整体护理干预对肋骨骨折行胸腔闭式引流术治疗患者的影响

The influence of holistic nursing intervention on patients with rib fracture undergoing thoracic closed drainage treatment

目的探讨整体护理干预对肋骨骨折行胸腔闭式引流术治疗患者的影响。方法选取2017年1月~2018年12月我院收治的120例肋骨骨折行胸腔闭式引流术治疗患者,按照随机数字表法分为对照组、实验组,每组各60例。对照组进行常规护理,实验组在常规护理的基础上进行整体护理。比较两组患者的住院时间,拔管时间,疼痛视觉模拟评分法(VAS)评分以及排痰情况,对护理效果进行评价。结果实验组的排痰情况明显优于对照组,差异有统计学意义(P<0.05)。实验组的拔管时间为(7.37±4.15)d,住院时间为(35.18±3.88)d,均明显短于对照组的(18.29±4.86)、(66.45±4.13)d(P<0.01)。实验组的疼痛VAS评分为(2.21±1.05)分,明显低于对照组的(5.03±1.34)分(P<0.01)。实验组的护理总有效率显著高于对照组,差异有统计学意义(P<0.01)。结论整体护理干预在胸腔闭式引流术治疗肋骨骨折中具有良好的效果,可为临床研究提供相关理论基础。

Objective To explore the influences of of holistic nursing intervention on patients with rib fracture undergoing thoracic closed drainage treatment.Methods All of 120 cases of rib fracture treated with thoracic closed drainage treatment treated in our hospital from January 2017 to December 2018 were selected and they were divided into the control group and experimental group according to the random number table method,each group had 60 cases.The control group received routine nursing,while the experimental group received holistic nursing on the basis of the routine nursing.The hospitalization time,extubation time,pain visual analogue scale (VAS) score and sputum expectoration were compared in patients between the two groups,and the nursing effect was evaluated.Results The sputum expectoration of the experimental group was significantly better than that of the control group,and the difference was statistically significant (P<0.05).The extubation time and hospitalization time of the experimental group was (7.37±4.15) days and (35.18±3.88) days,which were significantly shorter than those of the control group ([18.29±4.86] and [66.45±4.13] days)(P<0.01).The pain VAS score of the experimental group was (2.21±1.05) points,which was significantly lower than that of the control group for (5.03±1.34) points (P<0.01).The total effective rate of nursing in the experimental group was significantly higher than that in the control group,and the difference was statistically significant (P<0.01).Conclusion The holistic nursing intervention has a good effect in the treatment with rib fractures using thoracic closed drainage,and it also provides relevant theoretical basis for clinical research.