责任制整体护理对自发性气胸手术患者疼痛和焦虑、抑郁状况的影响  

Effect of Overall Responsibility System on Pain,Anxiety and Depression in Patients with Spontaneous Pneumothorax

作　　者：王应霞 罗儿雪[1] 吴雪婷[1] WANG Ying-xia;LUO Er-xue;WU Xue-ting(Department of Cardiothoracic Surgery,Huizhou Central People's Hospital,Huizhou 516000,Guangdong Province,China)

机构地区：[1]广东省惠州市中心人民医院心胸外科,广东惠州516000

出　　处：《罕少疾病杂志》2020年第3期96-98,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨对行手术治疗的自发性气胸患者,应用责任制整体护理模式对患者疼痛控制、负性情绪改善的效果。方法将本院2016年1月至2019年1月收治的110例自发性气胸患者为研究对象,随机分成研究组与对照组,每组各55例。所有患者均择期行手术治疗,期间予以对照组患者常规护理,研究组在对照组的护理基础上实施责任制整体护理,比较两组患者疼痛控制情况及心理状况。结果研究组疼痛率为5.45%,明显低于对照组20.00%的疼痛率(P<0.05);在出院时刻两组患者焦虑及抑郁评分均较入院时刻降低,但研究组评分降低幅度明显比对照组更显著,差异具有统计学意义(P<0.05)。结论对自发性气胸患者,行手术治疗期间实施责任制整体护理的模式,可显著缓解患者的疼痛症状,改善患者焦虑及抑郁情绪,值得推广。Objective To investigate the effect of the overall nursing mode of the patient on the pain control and negative emotion improvement in patients with spontaneous pneumothorax undergoing surgery.Methods 110 patients with spontaneous pneumothorax admitted to our hospital from January 2016 to January 2019 were randomly divided into study group and control group,with 55 cases in each group.All patients underwent elective surgery.During the period,the patients in the control group received routine care.The study group implemented the overall nursing system based on the nursing care of the control group,and compared the pain control and psychological status of the two groups.Results The pain rate of the study group was 5.45%,which was significantly lower than that of the control group(P<0.05).The anxiety and depression scores of the two groups were lower than the admission time at the time of discharge,but the score of the study group was significantly lower than that of the study group.The control group was more significant,and the difference was statistically significant(P<0.05).Conclusion For patients with spontaneous pneumothorax,the implementation of the overall care model during the surgical treatment can significantly alleviate the pain symptoms of patients and improve their anxiety and depression.It is worth promoting.

关 键 词：责任制整体护理 自发性气胸 疼痛 焦虑 抑郁 

分 类 号：R441.1[医药卫生—诊断学] R749.72[医药卫生—临床医学]