系统呼吸训练在护理经电视胸腔镜行肺结节切除术患者中的应用  

Application of systemic breathing training in nursing the patients undergoing pneumonectomy by video-assisted thoracoscopy

作　　者：徐海燕 XU Haiyan(Department of Thoracic Surgery,Hai’an People’s Hospital,Hai’an Jiangsu 226600,China)

机构地区：[1]海安市人民医院胸外科,江苏海安226600

出　　处：《临床与病理杂志》2020年第6期1529-1532,共4页Journal of Clinical and Pathological Research

摘　　要：目的:研究经电视胸腔镜行肺结节切除术护理中系统呼吸训练的临床应用价值。方法:将海安市人民医院收治的82例行经电视胸腔镜行肺结节切除术治疗的患者随机分为观察组和对照组,各组41例。对照组行常规护理,观察组在常规护理基础上行系统呼吸训练护理。护理后,分别检测2组呼吸功能指标(气道阻力、气道峰压、呼吸做功);并于护理干预前后,采用简明生活质量调查量表(Short Form Health Survey-36,SF-36)调查患者的生活质量。结果:护理后,观察组的平均气道阻力、气道峰压、呼吸做功指标值均低于对照组(P<0.05)。护理干预后,观察组SF-36量表各维度评分均高于对照组(P<0.05)。结论:应用系统呼吸训练护理经电视胸腔镜行肺结节切除术的患者可有效提高患者的呼吸功能,提高生活质量。Objective: To study the clinical application value of systemic breathing training in the nursing of pulmonary nodule resection via video-assisted thoracoscopy. Methods: Eighty-two patients who underwent TV thoracoscopy for pulmonary nodule resection were randomly divided into an observation group and a control group, with 41 cases in each group. In clinical care, patients in the control group received routine nursing care, and patients in the observation group received systematic respiratory training nursing on the basis of routine care. After nursing of the two groups of patients, the respiratory function indicators(airway resistance, airway peak pressure, and respiratory work) were separately measured;and before and after the nursing intervention, the patients’ quality of life was investigated using the Short Form Health Survey-36(SF-36). Results: After nursing, the average airway resistance, peak airway pressure, and respiratory work index values were lower in the observation group than in the control group(P<0.05). After the nursing intervention, the average score of the SF-36 quality of life scale in the observation group was higher than that in the control group(P<0.05). Conclusion: The application of systematicbreathing training in the nursing of patients with pulmonary nodules by video-assisted thoracoscopy nodules can effectively improve patients’ respiratory function and quality of life.

关 键 词：肺结节 经电视胸腔镜 系统呼吸训练 呼吸功能 生活质量 

分 类 号：R473.6[医药卫生—护理学]