系统护理干预在结核性脓胸患者中的应用效果分析

Analysis of Application Effect of Systematic Nursing Intervention in Patients with Tuberculous Empyema

目的:探讨系统护理干预在结核性脓胸患者中的应用效果。方法:选取2020年1月-2021年3月江西省胸科医院收治的100例结核性脓胸患者作为研究对象,按随机数字表法分为对照组和观察组,各50例。对照组给予常规护理,观察组采用系统护理干预,两组均持续护理至患者出院,并随访1个月。对比两组术后肺部并发症发生率、术后疼痛、护理满意度、负面情绪及生活质量。结果:观察组术后肺部并发症发生率为12.00%,低于对照组的32.00%(P<0.05)。观察组数字分级评分法(NRS)评分低于对照组,护理满意度高于对照组,差异均有统计学意义(P<0.05)。干预前,两组SAS、GQOLI-74评分比较,差异均无统计学意义(P>0.05);干预后,两组SAS评分均低于干预前,GQOLI-74评分均高于干预前,且观察组SAS评分低于对照组,GQOLI-74评分高于对照组,差异均有统计学意义(P<0.05)。结论:系统护理干预能降低结核性脓胸患者术后肺部并发症发生率,减轻其负面情绪及术后疼痛,促进术后康复,提升生活质量,改善护理满意度。

Objective: To explore the application effect of systematic nursing intervention in patients with tuberculous empyema. Method: A total of 100 patients with tuberculous empyema who admitted to Jiangxi Provincial Chest Hospital from January 2020 to March 2021 were selected as the research objects. According to the random number table, they were divided into the control group and the observation group, 50 cases in each group. The control group was given routine nursing care, and the observation group was treated with systematic nursing intervention. Both groups continued nursing until patients were discharged and followed up for 1 month. The incidence of postoperative pulmonary complications, postoperative pain, nursing satisfaction, negative emotions and quality of life were compared between two groups. Result: The incidence of postoperative pulmonary complications in the observation group after surgery was 12.00%, which was lower than 32.00% in the control group(P<0.05). The numerical rating scale(NRS) score of the observation group was lower than that of the control group, and the nursing satisfaction was higher than that of the control group, the differences were statistically significant(P<0.05). Before intervention, there were no significant difference in SAS and GQOLI-74 scores between two groups(P>0.05). After intervention, the SAS scores of two groups were lower than those before intervention, the GQOLI-74 scores were higher than those before intervention, the SAS score of the observation group was lower than that of the control group,and the GQOLI-74 score was higher than that of the control group, the differences were statistically significant(P<0.05). Conclusion: Systematic nursing intervention can reduce the incidence of postoperative pulmonary complications in patients with tuberculous empyema, reduce their negative emotions and postoperative pain, promote postoperative recovery, improve the quality of life, and improve nursing satisfaction.