基于症状管理理论的冰水喷雾对胸腔镜下肺叶切除术口渴患者的应用效果  

Application effect of ice water spray based on symptom management theory in thirsty patients undergoing thoracoscopic lobectomy

作　　者：马小兰 徐维昉[2,3] MA Xiao-lan;XU Wei-fang(School of Nursing,Xinjiang Medical University,Urumqi 830000,China;the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China;Health Care Research Center for Xinjiang Regional Population,Urumqi 830011,China)

机构地区：[1]新疆医科大学护理学院,新疆乌鲁木齐830000 [2]新疆医科大学第一附属医院,新疆乌鲁木齐830011 [3]新疆区域人群疾病与健康照护研究中心,新疆乌鲁木齐830011

出　　处：《护理学报》2025年第4期70-73,共4页Journal of Nursing(China)

摘　　要：目的 探讨基于症状管理理论的冰水喷雾对胸腔镜下肺叶切除术口渴患者的应用效果。方法 便利抽样法选取2023年11月—2024年4月在某医院行胸腔镜下肺叶切除术的患者84例为研究对象。根据患者手术时间先后分为为42例观察组,42例对照组。对照组给予常规护理,试验组在常规护理基础上实施基于症状管理理论的冰水喷雾干预。记录2组患者口渴程度、口腔黏膜湿润度、静息唾液流率、围术期口渴不适评分、反流、误吸、呕吐及呛咳的发生情况比较。结果 干预后观察组口渴程度、围术期口渴不适评分均明显低于对照组(P<0.001),静息唾液流率、口腔黏膜湿润度明显高于对照组(P<0.001),2组患者均无反流、误吸、呛咳情况发生,观察组有1例、对照组有2例患者出现呕吐,差异无统计学意义(P>0.05)。结论 基于症状管理理论的冰水喷雾可缓解胸腔镜下肺叶切除患者口渴程度,提高患者术后口腔舒适度且安全可行。Objective To explore the application effect of ice water spray based on symptom management theory(SMT)in thirsty patients undergoing thoracoscopic lobectomy.Methods Convenience sampling was used to select patients who underwent thoracoscopic lobectomy from November 2023 to April 2024 as research subjects.According to the operation time,the patients were divided into observation group and control group,with 42 cases in each.The control group was given routine nursing,and the observation group was given SMT-based ice water spray intervention on the basis of routine nursing.The degree of thirst,oral mucosal moisture,resting salivary flow rate,perioperative thirst discomfort score,reflux,aspiration,vomiting and cough were recorded and compared between the two groups.Results After intervention,the degree of thirst in the observation group was notably alleviated(P<0.001).Perioperative thirst discomfort score in the observation group was markedly lower than that in the control group(P<0.001).Resting salivary flow rate in the observation group was greatly higher than that in the control group(P<0.001).Oral mucosal wettability in the observation group was notably higher than that in the control group(P<0.001).There was no significant difference in reflux,aspiration,cough and vomiting between the two groups(P>0.05).Conclusion Ice water spray based on SMT can alleviate the degree of thirst in patients undergoing thoracoscopic lobectomy and improve patient comfort and it is safe and feasible.

关 键 词：症状管理理论 冰水喷雾 围术期口渴 肺叶切除术 

分 类 号：R473.6[医药卫生—护理学]