Y型支架置入治疗支气管阻塞致肺不张的临床护理

Clinical nursing of patients with bronchial obstruction caused by Y stent implantation

目的探讨Y型支架置入治疗支气管阻塞致肺不张的临床护理。方法选取采用Y型支架置入治疗支气管阻塞致肺不张患者12例,应用包含心理护理、术前准备、术中护理、术后护理、并发症处理、出院指导和随访等多种护理措施的临床综合护理路径对其进行护理,观察患者的临床表现和满意度。结果支气管阻塞致肺不张治疗后血氧饱和度显著高于治疗前,差异具有统计学意义(P<0.05);而护理3 d后血氧饱和度显著高于治疗前,治疗前后差异均有统计学意义(P<0.05)。患者很满意7例(58.3%),满意4例(33.3%),一般1例(8.3%),不满意0例,总满意11例(96.7%)。结论 Y型支架置入治疗支气管阻塞致肺不张的其护理中应用临床综合护理路径能提高临床疗效,且患者满意度高,从而改善护患关系。

Objective To explore the clinical nursing of patients with bronchial obstruction caused by Y stent implantation. Methods A total of 12 atelectasis cases with bronchial obstruction treated by Y stent were selected,clinical nursing pathway was applied and included psychological nursing,preoperative preparation,postoperative nursing and postoperative nursing,complications of treatment,discharge guidance and follow-up nursing,clinical performance and satisfaction were observed. Results The blood oxygen saturation after treatment was significantly higher than treatment before,and the difference was statistically significant（ P〈 0. 05）. After 3 d nursing,oxygen saturation was significantly higher than treatment before（ P〈 0. 05）. Seven patients（ 58. 3%） were quite satisfied,4（ 33. 3%） were satisfactory,1（ 8. 3%） were general satisfied,and there was no unsatisfactory patients,and overall satisfaction were 96. 7%. Conclusion Clinical nursing pathway for Y stent placement in the treatment of pulmonary congestion caused by bronchial obstruction can improve the clinical efficacy and satisfaction,and enhance the relationship between nurses and patients.