整体护理模式在自发性气胸患者胸腔闭式引流术围术期中的应用效果研究

Research on Application Effect of Holistic Nursing Model on Closed Drainage of Thoracic Cavity in Perioperative Patients with Spontaneous Pneumothorax

目的:分析整体护理模式在自发性气胸患者胸腔闭式引流术围术期中的应用效果。方法:选取2020年1月-2021年12月广东药科大学附属第一医院收治的70例自发性气胸患者为研究对象,依据随机数字表法分为对照组和观察组,各35例。对照组实施常规护理,观察组实施整体护理,比较两组疼痛程度、负性情绪、并发症发生率及护理满意度。结果:观察组Ⅱ级、Ⅲ级疼痛占比均小于对照组,差异有统计学意义(P<0.05)。干预前,两组精神卫生症状自评量表(SCL-90)评分比较,差异无统计学意义(P>0.05);干预后,两组SCL-90评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论:整体护理模式利于缓解自发性气胸患者胸腔闭式引流术后疼痛程度,调节其负性情绪,降低并发症发生风险,提高护理满意度。

Objective: To analyze the application effect of holistic nursing model in closed drainage of thoracic cavity in perioperative patients with spontaneous pneumothorax. Methods: Seventy patients with spontaneous pneumothorax admitted to the First Affiliated Hospital of Guangdong Pharmaceutical University from January 2020 to December 2021 were selected as the study subjects. They were divided into control group and observation group according to random number table method, with 35 cases in each group. The control group received routine nursing, while the observation group received holistic nursing. The degree of pain,negative emotion, incidence of complications and nursing satisfaction were compared between the two groups. Results: The proportion of Grade Ⅱ and Grade Ⅲ pain in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). Before the intervention, there was no significant difference in Symptom Checklist-90(SCL-90)scores between the two groups(P>0.05). After the intervention, the SCL-90 scores in two groups were lower than those before the intervention, and the observation group was lower than the control group, the difference was statistically significant(P<0.05). The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). The total nursing satisfaction in the observation group was higher than that in the control group, and the difference was statistically significant(P<0.05). Conclusion: The holistic nursing model is beneficial to relieve the pain degree of patients with spontaneous pneumothorax after closed drainage of thoracic cavity, regulate their negative emotions, reduce the risk of complications and improve nursing satisfaction.