围术期感染护理路径预防胸部手术后肺部并发症的效果分析

Effect of Perioperative Nursing Pathway on Prevention of Pulmonary Complications after Thoracic Surgery

目的:分析围术期感染护理路径在预防胸部手术并发症的效果,提供临床护理参考。方法:选择2016年8月-2018年2月在笔者所在医院实施胸部手术的126例患者为观察对象,根据护理方式分为观察组(63例)和对照组(63例)。对照组采用常规护理,观察组在此基础上采取围术期感染护理。对两组患者均进行6个月随访,观察两组患者在不同护理情况下对肺部并发症预防效果。结果:观察组非常满意度和总满意度分别为85.7%、98.4%,均显著高于对照组的65.1%、87.3%,差异均有统计学意义(P<0.05)。观察组服药依从率和运动依从率分别为100%、92.1%,显著高于对照组患者的84.1%、65.1%,差异均有统计学意义(P<0.05)。观察组住院费用、住院天数均明显优于对照组,差异均有统计学意义(P<0.05)。结论:实施围术期护理路径既使得围术期护理的内容更加完善,又能够指导完成预见性的防护措施,促进治疗效果,提升患者满意程度。

Objective:To analyse the application effect of perioperative infection nursing pathway in preventing pulmonary complications after thoracic surgery,provide clinical nursing reference.Method:A total of 126 patients who underwent thoracic surgery in my hospital from August 2016 to February 2018 were selected as observation subjects,divided into observation group(63 cases) and control group(63 cases) according to the nursing method,the control group was given routine nursing,the observation group was Perioperative infection nursing on the basis of the control group.Two groups of patients were followed up for 6 months,the preventive effect of pulmonary complications in two groups of patients under different nursing conditions were observed and analyzed.Result:The patients in the observation group very satisfied respectively rate was 85.7% and the rate of satisfaction was 98.4%,which were significantly higher than 65.1% and 87.3% of the control group,the differences were statistically significant(P<0.05).Patients in the observation group of the drug compliance rate and exercise compliance rate was100% and 92.1%,which were significantly higher than 84.1% and 65.1% of the control group,the differences were statistically significant(P<0.05).The cost of hospitalization and the length of stay in the observation group were significantly better than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The implementation of perioperative nursing path,not only can make the perioperative care of the content more perfect,but also can guide the completion of preventive measures to promote the treatment effect,enhance the degree of satisfaction of patients.