胸腔闭式引流术患者应用便携式胸腔引流瓶移动支架的效果观察  

Effects of the mobile bracket of portable chest drainage bottle in patients undergoing closed chest drainage

作　　者：刘娟 南炜娟 许艳霞 马荣 LIU Juan;NAN Weijuan;XU Yanxia;MA Rong(Department of Thoracic and Cardiac Surgery,Cardiovascular and Cerebrovascular Disease Hospital,General Hospital of Ningxia Medical University,Yinchuan 750002,China;Department of orthopedics,Cardiovascular and Cerebrovascular Disease Hospital,General Hospital of Ningxia Medical University,Yinchuan 750002,China)

机构地区：[1]宁夏医科大学总医院心脑血管病医院胸心外科,宁夏银川750002 [2]宁夏医科大学总医院心脑血管病医院骨科,宁夏银川750002

出　　处：《宁夏医学杂志》2024年第9期765-768,共4页Ningxia Medical Journal

基　　金：宁夏回族自治区重点研发计划项目(2021BEG03044)。

摘　　要：目的评估200例胸腔引流手术患者使用便携式移动支架的效果。方法选取接受胸腔闭式引流术的200例患者,将其随机分为观察组和对照组,每组100例。对照组患者术后将胸腔引流瓶放置在床旁,并进行常规的胸腔闭式引流知识宣教,鼓励患者手提引流瓶下地活动。观察组患者则将胸腔引流瓶安装在移动支架上,并进行相同的宣教和鼓励。比较2组患者的初次下地时间、引流管留置时间、住院时间、24 h离床率,以及不同时间点的VAS评分、6MWD、SAS、SDS、ADL和护理舒适度(BCS)评分。同时,记录了2组患者的护理相关并发症。结果观察组患者下地时间、置管时间、住院时间及24 h离床率均低于对照组(P<0.05);观察组患者术后24 h、术后48 h及拔管前VAS评分均低于对照组(P<0.05);观察组患者拔管前、拔管后的6MWD高于对照组(P<0.05);2组患者术后SAS和SDS评分比较差异有统计学意义(P<0.05);观察组患者术后48 h ADL和拔管后的ADL优于对照组(P<0.05);观察组患者术后24 h和术后48 h护理胸腔引流瓶BCS评分均较对照组高(P<0.05),观察组患者发生不良事件3例(3%),对照组患者发生不良事件17例(17%)。结论便携式胸腔引流瓶移动支架的应用可以显著提高胸腔引流术后患者的24 h离床率,缩短置管时间和住院天数,改善临床效果,并降低护理相关并发症的发生率。Objective To evaluate the effect of using a portable mobile bracket in 200 patients undergoing chest drainage surgery.Methods A total of 200 patients who underwent closed thoracic drainage were randomly divided into an observation group and a control group,with 100 cases in each group.After surgery,the chest bottle was placed beside the bed in the control group,and conventional closed thoracic drainage knowledge education and encouragement were given to carry the drainage bottle and walk.In the observation group,the chest drainage bottle was installed on a mobile bracket,and the same education and encouragement were given.Field activity time,drainage tube placement time,hospital stay,24-hour rate of leaving bed,tube related VAS score,6-minute walking distance(6MWD),self-rating anxiety scale(SAS),self-rating depression scale(SDS),ability of daily life(ADL)and Bruggeman Comfort Scale(BCS)of nursing comfort at different time points were compared between the two groups,and nursing related complications were recorded.Results The field activity time,drainage tube placement time,hospital stay,24-hour rate of leaving bed of the observation group was lower than those in control group(P<0.05).The VAS score of the observation group at 24 hours,48 hours after surgery and before the removal of the drainage tube were lower than those of the control group(P<0.05).The 6MWD of the observation group was higher than that of the control group before and after removal of the drainage tube(P<0.05).There were statistical differences in SAS and SDS between the two groups after surgery(P<0.05).The ADL of the observation group at 48 hours after operation and after removing the drainage tube was better than that of the control group(P<0.05).The BCS score of the observation group was higher than that of the control group at 24 hours and 48 hours after surgery(P<0.05).The complication rate was of 3%(3/100)in the observation group and was of 17%(17/100)in the control group.Conclusion The application of portable chest bottle mobile bracket can

关 键 词：胸腔引流瓶 便携式移动支架 康复护理 并发症 

分 类 号：R473.6[医药卫生—护理学]