综合呼吸功能护理训练对于胸外科手术患者术后肺功能恢复的作用研究

Research of effect by comprehensive respiratory function nursing training for postoperative pulmonary function rehabilitation in thoracic surgical operation patients

目的研究综合呼吸功能护理训练应用于胸外科手术患者术后肺功能恢复中的作用。方法 48例接受胸外科手术治疗的患者,随机分为常规组与综合组,各24例。常规组患者给予围术期常规护理,综合组患者在常规组的基础上应用综合呼吸功能护理训练。观察两组患者护理前后肺功能变化情况,比较两组患者生活质量、住院时间。结果护理前两组患者各项肺功能指标比较差异无统计学意义(P>0.05)。护理后,综合组患者各项肺功能指标均明显优于常规组,差异具有统计学意义(P<0.05)。综合组慢性阻塞性肺疾病评估测试评分(CAT)为(9.39±2.32)分,低于常规组的(12.61±2.76)分,差异具有统计学意义(P<0.05);综合组住院时间为(9.51±3.54)d,短于常规组的(12.53±3.42)d,差异具有统计学意义(P<0.05)。结论综合呼吸功能护理训练应用于胸外科手术患者中,具有提高患者手术耐受性、提高患者术后肺功能以及改善预后生活质量的作用,可于胸外科手术患者围术期护理中推广应用。

Objective To research effect by effect by comprehensive respiratory function nursing training for postoperative pulmonary function rehabilitation in thoracic surgical operation patients. Methods A total of 48 patients receiving thoracic surgical operation were randomly divided into conventional group and comprehensive group, with 24 cases in each group. The conventional group received conventional perioperative nursing, and the comprehensive group also received additional respiratory function nursing training to nursing for the conventional group. Observation was made on pulmonary function changes before and after nursing in both groups. Comparison was made on quality of life and hospital stay time between the two groups. Results There was no statistically significant difference of pulmonary function indexes before nursing between the two groups（P〉0.05）. After treatment, the comprehensive group had all better pulmonary function indexes than the conventional group, and the difference had statistical significance（P〈0.05）. The comprehensive group had lower chronic obstructive pulmonary disease assessment test（CAT） score as（9.39±2.32） points than（12.61±2.76） points in the conventional group, and their difference had statistical significance（P〈0.05）. The comprehensive group had shorter hospital stay time as（9.51±3.54） d than（12.53±3.42） d in the conventional group, and the difference had statistical significance（P〈0.05）. Conclusion Implement of comprehensive respiratory function nursing training in thoracic surgical operation patients shows effect in enhancing operation tolerance and postoperative pulmonary function, and improving prognosis and quality of life. This method can be promoted and applied in perioperative nursing for thoracic surgical operation patients.