医护患三位一体化呼吸道管理模式在微创食管癌患者围术期中的应用  

Application of Doctor-nurse-patient Trinity Respiratory Tract Management Model on Esophageal Cancer Patients with Minimally Invasive Surgery During Perioperative

作　　者：姜美玲[1] 张康[1] 刘计宽[1] 张广敬[1] Jiang Meiling;Zhang Kang;Liu Jikuan(The First People’s Hospital of Jining,Jining Shandong 272001,China)

机构地区：[1]济宁市第一人民医院

出　　处：《齐鲁护理杂志》2019年第12期26-29,共4页Journal of Qilu Nursing

基　　金：济宁市科技助推新旧动能转换计划项目(编号:2017SMN S009)

摘　　要：目的:探讨医护患三位一体化呼吸道管理模式在微创食管癌患者围术期中的应用方法及效果。方法:将65例食管癌根治术患者随机分为观察组33例和对照组32例,对照组采用常规术前健康教育指导,观察组采用医护患三位一体化呼吸道管理模式。比较两组患者痰液排出情况,呼吸系统并发症发生率,抗生素使用时间、患者住院时间及患者对医护服务的满意度。结果:与对照组比较,观察组患者术后前5 d咳嗽排痰较容易且咳痰量偏多,其中术后第1天及第2天观察组咳痰容易度高于对照组(P <0. 05),术后第2天及第3天观察组排痰量明显多于对照组(P <0. 05);观察组患者术后呼吸抑制、肺不张、肺部感染等肺部并发症发生率低于对照组(P <0. 05);观察组患者术后抗生素应用时间、术后住院时间均短于对照组(P <0. 05);观察组患者对医生护士总满意度均高于对照组(P <0. 05)。结论:医护患三位一体化呼吸道管理模式明显减少了食管癌患者术后肺部并发症,调动了患者的治疗积极性,提高了患者对医护服务的满意度,加速了患者的康复。Objective: To explore the application method and effect of doctor-nurse-patient trinity respiratory tract management model on esophageal cancer patients with minimally invasive surgery during perioperative period. Methods: A total of 65 cases of esophageal carcinoma patients with radical resection were randomly divided into observation group( 33 cases) and control group( 32 cases). The control group was guided by routine preoperative health education,while the observation group was guided by doctor-nurse-patient trinity respiratory tract management model. Sputum expectoration,incidence of respiratory complications,duration of antibiotic use,length of stay in hospital and satisfaction with medical services were compared between the two groups. Results: Compared with the control group,the observation group had a relatively easy and large amount of sputum on the first 5 days after surgery. The ease of sputum expectoration in the observation group on the first and second days after surgery was higher than that in the control group( P < 0. 05),and the amount of sputum expectoration in the observation group on the second and third days after surgery was significantly higher than that in the control group( P < 0. 05). The incidence of postoperative pulmonary complications such as respiratory inhibition,atelectasis and pulmonary infection in the observation group was lower than that in the control group( P < 0. 05). The duration of postoperative antibiotic application and postoperative hospitalization in the observation group were shorter than those in the control group( P < 0. 05);The total satisfaction of the observation group was higher than that of the control group( P < 0. 05). Conclusion: Doctor-nurse-patient trinity respiratory tract management model can significantly reduce postoperative pulmonary complications in patients with esophageal cancer,arouse patients’ enthusiasm for treatment,improve patients’ satisfaction with medical services,and accelerate patients’ recovery.

关 键 词：医护患三位一体化 呼吸道管理模式 微创食管癌手术 围术期护理 

分 类 号：R473.73[医药卫生—护理学]