摘要
目的研究预见性护理措施在经皮微创胸腔置管闭式引流术后结核性渗出性胸膜炎患者中的应用效果。方法选择2016年6月至2018年6月在安康市中心医院传染科诊治的结核性渗出性胸膜炎患者90例进行研究,按照随机数表法分为观察组和对照组,每组45例。所有患者均经皮微创胸腔置管闭式引流术治疗,对照组采用常规护理措施,观察组采用预见性护理措施。比较两组患者的住院时间、胸水吸收时间、血沉恢复正常时间、护理前后的生活质量问卷(QOLI)评分、患者对护理的满意度及并发症发生情况。结果护理后,观察组和对照组患者的住院时间[(16.72±5.54) d vs (23.86±7.38) d]、胸水吸收时间[(10.81±3.23) d vs (14.65±4.17) d]、血沉恢复正常时间[(13.68±3.46) d vs (16.69±5.22) d]和体温恢复正常时间[(2.16±0.65) d vs (3.97±1.06) d]比较,观察组明显短于对照组,差异均有统计学意义(P<0.05);护理前,两组患者的生活质量评分比较差异均无统计学意义(P>0.05);护理后,观察组和对照组患者的物质生活状态评分[(90.59±1.56)分vs (84.27±1.22)分]、躯体功能评分[(92.43±2.15)分vs (87.32±1.32)分]、社会功能评分[(92.16±2.18)分vs (85.33±1.13)分]和心理功能评分[(90.52±2.09)分vs (83.37±1.03)分]比较,观察组明显高于对照组,差异均有统计学意义(P<0.05);观察组患者对护理的满意度为95.56%,明显高于对照组的77.78%,差异有统计学意义(P<0.05);观察组患者的并发症总发生率为8.89%,明显低于对照组的33.33%,差异有统计学意义(P<0.05)。结论预见性护理措施对经皮微创胸腔置管闭式引流术后结核性渗出性胸膜炎患者的并发症预防效果显著,且能改善患者生活质量,值得临床推广应用。
Objective To study the preventive effect of predictive nursing measures on complications of percutaneous minimally invasive thoracic drainage in patients with tuberculous exudative pleurisy, and to provide guidance for clinical treatment. Methods Ninety patients with tuberculous exudative pleurisy diagnosed and treated in Department of Infectious Disease of Ankang Central Hospital from June 2016 to June 2018 were selected for the study. According to random number table method, they were divided into the observation group and control group, with 45 patients in each group. Based on minimally invasive closed thoracic drainage, the control group received conventional clinical nursing measures, the observation group received predictive nursing measures. The time of hospitalization, the time of absorption of pleural fluid, the time of recovery of erythrocyte sedimentation rate(ESR), the Quality of Life Inventory(QOLI) score before and after nursing, the satisfaction of patients with nursing, and the occurrence of complications were compared between the two groups. Results After nursing, the hospitalization time, pleural fluid absorption time, the erythrocyte sedimentation rate returned to normal time, time to return to normal body temperature in the observation group were(16.72±5.54) d,(10.81±3.23) d,(13.68±3.46) d, and(2.16±0.65) d, respectively, which were significantly shorter than corresponding(23.86±7.38) d,(14.65±4.17) d,(16.69±5.22) d,(3.97±1.06) d in the control group(all P<0.05). Before nursing, there was no significant difference in the quality of life scores between the two groups(P>0.05);after nursing, the scores of material life status, physical function, social function, psychological function of the observation group were(90.59±1.56) points,(92.43±2.15) points,(92.16±2.18) points,(90.52±2.09) points, respectively, which were significantly higher than corresponding(84.27 ± 1.22) points,(87.32 ± 1.32) points,(85.33 ± 1.13) points,(83.37 ±1.03) points of the control group(all P<0.05). The pa
作者
王玉英
郭苗
汪晓琳
WANG Yu-ying;GUO Miao;WANG Xiao-lin(Department of Infectious Disease,Ankang Central Hospital,Ankang 725000,Shaanxi,CHINA)
出处
《海南医学》
CAS
2020年第4期538-541,共4页
Hainan Medical Journal
基金
陕西省安康市科技计划项目(编号：2013AKZD03-22)
关键词
结核性渗出性胸膜炎
皮微创胸腔置管闭式引流
预见性护理
并发症
预防
Tuberculous exudative pleurisy
Closed drainage with minimally invasive skin thoracic catheter
Predictive nursing measures
Complications
Prevention
