精细化护理在胸外科重症术后呼吸功能恢复中的应用效果  

Application of Fine Nursing in Respiratory Function Recovery after Severe Thoracic Surgery

作　　者：冯明明 FENG Mingming(Shenyang No.10 People's Hospital,Shenyang 110044,China)

机构地区：[1]沈阳市第十人民医院,辽宁沈阳110044

出　　处：《中国医药指南》2022年第13期158-161,共4页Guide of China Medicine

摘　　要：目的以胸外科重症患者作为对象,探究患者进行手术治疗后展开精细化护理后患者呼吸功能恢复的效果。方法于2017年6月至2019年6月我院收治患者中,选择123例作为研究对象,根据患者意愿,选择40例为对照组术后行常规护理,83例观察组术后进行精细化护理治疗,对比两组患者术后呼吸功能恢复情况、护理满意度、护理有效率以及肺功能指标。结果观察组护理有效率为98.80%(82/83),对照组护理有效率为77.50%(31/40),观察组数据较对照组更高,差异显著(P<0.05)。对照组的护理满意度为77.50%(31/40),观察组为97.59%(81/83),观察组护理满意度明显较对照组更高,差异显著(P<0.05)。观察组的呼吸功能恢复较对照组更好,呼吸频率和心率较对照组更趋于稳定,差异显著(P<0.05)。两组患者护理前1秒内呼出量、用力肺活量、1秒用力呼气量占呼气量比较差异不具有显著性(P>0.05);护理后,观察组上述肺功能指标较对照组更优(P<0.05)。结论胸外科重症患者术后展开精细化护理,能够有效提升患者的护理有效率,改善肺部功能,术后呼吸功能恢复更好,进而提高护理满意度,此种护理方法可在胸外科重症术后呼吸功能恢复护理中予以推广。Objective To investigate the effect of patients’respiratory function recovery after surgical treatment with critically ill patients in thoracic surgery.Methods Among the patients admitted in our hospital from June 2017 to June 2019,123 cases were selected as the research object.According to the wishes of the patients,40 cases were selected as the control group for routine postoperative care,and 83 cases for the observation group were treated with refined care after surgery.Compare the postoperative respiratory function recovery,nursing satisfaction,nursing effective rate and lung function indicators between the two groups.Results The effective rate of nursing care in the observation group was 98.80%(82/83);the effective rate of nursing care in the control group was 77.50%(31/40);the observation group had higher data than the control group,and the difference was significant(P<0.05).The nursing satisfaction degree of the control group was 77.50%(31/40),and the observation group was 97.59%(81/83),the nursing satisfaction of the observation group was significantly higher than that of the control group,and the difference was significant(P<0.05).The recovery of respiratory function in the observation group was better than that in the control group,and the respiratory rate and heart rate were more stable than those in the control group,with a significant difference(P<0.05).There was no significant difference in the ratio of expiratory volume,forced vital capacity,and forced expiratory volume in 1 second to expiratory volume between the two groups before nursing(P>0.05);after nursing,the above pulmonary function indicators in the observation group were higher than those in the control group.Excellent(P<0.05).Conclusion The implementation of refined nursing care for critically ill patients in thoracic surgery can effectively improve the efficiency of patient care,improve lung function,and improve postoperative respiratory function recovery,thereby increasing nursing satisfaction.This nursing method can be used in critic

关 键 词：胸外科重症术 术后呼吸功能恢复 精细化护理 护理满意度 肺功能 护理有效率 

分 类 号：R473.6[医药卫生—护理学]