胸腔闭式引流术后的优化护理对策分析及临床疗效评价

Optimized nursing strategy for thoracic closed drainage and its clinical outcomes

目的观察胸腔引流术后的优化护理在临床中的应用及临床效果评价。方法将本院术后给予胸腔闭式引流术患者109例按照入院顺序分为2组,其中观察组58例采取闭式引流术后优化护理模式,对照组51例采用常规护理模式。观察2组患者相关并发症发生率、SAS、SDS评分、护理满意度调查。结果观察组患者褥疮发生率、肺不张发生率、总并发症发生率显著低于对照组;观察组患者在给予心理辅导后,抑郁自评量表(SDS)及焦虑自评量表(SAS)评分显著低于对照组;观察组护理总满意度显著高于对照组(P<0.05)。结论优化护理可显著降低患者不良反应发生率,减轻患者焦虑、抑郁心理,同时提高医院护理满意度。

Objective To observe optimized nursing strategy for thoracic closed drainage and its clinical outcomes. Methods A total of 109 patients treated with thoracic closed drainage were retrospectively analyzed, and the patients were divided into two groups according to the order of admission, 58 cases in observation group treated with optimized nursing care, and 51 in the control group treated with regular health care. The incidence of complications, SAS, SDS scores and nursing satis- faction in two groups were compared. Results The incidences of decubitus and atelectasis, and total incidence of complications in the observation group were significantly lower than that in the control group. The Self- rating Depression Scale （SDS） and Self- rating Anxiety Scale （SAS） score in pa- tients in the observation group given psychological counseling were significantly lower than that in the control group. The total satisfaction in the observation group was significantly higher than that in the control group （ P 〈 0.05 ）. Conclusion The optimized nursing for patients with thoracic closed drain- age can significantly reduce the risk of adverse reactions, alleviate the anxiety and depression and im- prove the satisfaction towards hospital nursing. Therefore, it is worthy of application in the future clini- cal nursing.