摘要
目的探讨系统性呼吸道护理干预在心脏瓣膜病患者围手术期的应用效果。方法采用便利法抽取2016年10月~2017年9月我院接受心脏瓣膜置换术的61例患者设为对照组,另选取2017年10月~2018年12月我院接受心脏瓣膜置换术的56例患者设为干预组,对照组给予常规护理干预,干预组在对照组基础上予以系统性呼吸道护理干预,比较两组术后ICU时间、住院时间、术后肺部并发症发生情况及自主排痰掌握率。结果两组术后ICU时间比较[(42.28±4.24)h vs(43.50±3.17)h],差异无统计学意义(P>0.05);干预组住院时间短于对照组[(18.44±2.31)d vs(19.42±2.44)d],差异有统计学意义(P<0.05)。干预组术后肺部并发症发生率低于对照组(8.93%vs 24.59%),自主排痰掌握率高于对照组(53.57%vs 29.51%),差异有统计学意义(P<0.05)。结论系统性呼吸道护理干预能有效缩短患者住院时间、减少术后肺部并发症的发生,提高患者自主排痰掌握率。
Objective To explore the effect of systemic respiratory tract nursing intervention on patients with heart valve disease during perioperative period.Methods Using convenience method,61 patients who underwent heart valve replacement in our hospital from October 2016 to September 2017 were selected as the control group,and 56 patients who underwent heart valve replacement in our hospital from October 2017 to December 2018 were selected.The patients were set as the intervention group,the control group was given routine nursing intervention,and the intervention group was given systematic respiratory nursing intervention based on the control group,comparing the postoperative ICU time,hospital stay,postoperative pulmonary complications and voluntary discharge sputum control rate.Results The postoperative ICU time of the intervention group was(42.28±4.24)h,compared with the control group's(43.50±3.17)h,the difference was not statistically significant(P>0.05);the hospitalization time of the intervention group was shorter than that of the control group[(18.44±2.31)d vs(19.42±2.44)d],the incidence of postoperative pulmonary complications is lower than the control group(8.93%vs 24.59%),and the rate of autonomous sputum control is higher than the control group(53.57%vs 29.51%),the difference was statistically significant(P<0.05).Conclusion Systematic respiratory tract nursing intervention can effectively shorten the hospitalization time of patients,reduce the occurrence of postoperative pulmonary complications,and improve the patient's autonomous sputum control rate.
作者
韦佳萍
韦云萍
何静
韦靖
WEI Jia-ping;WEI Yun-ping;HE Jing;WEI Jing(Cardiovascular and Thoracic Surgery,People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,Guangxi,China)
出处
《医学信息》
2020年第14期180-182,共3页
Journal of Medical Information
基金
广西壮族自治区卫生和计划生育委员会自筹课题(编号Z20170383)。
关键词
心脏瓣膜置换
系统性呼吸道护理干预
肺部并发症
Heart valve replacement
Systemic respiratory care intervention
Pulmonary complications
