康、躯体疼痛、一般健康状况评分均显著升高,且干预组高于常规组(P<0.05)。结论在心脏开胸手术患者术后实施呼吸道护理干预,可有效预防术后肺部并发症发生,改善患者生活质量,促进患者早日恢复,并减轻治疗经济负担。Objective To explore the nursing measures for postoperative respiratory tract in patients undergoing cardiac thoracotomy and its application effect.Methods Eighty patients undergoing cardiac thoracotomy in our hospital were divided into routine group (n=40) and intervention group (n=40) by random number table method.The routine group was given routine nursing,while the intervention group was given postoperative respiratory tract nursing intervention on this basis.The complications,hospital stay,hospitalization cost and quality of life scores before and after nursing were compared between the two groups.Results The incidences of pulmonary infection and atelectasis in the intervention group were significantly lower than those in the routine group (P<0.05).The hospital stay of the intervention group was significantly shorter than that of the routine group,and the hospitalization cost was significantly lower than that of the routine group (P<0.05).After nursing,the scores of role-physical,physical functioning,social functioning,vitality,role-emotional,mental health,bodily pain and general health of the two groups significantly increased,and those of the intervention group were higher than the routine group (P<0.05).Conclusion Postoperative respiratory tract nursing intervention applied in patients undergoing cardiac thoracotomy can effectively prevent postoperative pulmonary complications,improve patients' quality of life,promote early recovery and reduce the financial burden of treatment.

关 键 词：心脏开胸手术 术后呼吸道护理 生活质量 

分 类 号：R473.6[医药卫生—护理学]