协助腹部手术后患者有效咳痰方法的改进及效果观察

Improved method to assist patients after abdominal surgery to expectorate and clinical efficacy

目的探讨腹部手术后患者咳痰方法的改进。方法选择行腹部手术患者63例,采用自身对照的方法,护士分别使用常规方法与改进后方法协助患者进行咳痰,比较两种方法的成功率及对患者舒适度的影响。结果使用改进后的方法协助患者咳痰的有效率为87.3%,明显高于常规方法(33.3%),差异有统计学意义(P<0.05),改进后的方法舒适度显著优于常规方法(P<0.05)。结论对腹部手术患者采用改进后方法协助咳痰,能够明显提高咳痰的成功率、减轻患者的不适。

OBJECTIVE To explore the improved methods of expectoration after abdominal surgery. METHODS The clinical data of expectoration after abdominal surgery on 63 cases were analyzed. The patients coughed up phlegm with the help of conventional methods and improved methods by nurse,the success rate and the comfort of the two methods were compared. RESULTS The success rate and the comfort of the improved methods of expectoration were higher than the conventional methods, and there were statistical significance difference between the two methods （P〈0.05）. CONCLUSION The use of the improved methods of expectoration can obviously and effectively improve the success rate of expectoration, and reduce the discomfort of patients.