大容量全肺灌洗术后的康复护理

目的探讨大容量肺灌洗术后康复护理的效果。方法将某院2016年974例患者设为观察组,2015年970例患者设为对照组。对照组患者进行术后常规护理,观察组在常规护理基础上进行术后康复护理,进行健康教育、有效的心理疏导、饮食指导、矫正患者不良的生活方式、预防感冒、合理氧疗、有效排痰、呼吸功能康复锻炼。结果 (1)术后咳嗽、咳痰、胸闷等不适症状改善时间观察组(2.3±0.6)d,对照组(5.3±1.1)d,两组比较,差异有高度统计学意义(P<0.01)。(2)术后并发症:观察组低氧血症3例,肺盘状不张3例,低钾血症7例。对照组低氧血症12例,肺盘状不张11例,低钾血症19例,两组比较,差异有统计学意义(P<0.05)。结论大容量肺灌洗术后加强康复护理,可促进术后恢复,改善患者的不适症状,提高生活质量。

Objective To investigate the effectiveness of rehabilitation nursing care after the whole lung lavage.Methods 974 hospitalized patients in 2016 were selected as the observation group while 970 hospitalized patients in 2015 were selected as the control group.The control group was given routine nursing care while the observation group was given routine nursing care as well as rehabilitation nursing care,health education,psychological counseling,diet guidance,unhealthy lifestyle correction,cold prevention,oxygen therapy,effective discharge of sputum and respiratory function rehabilitation exercises.Results The improvement time of adverse reactions such as coughing,expectoration,chest distress of the observation group was(2.3±0.6)d while the improvement time of the control group was(5.3±1.1)d.The difference between the two groups was of statistical significance(P<0.01).There were 3 cases of hypoxaemia,3 cases of pulmonary atelectasis and 7 cases of hypokalemia in the observation group while there were 12 cases of hypoxaemia,11 cases of pulmonary atelectasis and 19 cases of hypokalemia.The difference between the two groups showed statistical significance(P<0.05).Conclusion Rehabilitation nursing care after the whole lung lavage can promote postoperative rehabilitation,ease patients'discomfort and improve their life quality.