摘要
目的探究呼吸康复护理在胸外科患者重症术后康复中的应用效果。方法选择于本院就诊的胸外科重症患者160例作为研究对象,将其随机分为观察组和对照组,各80例。对照组给予常规护理,观察组在对照组的基础上给予呼吸康复护理。比较两组患者护理后肺活量、用力肺活量、潮气量、第1 s用力呼气量、第1 s用力呼气量/用力肺活量、血气指标水平、并发症发生情况及护理满意度。结果护理后,观察组患者肺活量、用力肺活量、潮气量、第1 s用力呼气量及第1 s用力呼气量/用力肺活量水平均高于对照组,差异具有统计学意义(P<0.05);观察组患者动脉血氧分压高于对照组,差异具统计学意义(P<0.05);两组患者动脉二氧化碳分压比较,差异无统计学意义(P>0.05);观察组患者并发症总发生率显著低于对照组,护理满意度显著高于对照组,差异具有统计学意义(P<0.05)。结论对胸外科重症患者实施呼吸康复护理,可有效促进患者呼吸功能恢复和术后康复,提高患者的舒适度和护理满意度。呼吸康复护理更加符合胸外科重症术后患者及家属对于护理工作的需求,值得在临床上推广应用。
Objective To investigate the application effect of respiratory rehabilitation nursing in postoperative rehabilitation of severe patients in thoracic surgery department.Methods A total of 160 severe patients of thoracic surgery department in our hospital were selected as the research objects and randomly divided into observation group and control group,with 80 cases in each group.The control group was given routine nursing,while the observation group was given respiratory rehabilitation nursing on the basis of the control group.The vital capacity,forced vital capacity,tidal volume,forced expiratory volume in the first second,forced expiratory volume in the first second/forced vital capacity,levels of blood gas indexes,complications and nursing satisfaction were compared between the two groups.Results After nursing,the vital capacity,forced vital capacity,tidal volume,forced expiratory volume in the first second and forced expiratory volume in the first second/forced vital capacity in the observation group were higher than the control group(P<0.05);the arterial partial pressure of oxygen in the observation group was higher than that in the control group(P<0.05).There was no significant difference in arterial partial pressure of carbon dioxide between the two groups(P >0.05).The total incidence of complications in the observation group was significantly lower than that in the control group,and the nursing satisfaction was significantly higher than that in the control group(P<0.05).Conclusion Respiratory rehabilitation nursing for severe patients of thoracic surgery department can effectively promote the recovery of respiratory function and postoperative rehabilitation,and improve the comfort and nursing satisfaction of patients.Respiratory rehabilitation nursing is more in line with the needs of severe patients after thoracic surgery and their families for nursing work,and it is worthy of clinical promotion and application.
作者
李苗
孙妍
雷爱英
郗旭燕
LI Miao;SUN Yan;LEI Ai-ying;CHI Xu-yan(Critical Care Medicine Department, Weinan Central Hospital, Weinan 714000;Ninth Hospital of Xi'an,Xi'an 710000, China)
出处
《临床医学研究与实践》
2019年第3期180-182,共3页
Clinical Research and Practice
关键词
呼吸康复护理
胸外科
重症患者
呼吸功能
respiratory rehabilitation nursing
thoracic surgery department
severe patients
respiratory function
