临床护理路径在胸腔镜手术微创治疗气胸护理中的应用及对患者呼吸力学的影响

Application of Clinical Nursing Pathway in Nursing of Minimally Invasive Thoracoscopic Surgery for Pneumothorax and Its Influence on Patients’ Respiratory Mechanics

目的:探讨临床护理路径在胸腔镜手术微创治疗气胸护理中的应用及对患者呼吸力学的影响。方法:选取2017年3月-2019年3月本院收治的气胸患者100例,随机分为对照组与研究组。两组均进行胸腔镜手术微创治疗,对照组术后给予常规护理,研究组术后给予临床护理路径干预。对比两组呼吸力学指标水平、肺功能、住院天数、相关护理指标以及负性情绪评分。结果:两组护理前气道阻力、气道峰压、平台压等呼吸力学指标水平比较,差异均无统计学意义(P>0.05);两组护理后上述指标水平均有所降低,且研究组较对照组更优(P<0.05)。两组护理前FEV1、FEV1%及FEV1/FVC等肺功能指标水平比较,差异均无统计学意义(P>0.05);两组护理后上述肺功能指标水平均有所升高,且研究组均显著高于对照组(P<0.05);研究组住院天数少于对照组,且护理满意度得分、健康知识得分均高于对照组(P<0.05);两组护理前SAS、SDS评分比较,差异均无统计学意义(P>0.05);研究组护理后SAS、SDS评分均低于对照组(P<0.05)。结论:在气胸患者进行胸腔镜手术微创治疗护理中进行临床护理路径干预,可改善呼吸力学指标水平与肺功能水平,在调节患者焦虑、抑郁等负性情绪的同时还可提升护理满意度,使其掌握更多的康复知识,缩短住院时间,值得推广。

Objective: To explore the application of clinical nursing pathway in nursing of minimally invasive thoracoscopic surgery for pneumothorax and its influence on patients’ respiratory mechanics. Method: A total of 100 patients with pneumothorax admitted to our hospital from March 2017 to March 2019 were randomly divided into the control group and the research group. Two groups were treated with minimally invasive thoracoscopic surgery, the control group received routine nursing after operation, and the research group received clinical nursing path intervention after operation. Respiratory mechanics index levels, lung function, hospitalization days, related nursing outcome index and negative emotional score of two groups were compared. Result: There were no significant differences in respiratory mechanics indexes such as airway resistance, peak airway pressure and platform pressure between two groups before and after nursing(P>0.05). After nursing, the above indexes of two groups were decreased, and the index levels of the research group were better than those of the control group(P<0.05). There were no significant differences in lung function indexes such as FEV1, FEV1% and FEV1/FVC% between two groups before nursing(P>0.05). The above indexes of pulmonary function in two groups were increased, and the research group were significantly higher than those of the control group(P<0.05). The length of hospitalization in the research group was less than that in the control group, and the scores of nursing satisfaction and health knowledge in the research group were higher than those in the control group(P<0.05). There were no significant difference in SAS and SDS scores between two groups before nursing(P>0.05). The scores of SAS and SDS in the research group were lower than those in the control group(P<0.05). Conclusion: Clinical nursing pathway intervention in minimally invasive treatment and nursing of pneumothorax patients can improve the level of respiratory mechanics and pulmonary function of patients, regulate the negative emotions of patients such as anxiety and depression, at the same time, improve the satisfaction of patients with nursing, make patients master more rehabilitation knowledge, shorten hospitalization time, which is worthy of promotion.