围手术期导尿管理策略在胸腔镜下肺叶切除术患者中的应用  

Effects of perioperative catheterization management strategy in patients with thoracoscopic lobectomy

作　　者：杜珊珊 叶小俊 张军龙 胡怀宁 Du Shanshan;Ye Xiaojun;Zhang Junlong;Hu Huaining(Department of Anesthesiology and Surgery,the Second People's Hospital of Lianyungang,Lianyungang 222000,China;Nursing Department,the Second People's Hospital of Lianyungang,Lianyungang 222000,China)

机构地区：[1]连云港市第二人民医院麻醉手术科,连云港222000 [2]连云港市第二人民医院护理部,连云港222000

出　　处：《中华现代护理杂志》2022年第19期2609-2613,共5页Chinese Journal of Modern Nursing

基　　金：2020年江苏省重点研发计划专项基金(BE2020771)。

摘　　要：目的探讨围手术期导尿管理策略对胸腔镜下肺叶切除术患者术后苏醒期躁动与预后的影响。方法采用便利抽样法, 选取2019年4月—2021年4月连云港市第二人民医院胸外科收治的102例胸腔镜下肺叶切除术患者为研究对象, 采用随机数字表法将患者分为观察组与对照组, 各51例。对照组实施常规护理, 观察组在此基础上实施围手术期导尿管理策略。比较两组患者术后并发症发生率及术后舒适度评分。结果观察组患者术后躁动、尿潴留、尿路感染发生率均低于对照组, 差异有统计学意义(P<0.05);观察组拔除导尿管后的舒适状况量表评分高于对照组, 差异有统计学意义(P<0.05)。结论实施围手术期导尿管理策略有利于降低胸腔镜下肺叶切除术患者的苏醒期躁动风险, 减少尿潴留和尿路感染发生率, 提高患者拔除导尿管后的舒适度。Objective To explore the effect of perioperative catheterization management strategy on postoperative restlessness during recovery and prognosis in patients undergoing thoracoscopic lobectomy.Methods From April 2019 to April 2021,convenience sampling was used to select 102 patients with thoracoscopic lobectomy who were admitted to the Thoracic Department of the Second People's Hospital of Lianyungang as the research object.The patients were divided into the observation group and the control group by random number table method,51 cases in each group.The control group was given routine nursing,and the observation group received perioperative catheterization management strategy on this basis.The incidence of postoperative complications and postoperative comfort scores were compared between the two groups.Results The incidences of postoperative restlessness,urinary retention and urinary tract infection in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The General Comfort Questionnaire score after removal of the catheter in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusions Perioperative catheterization management strategy is beneficial to reduce the risk of restlessness during recovery in patients undergoing thoracoscopic lobectomy,decrease the incidence of urinary retention and urinary tract infection,and improve the comfort of patients after catheter removal.

关 键 词：围手术期护理 肺叶切除术 导尿管理 留置导尿 躁动 舒适度 

分 类 号：R473.6[医药卫生—护理学]