综合护理干预对胸外科术后患者排痰效果、肺部感染率、血气指标及生活质量的影响

Effect of comprehensive nursing intervention on expectoration effect, pulmonary infection rate, blood gas indexes and quality of life of patients after thoracic surgery

目的观察综合护理干预对胸外科术后患者排痰效果、肺部感染率、血气指标及生活质量的影响。方法选取2016年1月至2016年12月我院收治的76例胸外科术后患者为对照组(常规护理干预),选取2017年1月至2017年12月收治的77例胸外科术后患者为综合组(综合护理干预)。比较两组患者的排痰效果、肺部感染率、护理前、后血气指标及生活质量评分。结果综合组的排痰有效率显著高于对照组,肺部感染率显著低于对照组(P<0.05);护理后,两组的PaO_2、SaO_2及PaCO_2水平均显著改善,且综合组显著优于对照组(P<0.05)。护理后,两组的生理、心理、社会关系及社会环境评分均显著升高,且综合组显著高于对照组(P<0.05)。结论综合护理干预可明显提高胸外科术后患者的排痰效果,改善患者肺功能和生活质量,降低肺部感染的发生率,值得临床推广应用。

Objective To observe the effect of comprehensive nursing intervention on expectoration effect, pulmonary infection rate, blood gas indexes and quality of life of patients after thoracic surgery. Methods A total of 76 cases of patients after thoracic surgery admitted in our hospital from January 2016 to December 2016 were selected as control group(routine nursing intervention), and 77 patients after thoracic surgery admitted from January 2017 to December 2017 were selected as comprehensive group(comprehensive nursing intervention). The expectoration effecs, pulmonary infection rates,blood gas indexes and quality of life scores before and after nursing were compared between the two groups. Results The expectoration efficiency of the comprehensive group was significantly higher than that of the control group, and the pulmonary infection rate was significantly lower than that of the control group(P<0.05). After nursing, the levels of PaO2,SaO2 and PaCO2 in the two groups improved significantly, and those in the comprehensive group were significantly better than the control group(P <0.05). After nursing, the scores of physiology, psychology, social relationship and social environment of the two groups increased significantly, and those in the comprehensive group were significantly higher than the control group(P <0.05). Conclusion Comprehensive nursing intervention can significantly improve the expectoration effect, pulmonary function and quality of life of patients after thoracic surgery, and reduce the incidence of pulmonary infection, which is worthy of clinical promotion and application.