整体护理联合保温护理在胸腔镜肺楔形切除术患者中的应用  

Effects of holistic nursing combined with heat preservation nursing in patients with thoracoscopic lung wedge resection

作　　者：王丽丽[1] 陈丽丽[1] 龙飞 张伟[1] 詹海婷[1] Wang Lili;Chen Lili;Long Fei;Zhang Wei;Zhan Haiting(Department of Anesthesiology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院麻醉科,乌鲁木齐830054

出　　处：《中华现代护理杂志》2022年第27期3798-3801,共4页Chinese Journal of Modern Nursing

基　　金：新疆维吾尔自治区自然科学基金资助项目 (2019D01C293)。

摘　　要：目的探讨整体护理联合保温护理对胸腔镜肺楔形切除术患者的影响。方法采用便利抽样法,选取2020年4月—2021年3月新疆医科大学第一附属医院收治的196例因肺癌行胸腔镜肺楔形切除术的患者为研究对象,根据入院先后分为观察组和对照组,各98例。对照组患者给予常规护理,观察组在对照组基础上给予整体护理联合保温护理。采用视觉模拟评分(VAS)评估两组患者术后疼痛情况,比较两组患者转入及转出复苏室交接时间、术后苏醒时间及住院时间。记录并比较两组患者术后不良反应发生率。结果观察组术后1、12 h的VAS评分分别为(2.06±0.52)、(2.46±0.81)分,均低于对照组的(3.72±1.10)、(4.06±0.78)分,差异均有统计学意义(P<0.05)。观察组术后苏醒时间、住院时间、转入及转出复苏室交接时间分别为(56.34±10.10)min、(7.12±1.17)d、(2.10±0.32)min、(2.52±0.50)min,均低于对照组,差异均有统计学意义(P<0.05)。观察组患者不良反应发生率(4.08%)低于对照组(22.45%),差异有统计学意义(P<0.05)。结论整体护理联合保温护理能加快胸腔镜肺楔形切除术患者术后苏醒,降低不良反应发生率,减轻术后疼痛,有利于患者术后加速康复。Objective To explore the effect of holistic nursing combined with heat preservation nursing in patients undergoing thoracoscopic lung wedge resection.Methods From April 2020 to March 2021,convenience sampling was used to select 196 patients who underwent thoracoscopic wedge resection for lung cancer in the First Affiliated Hospital of Xinjiang Medical University as the research object.The patients were divided into the observation group and the control group by the order of admission,98 cases in each group.The patients in the control group were given routine nursing,and the patients in the observation group were given holistic nursing combined with heat preservation nursing on the basis of the control group.The visual analogue scale(VAS)was used to evaluate the postoperative pain of the two groups of patients,and the transfer time to and from the Resuscitation Room,postoperative recovery time and hospital stay were compared between the two groups.The incidence of postoperative adverse reactions in the two groups was recorded and compared.Results The VAS scores of the observation group at 1 and 12 hours after operation were(2.06±0.52)and(2.46±0.81)respectively,which were lower than those of the control group[(3.72±1.10)and(4.06±0.78)],and the differences were statistically significant(P<0.05).The postoperative recovery time,hospital stay,and transfer time to and from the Resuscitation Room of the observation group were(56.34±10.10)min,(7.12±1.17)d,(2.10±0.32)min,and(2.52±0.50)min,respectively,lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the observation group(4.08%)was lower than that in the control group(22.45%),and the difference was statistically significant(P<0.05).Conclusions Holistic nursing combined with heat preservation nursing can speed up the postoperative recovery,reduce the incidence of adverse reactions,relieve postoperative pain,and facilitate postoperative recovery of patients undergoing thoracoscopic l

关 键 词：肺肿瘤 胸腔镜 疼痛 不良反应 整体护理 保温护理 

分 类 号：R473.6[医药卫生—护理学]