系统护理干预在开胸手术呼吸道管理中的应用

The application of systematic nursing intervention in respiratory tract management in open chest operation

目的:探讨系统护理干预在开胸手术呼吸道管理中的应用效果。方法:将200例食道癌及肺癌患者随机分为试验组、对照组各100例。对照组采用常规的胸外科围手术期护理,试验组在此基础上手术前加强健康教育及有效咳嗽方法训练,手术后配合胸背部叩击等系统护理干预措施。观察两组手术后有效咳嗽排痰的效果及肺不张、肺感染的发生率。结果:试验组术后有效咳嗽排痰的效果明显优于对照组(P<0.05);肺不张的发生率明显低于对照组(P<0.05)。结论:系统护理干预措施可以促进患者有效咳嗽排痰,降低开胸术后肺不张的发生率。

Objective： To explore the application effect of systematic nursing intervention in respiratory tract management in open chest operation. Methods： 200 cases of patients with esophageal cancer and lung cancer were randomly divided into experimental group and control group, with 100 cases in each. The control group used conven- tional Department of thoracic surgery perioperative nursing, the experimental group, on the basis of that, strengthened preoperative health education and effective cough training before operation, gave systematic nursing intervention, such as chest percussion after surgery. Observing the two groups after the effective rate of cough and expectoration effect of pulmonary atelectasis, pulmonary infection. Results： the test group patients after effective cough effect was significant- ly better than the control group （P〈0.05）;pulmonary atelectasis rate was significantly lower than the control group （P〈0.05）. Conclusion： Systematic nursing intervention can promote patients effective cough, reduce the incidence rate of the post thoracotomy atelectasis.