责任制护理干预在恶性胸腔积液胸腔热灌注治疗患者中的应用效果  

Application effect of responsibility nursing intervention in patients with malignant pleural effusion treated by thoracic hyperthermic perfusion

作　　者：蔺小艳 李晓琴[1] LIN Xiaoyan;LI Xiaoqin(Yulin No.2 Hospital,Yulin 719000,China)

机构地区：[1]榆林市第二医院,陕西榆林719000

出　　处：《临床医学研究与实践》2023年第18期163-166,共4页Clinical Research and Practice

摘　　要：目的探讨责任制护理干预在恶性胸腔积液胸腔热灌注治疗患者中的应用效果。方法选取2020年1月至2021年1月我院60例恶性胸腔积液胸腔热灌注治疗患者为研究对象,依据护理措施不同将其分为常规组(n=28,常规护理干预)和试验组(n=32,责任制护理干预)。比较两组的积液缓解情况、并发症发生情况、护理质量、健康状况。结果试验组的积液总缓解率高于常规组,差异具有统计学意义(P<0.05)。试验组的并发症总发生率低于常规组,差异具有统计学意义(P<0.05)。试验组的护理能力、护理态度、责任心评分高于常规组,差异具有统计学意义(P<0.05)。干预后,两组的卡氏功能状态评分(KPS)评分均升高,且试验组高于常规组,差异具有统计学意义(P<0.05)。结论责任制护理干预用于恶性胸腔积液胸腔热灌注治疗患者中可提高积液缓解率,减少并发症发生,提高护理质量及患者健康状况,值得临床推广和应用。Objective To explore the application effect of responsibility nursing intervention in patients with malignant pleural effusion treated by thoracic hyperthermic perfusion.Methods From January 2020 to January 2021,60 patients with malignant pleural effusion treated by thoracic hyperthermic perfusion in our hospital were selected as the research objects.According to different nursing measures,the patients were divided into routine group(n=28,routine nursing intervention)and experimental group(n=32,responsibility nursing intervention).The remission of effusion,occurrence of complications,nursing quality and health status were compared between the two groups.Results The total remission rate of effusion in the experimental group was higher than that in the routine group,and the difference was statistically significant(P<0.05).The total incidence of complications in the experimental group was lower than that in the routine group,and the difference was statistically significant(P<0.05).The scores of nursing ability,nursing attitude and responsibility in the experimental group were higher than those in the routine group,and the differences were statistically significant(P<0.05).After intervention,the Karnofsky Performance Scale(KPS)score of the two groups increased,and that of the experimental group was higher than the routine group,the difference was statistically significant(P<0.05).Conclusion Responsibility nursing intervention applied in patients with malignant pleural effusion treated by thoracic hyperthermic perfusion can improve the remission rate of effusion,reduce the occurrence of complications,and improve the nursing quality and the health status of patients.It is worthy of clinical promotion and application.

关 键 词：恶性胸腔积液 胸腔热灌注 责任制护理干预 

分 类 号：R473[医药卫生—护理学]