放松训练结合舒适护理对经电子支气管镜治疗支气管扩张患者的影响  

Effect of relaxation training combined with comfort nursing on the patients with bronchiectasis treated by by electronic bronchoscopy

作　　者：卢燕云[1] 彭德虎[1] 谢艺开[1] LU Yanyun;PENG Dehu;XIE Yikai(Guangzhou Chest Hospital,Guangzhou,510095,China)

机构地区：[1]广东省广州市胸科医院内镜中心,510095

出　　处：《护理实践与研究》2022年第20期3122-3126,共5页Nursing Practice and Research

摘　　要：目的探究放松训练结合舒适护理对经电子支气管镜治疗支气管扩张患者舒适度、心理状态与治疗依从性的影响。方法选择2019年7月—2021年7月医院80例经电子支气管镜治疗的支气管扩张患者作为研究对象,按照组间基本特征均衡可比的原则分为观察组和对照组,各40例。对照组患者实施常规护理,观察组患者在对照组基础上实施放松训练结合舒适护理。对比分析两组患者收缩压、心率、血氧饱和度值及舒适度、护理满意程度、心理状态以及治疗依从性的差异。结果两组患者治疗前、治疗中和治疗后收缩压、心率和血氧饱和度值比较,组间、不同时间点、组间与不同时间点交互比较,差异有统计学意义(P<0.05)。护理后观察组SAS评分和SDS评分均低于对照组(P<0.05),且观察组患者满意程度和舒适度优于对照组(P<0.05)。护理后,观察组患者治疗依从性评分高于对照组,差异有统计学意义(P<0.05)。结论放松训练结合舒适护理可改善经电子支气管镜治疗支气管扩张患者的治疗效果、满意度、舒适度以及患者的心理状态,从而提高患者的治疗依从性。Objective To explore the effects of relaxation training combined with comfort nursing on the comfort,psychological state and treatment compliance of patients with bronchiectasis treated by electronic bronchoscopy.Methods A total of 80 patients with bronchiectasis treated by electronic bronchoscopy in the hospital from July 2019 to July 2021 were selected as the study objects,and they were divided into an observation group and a control group according to the principle of balance and comparability of the basic characteristics between the groups,with 40 cases in each group.The patients in the control group were given routine nursing care,and the patients in the observation group were given relaxation training combined with comfort nursing on the basis of the control group.The differences in systolic blood pressure,heart rate,blood oxygen saturation value and comfort level,nursing satisfaction,psychological state and treatment compliance were compared and analyzed between the two groups.Results The comparison of systolic blood pressure,heart rate and blood oxygen saturation values between the two groups before treatment,during treatment and after treatment,and the interactive comparison between groups,at different time points,between groups and at different times had statistical significance(P<0.05).After nursing,the scores of SAS and SDS in the observation group were lower than those in the control group(P<0.05),and the satisfaction and comfort of patients in the observation group were better than those in the control group(P<0.05).After nursing,the treatment compliance score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Relaxation training combined with comfort nursing can improve the therapeutic effect,satisfaction,comfort and psychological state of patients with bronchiectasis treated by electronic bronchoscopy,thereby improving patients’treatment compliance.

关 键 词：放松训练 舒适护理 电子支气管镜 支气管扩张 舒适度 心理状态 依从性 

分 类 号：R473.56[医药卫生—护理学]