胸腔闭式引流术后大面积皮下气肿的护理

Nursing on extensive subcutaneous emphysema after thoracic close drainage

目的探讨个性化护理对胸腔闭式引流术后大面积皮下气肿的影响。方法收集本院行胸腔闭式引流术后出现大面积皮下气肿的患者40例,采用随机数字表法分为观察组和对照组,每组20例。观察组给予个性化护理,对照组给予常规护理。比较两组患者的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分以及并发症情况。结果两组患者术前SAS及SDS评分比较,差异无统计学意义(P>0.05);两组患者术后SAS及SDS评分均低于术前,差异有统计学意义(P<0.05),并且观察组术后SAS及SDS评分与对照组比较,差异有统计学意义(P<0.05)。观察组不良反应发生率为25.0%,对照组不良反应发生率为60.0%,两组差异有统计学意义(P<0.05)。结论对胸腔闭式引流术后出现大面积皮下气肿的患者实施个性化护理,能缓解其焦虑及抑郁情绪,减少并发症的发生。

Objective To explore the influence of personalized nursing on extensive subcutaneous emphysema after thoracic close drainage. Methods 40 patients with extensive subcutaneous emphysema after thoracic close drainage were collected in our hospital and evenly divided into observation group and control group by random number table. In the observation group, the personalized nursing was provided, while in the control group, regular nursing was given. The self-rating anxiety scale （SAS） scores, self-rating depress scale （SDS） scores and complications in both groups were compared. Results The scores of SAS and SDS before surgery in both groups had no significant differences （P〉 0.05）. After surgery, the SAS and SDS scores were lower than that before treatment with statistical differences （P〈 0.05）. The postoperative scores of SAS and SDS in the observation group displayed statistical differences in comparison with those in the control group （P〈0.05）. The incidence of adverse reaction in the observation group and control group was 25.0% and 60.0%, the difference was significant（P〈0.05）. Conclusion Personalized nursing on extensive subcutaneous emphysema after thoracic close drainage can alleviate anxiety and depression and also reduce the occurrence of complications.