舒适护理模式在自发性气胸手术患者中的应用

Application of Comfortable Nursing Mode in Patients with Spontaneous Pneumothorax Surgery

目的分析观察自发性气胸手术患者采用舒适护理模式取得的临床效果。方法将2018年4月至2019年4月来我院治疗的84例自发性气胸患者分为观察组与对照组,同为42例。观察组以舒适护理模式干预,对照组则以常规护理模式干预,对比两组出现并发症的风险、患者对护理的满意度、恢复时间、不同阶段的疼痛程度、生活质量和舒适度等指标的统计学差异。结果①观察组[2例(4.76%)]出现并发症的风险比对照组[9例(21.43%)]更低,有统计学差异(P<0.05)。②观察组的机械通气时间、胃肠功能恢复时间和住院时间都比对照组短,差异明显(P<0.05)。③术前,两组患者的疼痛差异不显著(P>0.05),术后观察组的疼痛程度比对照组轻,且观察组的满意度评分比对照组更高,差异明显(P<0.05)。④观察组在护理以后的生活质量转变比对照组更理想,有统计学差异(P<0.05)。⑤观察组[40例(95.24%)]患者获取的舒适度体验高于对照组[34例(80.95%)],差异明显(P<0.05)。结论舒适护理模式应用在自发性气胸手术患者中可以减少并发症的风险,缩短恢复所需的时间,减轻疼痛和并发症出现的概率,促进生活质量的转归,使患者对护理的舒适性体验提升。

Objective To analyze and observe the clinical effect of comfortable nursing mode in patients with spontaneous pneumothorax surgery.Methods All 84 patients with spontaneous pneumothorax treated in our hospital from April 2018 to April 2019 were divided into observation group and control group,with 42 cases.The observation group was intervened by comfort nursing mode,while the control group was intervened by routine nursing mode.The statistical differences of the risk of complications,patients'satisfaction with nursing,recovery time,pain degree at different stages,quality of life and comfort were compared between the two groups.Results(1)The risk of complications in the observation group[2 cases(4.76%)]was lower than that in the control group[9 cases(21.43%)],with statistical difference(P<0.05).(2)The mechanical ventilation time,gastrointestinal function recovery time and hospitalization time of the observation group were shorter than those of the control group,and the difference was significant(P<0.05).(3)Before operation,there was no significant difference in pain between the two groups(P>0.05).After operation,the pain degree of the observation group was lighter than that of the control group,and the satisfaction score of the observation group was higher than that of the control group,with significant difference(P<0.05).(4)The quality of life in the observation group after nursing was better than that in the control group,with statistical difference(P<0.05).(5)The comfort experience of patients in the observation group[40 cases(95.24%)]was higher than that of the control group[34 cases(80.95%)],and the difference was significant(P<0.05).Conclusion The application of comfort nursing mode in patients with spontaneous pneumothorax surgery can reduce the risk of complications,shorten the time required for recovery,reduce the probability of pain and complications,promote the quality of life,and improve the patient's comfort experience of nursing.