胸腔引流监测报警装置在肺叶切除术后患者中的应用研究  

Application research of a thoracic drainage monitoring and alarm device in patients with pulmonary lobe resection

作　　者：叶璐 刘丽峰 张方圆 YE Lu;LIU Lifeng;ZHANG Fangyuan(Tianjin Medical University Cancer Institute Hospital&National Clinical Research Center for Cancer&Key Laboratory of Cancer Prevention and Therapy of Tianjin&Tianjin's Clinical Research Center for Cancer,Tianjin 300060,China)

机构地区：[1]天津医科大学肿瘤医院,国家肿瘤临床医学研究中心,天津市“肿瘤防治”重点实验室,天津市恶性肿瘤临床医学研究中心,天津300060

出　　处：《护士进修杂志》2025年第1期30-33,38,共5页Journal of Nurses Training

基　　金：天津市医学重点学科(专科)建设项目(编号:TJYXZDXK-011A)。

摘　　要：目的观察胸腔引流监测报警装置在肺叶切除术后患者中的应用效果。方法采用非同期对照研究设计,选取我院肺部肿瘤科100例接受肺叶切除术的患者作为研究对象,选取其中2023年7—12月的50例患者作为对照组,2024年1—6月的50例患者作为观察组,观察组患者术后采用胸腔引流监测报警装置监测胸腔出血量,对照组术后采用常规方法进行人工监测。比较2组患者监测胸腔引流量所花费的时间和护患使用胸腔引流监测报警装置的满意度、使用感受情况。结果观察组患者胸腔引流量监测平均花费的时间为(10.65±0.87)s,明显低于对照组的平均花费时间(25.02±1.15)s(P<0.001)。观察组护士和患者对胸腔引流监测报警装置监测胸腔引流量的满意度分值分别为(4.88±1.32)分和(4.90±1.25)分,均高于对照组的(3.02±1.13)分和(2.98±1.02)分,且差异均有统计学意义(P<0.05)。通过访谈法比较观察组和对照组护士和患者的使用感受,观察组护士和患者的使用感受优于对照组。结论胸腔引流监测报警装置的可操作性强、灵敏度高,并且可以提高护患的满意度,有助于肺叶切除术患者的术后康复。Objective To observe the application effectiveness of a chest drainage monitoring and alarm device in patients after pulmonary lobe resection.Methods A total of 100 patients undergoing pulmonary lobectomy form the department of lung cancer in our hospital were selected as the research objects by using a non-parallel controlled study design,and 50 patients from July to December 2023 were selected as the control group,and 50 patients from January to June 2024 were selected as the observation group.The observation group utilized the chest drainage monitoring alarm device for postoperative monitoring of chest drainage volume,while the control group relied on conventional manual monitoring methods.Comparative analysis was conducted between 2 groups regarding the time required for monitoring chest drainage volume and the satisfaction levels of nurses and patients with the chest drainage monitoring alarm devices.Results The average time spent monitoring chest tube drainage in the observation group was(10.65±0.87)seconds,significantly lower than the control group's average of(25.02±1.15)seconds(P<0.001).The satisfaction scores of nurses and patients for the chest tube drainage monitoring alarm device in the observation group were(4.88±1.32)points and(4.90±1.25)points,respectively,both higher than the scores of(3.02±1.13)points and(2.98±1.02)points in the control group,with all differences being statistically significant(P<0.05).Compare the usage experience of nurses and patients in the observation group and control group through interview method.The usage experience of the observation group nurses and patients was better than that of the control group.Conclusion The developed chest drainage monitoring and alarm device demonstrates excellent operability and sensitivity,and its implementation enhances patient satisfaction and contributes to the postoperative recovery of patients undergoing pulmonary lobectomy.

关 键 词：肺部手术 胸腔闭式引流 监测报警装置 护理 

分 类 号：R473.73[医药卫生—护理学]