综合护理干预对胸外科术后患者排痰效果和肺部感染的影响

Effect of Comprehensive Nursing Intervention on Sputum Discharge and Pulmonary Infection in Patients after Thoracic Surgery

目的观察胸外科术后患者接受综合护理干预对排痰效果和肺部感染问题产生的临床影响。方法对厦门市某三甲医院在2020年1月至2021年1月期间接受胸外科治疗的80例患者进行研究,按照随机分组原则将患者分为对照组和研究组,两组患者组间例数均为40例,其中,对照组患者接受常规护理,研究组患者在常规护理的同时增加综合护理干预,对两组患者在不同护理方案中的排痰效果和肺部感染情况进行研究,并详细比较两组患者生活质量与血气指数。结果研究组患者的排痰效果82.50%明显优于对照组52.50%,且研究组患者的肺部感染率2.50%低于对照组20.00%,组间数据比较差异有统计学意义(P<0.05)。接受不同护理方案后,研究组PaCO_(2)(39.23±3.55)mmHg低于对照组PaCO_(2)(46.38±4.61)mmHg,组间数据对比差异有统计学意义(P<0.05);研究组SaO2(0.93±0.23)%、PaO2(88.57±8.53)mm Hg高于对照组SaO_(2)(0.83±0.16)%、PaO2(80.25±8.05)mm Hg,组间数据对比差异有统计学意义(P<0.05);研究组社会环境(93.28±2.75)分、社会关系(93.25±3.31)分、生理表现(96.63±0.38)分、心理状态(95.24±1.18)分均高于对照组社会环境(85.68±4.48)分、社会关系(80.46±5.38)分、生理表现(85.47±3.27)分、心理状态(83.36±3.86)分,组间数据对比差异有统计学意义(P<0.05)。结论综合护理干预方法在胸外科术后护理中的合理应用不仅能提高患者的排痰效果,同时还能有效优化患者肺部功能,是患者生活质量提高的重要基础,作为重要的护理方法应在临床发展中广泛应用。

Objective To observe the clinical effect of comprehensive nursing intervention on sputum discharge and pulmonary infection in patients after thoracic surgery.Methods Patients in a hospital from January 2020 to January 2021,80 patients,patients were divided into control and study group according to the principle of randomization,the two groups are 40 cases,among them,the control patients receive routine care,the study group in routine care while increasing comprehensive nursing intervention,the effect of patients in different care programs and lung infection,and compare the quality of life and blood gas index of two groups in detail.Results The expectoration effect of the patients in the study group(82.50%)was better than that of the control group(52.50%),and the pulmonary infection rate of the patients in the study group(2.50%)was lower than that of the control group(20.00%).The difference between the two groups was statistically significant(P<0.05).After receiving different nursing programs,the PaCO_(2)(39.23±3.55)mm Hg in the study group was lower than that in the control group(46.38±4.61)mm Hg,and the difference between the two groups was statistically significant(P<0.05).SaO_(2)(0.93±0.23)%and PaO_(2)(88.57±8.53)mm Hg in the study group were higher than those in the control group(0.83±0.16)%and PaO2(80.25±8.05)mm Hg,and the difference between the two groups was statistically significant(P<0.05).The scores of social environments(93.28±2.75),social relations(93.25±3.31),physiological performance(96.63±0.38)and psychological state(95.24±1.18)in the study group were all higher than those in the control group[(85.68±4.48),(80.46±5.38),(85.47±3.27),(83.36±3.86)].Conclusion The reasonable application of comprehensive nursing intervention in postoperative nursing of thoracic surgery can not only improve the sputum discharge effect of patients,but also effectively optimize the pulmonary function of patients.It is an important basis for improving the quality of life of patients.As an important nursing means,it should be widely used in clinical development.