疼痛护理联合呼吸功能锻炼对胸腔积液术后患者的影响

Effect of Pain Care Combined with Respiratory Function Exercises on Postoperative Patients with Pleural Effusion

目的:探究疼痛护理联合呼吸功能锻炼对胸腔积液术后患者的影响。方法:选取2022年1月—2024年2月东莞市人民医院接诊的胸腔积液患者98例为研究对象,随机分为对照组与观察组,每组49例。对照组术后接受常规护理,观察组在对照组基础上接受疼痛护理联合呼吸功能锻炼。比较两组疼痛反应指标、肺功能相关指标、并发症、生活质量评分。结果:干预后,两组5-羟色胺、前列腺素E2水平及视觉模拟评分法评分均下降,观察组低于对照组(P<0.05);干预后,两组第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1/FVC水平均升高,观察组高于对照组(P<0.05);观察组并发症发生率低于对照组(P=0.045);干预后,两组生理、心理、环境、社会关系评分均升高,观察组高于对照组(P<0.05)。结论:疼痛护理联合呼吸功能锻炼用于胸腔积液患者术后,可缓解疼痛程度,降低术后并发症发生率,改善患者肺功能及生活质量。

Objective:To investigate the effect of pain care combined with respiratory function exercise on postoperative patients with pleural effusion.Methods:Ninety-eight patients with pleural effusion received by Dongguan People's Hospital from January 2022 to February 2024 were selected for the study,and were randomly divided into the control group and the observation group,with forty-nine cases in each group.The control group received routine care after surgery,and the observation group received pain care combined with respiratory function exercise on the basis of the control group.Comparison of pain response indexes,pulmonary function-related indexes,complications,and quality of life scores between the two groups.Results:After the intervention,the levels of 5-hydroxytryptamine,prostaglandin E2 and the score of visual analog scoring method decreased in both groups,and the observation group was lower than the control group(P<0.05);after the intervention,the levels of exertional expiratory volume in the first second(FEV1),exertional lung capacity(FVC)and FEV1/FVC increased in both groups,and the observation group was higher than the control group(P<0.05);the complication rate of the observation group was lower than that of the control group(P=0.045);after the intervention,the physiological,psychological,environmental,and social relationship scores of the two groups were elevated,and the observation group was higher than that of the control group(P<0.05).Conclusion:Pain care combined with respiratory function exercise for postoperative patients with pleural effusion can relieve the pain level,reduce the incidence of postoperative complications,and improve patients'pulmonary function and quality of life.