围术期精细化护理在内科胸腔镜术中的应用效果分析  

Effect Analysis of Perioperative Refined Nursing in Medical Thoracoscopy

作　　者：付正萍 Fu Zhengping(People's Hospital of Southwest Guizhou Buyi and Miao Autonomous Prefecture,Xingyi 562400,Guizhou Province,China)

机构地区：[1]黔西南布依族苗族自治州人民医院,贵州兴义562400

出　　处：《中外医药研究》2024年第9期138-140,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析围术期精细化护理在内科胸腔镜术中的应用效果。方法:选取2022年11月—2023年11月拟于黔西南布依族苗族自治州人民医院行内科胸腔镜治疗的胸腔积液患者75例作为研究对象,采用抽签法分为试验组(n=38)与对照组(n=37)。对照组实施常规围术期护理,试验组实施围术期精细化护理。比较两组疼痛程度、并发症发生情况、肺功能。结果:护理前,两组视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);护理后,两组VAS评分降低,试验组低于对照组,差异有统计学意义(P<0.05)。试验组并发症总发生率低于对照组,差异有统计学意义(P=0.029)。护理前,两组用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、FEV_(1)/FVC水平比较,差异无统计学意义(P>0.05);护理后,两组FVC、FEV_(1)、FEV_(1)/FVC水平升高,试验组高于对照组,差异有统计学意义(P<0.05)。结论:围术期精细化护理在科胸腔镜术中的应用效果显著,可缓解疼痛,降低并发症发生率,改善肺功能。Objective:To analyze the effect of perioperative refined nursing in medical thoracoscopy.Methods:A total of 75 patients with pleural effusion undergoing thoracoscopic treatment were selected as the study objects at the People's Hospital of Southwest Guizhou Buyi and Miao Autonomous Prefecture from November 2022 to November 2023,and were divided into the experimental group(n=38)and the control group(n=37)by drawing lots.The control group received routine perioperative nursing,and the experimental group received perioperative refined nursing.The degree of pain,complications and lung function were compared between the two groups.Results:Before nursing,there was no significant difference in VAS scores between the two groups(P>0.05);after nursing,VAS score decreased in both groups,and the experimental group was lower than the control group,the difference was statistically significant(P<0.05).The total complication rate of experimental group was lower than that of control group,and the difference was statistically significant(P=0.029).Before nursing,there was no significant difference in forced vital capacity(FVC),forced expiratory volume at the first second(FEV_(1))and FEV_(1)/FVC level between the two groups(P>0.05);after nursing,the levels of FVC,FEV_(1) and FEV_(1)/FVC in two groups were increased,and the experimental group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion:Perioperative refined nursing in thoracoscopic surgery can relieve pain,reduce the incidence of complications and improve lung function.

关 键 词：胸腔积液 内科胸腔镜术 围术期精细化护理 

分 类 号：R473.5[医药卫生—护理学]