围术期循证护理对胸外科手术患者并发症的影响  

Effect of Perioperative Evidence-based Nursing on Complications of Patients Undergoing Thoracic Surgery

作　　者：张若宁 ZHANG Ruo-ning(Department of Cardiothoracic Surgery,Second Affi liated Hospital of Shenyang Medical College,Shenyang 110002,China)

机构地区：[1]沈阳医学院附属第二医院心胸外科,辽宁沈阳110002

出　　处：《中国医药指南》2020年第16期262-263,共2页Guide of China Medicine

摘　　要：目的探讨围术期循证护理对胸外科手术患者的并发症的影响。方法选取2017年3月至2018年12月期间在我院施行胸外科手术的120例患者作为本次研究对象,按抽签法随机分为研究组(n=60)和对照组(n=60)。对照组患者进行常规护理,研究组患者在对照组基础上进行围术期循证护理干预,比较两组患者术后肺功能指标[用力肺活量(FVC)、1秒用力呼气容积(FEV1)、呼气流量峰值(PEF)]、护理质量、并发症发生情况以及护理满意度。结果研究组患者术后肺功能指标FVC、FEV1、PEF分别为(3.9±1.3)L、(2.2±0.4)L、(6.3±0.8)L/s,均明显高于对照组(2.4±0.6)L、(1.4±0.2)L、(5.0±0.5)L/s,差异均具有统计学意义(P<0.05);研究组患者护理质量基础护理、呼吸道护理、健康指导评分及护理满意度分别为(93.4±5.7)分、(96.2±3.8)分、(92.5±7.0)分、96.7%,均明显高于对照组(81.4±7.3)分、(82.5±8.4)分、(80.5±6.9)分、80.0%,差异具有统计学意义(P<0.05);研究组患者并发症发生率为3.3%,明显低于对照组15.0%,差异具有统计学意义(P<0.05)。结论对胸外科手术患者开展围术期循证护理可有效改善患者肺功能,提高护理质量与护理满意度,同时减少并发症的发生,具有较高的临床推广价值。Objective To explore the effect of perioperative evidence-based nursing on the complications of patients undergoing thoracic surgery.Methods 120 patients who underwent thoracic surgery in our hospital from March 2017 to December 2018 were randomly divided into study group(n=60)and control group(n=60).The patients in the control group received routine nursing care,while the patients in the study group received perioperative evidencebased nursing intervention on the basis of the control group.The indexes of pulmonary function[forced vital capacity(FVC),forced expiratory volume(FEV1),peak expiratory flow(PEF)],nursing quality,complications and nursing satisfaction were compared between the two groups.Results The lung function indexes FVC,FEV1 and PEF of the study group were(3.9±1.3)L,(2.2±0.4)L,(6.3±0.8)L/s respectively,which were significantly higher than those of the control group(2.4±0.6)L,(1.4±0.2)L,(5.0±0.5)L/s,and the differences were statistically significant(P<0.05).The basic nursing care,respiratory care,health guidance score and nursing satisfaction of the study group were(93.4±5.7)points,(96.2±3.8)points,(92.5±7.0)points,96.7%,which were significantly higher than the control group(81.4±7.3)points,(82.5±8.4)points,(80.5±6.9)points,80.0%,the difference was statistically significant(P<0.05);the incidence of complications in the study group was 3.3%,significantly lower than the control Group 15.0%,the difference was statistically significant(P<0.05).Conclusion Perioperative evidence-based nursing for patients undergoing thoracic surgery can effectively improve their pulmonary function,improve the quality of nursing and nursing satisfaction,and reduce complications,which has high clinical value.

关 键 词：围术期 循证护理 胸外科手术 并发症 

分 类 号：R473.6[医药卫生—护理学]