皮下气肿护理管理方案在胸腔镜肺部手术患者中的应用  

Application effect of subcutaneous emphysema nursing management scheme in patients undergoing thoracoscopic lung surgery

作　　者：贺燕[1] 王旭 戴亮[1] 闫万璞[1] 陈克能[1] HE Yan;WANG Xu;DAI Liang;YAN Wanpu;CHEN Keneng(Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education/Beijing),the First Department of Thoracic Surgery,Peking University Cancer Hospital&Institute,Beijing,100142,China)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所胸外一科,恶性肿瘤发病机制及转化研究教育部重点实验室,北京市100142

出　　处：《中国护理管理》2023年第8期1245-1249,共5页Chinese Nursing Management

基　　金：国家重点研发计划资助项目(2017YFC0907504);北京市优秀人才培养资助项目(2018000021469G259);吴阶平医学基金(320.6750.2020-15-12)。

摘　　要：目的:评价胸腔镜肺部手术患者发生皮下气肿后,实施皮下气肿护理管理方案所取得的效果,为临床实施该管理方案提供借鉴。方法:采用便利抽样方法,收集2017年1月至2022年8月于北京市某三级甲等肿瘤医院胸外科行胸腔镜肺手术后发生皮下气肿的59例患者的临床资料,其中2级及以上皮下气肿患者有39例,根据是否使用皮下气肿护理管理方案分为传统方式组(13例)与实施管理方案组(26例),比较两组患者皮下气肿吸收时间、带胸腔闭式引流管时间、满意度评分等指标。结果:传统方式组与实施管理方案组患者皮下气肿吸收时间、满意度评分比较,差异均具有统计学意义(P<0.05),两组患者带胸腔闭式引流管时间比较,差异无统计学意义(P>0.05)。结论:对2级及以上皮下气肿患者应用皮下气肿护理管理方案可以缩短皮下气肿吸收时间,提高患者满意度,适合在胸腔镜肺部手术后皮下气肿患者中推广应用。Objective:To evaluate the effects of implementing subcutaneous emphysema nursing management scheme for patients with subcutaneous emphysema after thoracoscopic lung surgery.Methods:The total of 39 patients with at least grade 2 subcutaneous emphysema after thoracoscopic lung surgery in a tertiary grade A cancer hospital in Beijing were included by convenient sampling method from January 2017 to August 2022.Totally 13 patients were divided into control group and accepted routine nursing care,while 26 patients were divided into experiment group and accepted subcutaneous emphysema nursing management scheme.The absorption time of subcutaneous emphysema,the period with chest tube and the satisfaction score of patients were compared between the two groups.Results:The differences of subcutaneous emphysema absorption time and satisfaction score between the experiment group and the control group were statistically significant respectively(P<0.05).There was no statistical difference in the period of wearing chest tube between the two groups(P>0.05).Conclusion:The application of subcutaneous emphysema nursing management scheme to patients with grade 2 or above subcutaneous emphysema can shorten the absorption time of subcutaneous emphysema and improve patients'satisfaction.The nursing management scheme can be recommended for patients with subcutaneous emphysema after thoracoscopic lung surgery.

关 键 词：胸腔镜 肺部手术 皮下气肿 护理 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]