针对性护理干预在胸腔闭式引流治疗自发性气胸中的应用研究  

Application of targeted nursing interventions in the treatment of spontaneous pneumothorax by closed chest drainage

作　　者：张香 程会芳[1] Zhang Xiang;Cheng Huifang(Department of Thoracic Surgery I, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China)

机构地区：[1]郑州大学第一附属医院胸外一科,郑州450000

出　　处：《保健医学研究与实践》2022年第3期107-110,共4页Health Medicine Research and Practice

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20190089)。

摘　　要：目的分析针对性护理干预在胸腔闭式引流治疗自发性气胸中的应用效果。方法选取2019年10月—2021年1月郑州市某医院收治的自发性气胸患者115例为研究对象,随机分为对照组(51例)与观察组(64例)。对照组患者采用常规护理干预,观察组患者采用针对性护理干预,2组患者均持续干预2个月。比较2组患者干预前后疼痛情况、生活质量、心理状况,比较2组患者临床指标(置管时间、肺复张时间、伤口愈合时间)及并发症发生情况。结果干预前,2组患者视觉模拟评分法(VAS)及生活质量评价量表(SF-36)评分比较,差异均无统计学意义(P>0.05);干预后,2组患者VAS评分低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05);干预后,2组患者SF-36评分高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者焦虑自评量表(SAS)及抑郁自评量表(SDS)评分比较,差异均无统计学意义(P>0.05);干预后,2组患者SAS及SDS评分低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患者置管时间、肺复张时间、伤口愈合时间均短于对照组,差异均有统计学意义(P<0.05)。观察组患者并发症发生率为3.24%,明显低于对照组的13.72%,差异有统计学意义(χ^(2)=4.421,P=0.035)。结论对自发性气胸患者在经胸腔闭式引流治疗中给予针对性护理,可显著改善患者生活质量、心理状态及疼痛情况,促进患者恢复,降低并发症发生率。Objective To analyze the effect of targeted nursing interventions in the treatment of spontaneous pneumothorax by closed chest drainage.Methods One hundred and fifteen patients with spontaneous pneumothorax admitted to a hospital in Zhengzhou from October 2019 to January 2021 were selected as study subjects and divided into control group(51 cases)and observation group(64 cases)according to different interventions applied in the treatment process.The patients in the control group received conventional nursing interventions,while the observation group were given targeted nursing interventions,and the interventions in both groups continued for 2 months.The pain,quality of life and psychological status of the patients in the two groups were compared before and after the interventions,and the clinical indexes(time to tube placement,time to recruitment maneuver,and time to wound healing)and complications of the patients in the two groups were compared.Results Before the interventions,there was no statistically significant difference between the VAS and SF-36 scores of the 2 groups(P>0.05);after the interventions,the VAS scores of the 2 groups were lower than before the intervention and lower in the observation group than in the control group,with statistically significant differences(P<0.05);after the interventions,the SF-36 scores of the 2 groups were higher than before the interventions and lower in the observation group than in the control group,with statistically significant differences(P<0.05).Before the interventions,there was no statistically significant difference between the SAS and SDS scores of patients in the 2 groups(P>0.05);after the interventions,the SAS and SDS scores of patients in the 2 groups were lower than before the interventions and lower in the observation group than in the control group,with statistically significant differences(P<0.05).The time to tube placement,recruitment maneuver and wound healing were shorter in the observation group than in the control group,and the differences were stati

关 键 词：自发性气胸 经胸腔闭式引流 针对性干预 生活质量 

分 类 号：R473[医药卫生—护理学]