摘要
[目的]研究临床护理路径在肺癌合并恶性胸腔积液胸膜固定术治疗中的应用效果。[方法]选择我院确诊的肺癌合并恶性胸腔积液的病人62例随机分为对照组和观察组,每组31例,两组病人均予以胸膜固定术进行治疗,对照组予以常规护理措施,观察组按临床护理路径表予以护理措施。对两组病人的心理状况总分、护理满意率及术后生活质量评分进行比较分析。[结果]62例病人手术均获成功。术后对照组和观察组的心理状况总分分别为2.52分±0.53分、1.27分±0.31分,观察组的心理健康状况显著高于对照组(t=2.132,P<0.05)。对照组与观察组病人满意率分别为67.7%、93.5%,观察组的满意率显著高于对照组(χ2=6.61,P<0.05)。对照组与观察组病人生活质量改善率分别为71.0%、93.5%,观察组病人的生活质量改善率显著优于对照组(χ2=5.42,P<0.05)。[结论]临床护理路径可显著提高肺癌合并恶性胸腔积液病人的护理满意率,并改善病人术后的心理健康状况及生活质量,有利于病人的康复及后续治疗的实施。
objective：To study the applied effect of clinical nursing path in treatment of lung cancer patients complicated with malignant pleural effusion pleurodesis. Methods： A total of 62 patients who were diagnosed as lung cancer complicated with malignant pleural effusion were randomly divided into control group and observation group, 31 cases in each. All the patients in two groups received pleurodesis, and patients in control group were given routine nursing measures, observation group patients received the nursing measures according to clinical nursing path table. The total scores of psychological conditions, nursing satisfaction rate and postoperative quality of life scores were compared and analyzed. Results. All operations were successful on the 62 patients. The total scores of psychological conditions in control group and observation group were （2.52±0.53） and （1.27 ± 0. 31 ） respectively, mental health condition of observation group patients was higher than that of control group significantly（t= 2. 132,P〈0 . 05）. The satisfaction rate of control group and observation group were respective 67. 7% and 93. 5%, the satisfaction rate of observation group was much higher than that of control group（x2 =6.61 ,P〈0.05）. Improvement rate of quality of life in control group and observation group were respective 71.0% and 93.5%, improvement rate of quality of life in observation group was higher than that of control group significantly（x2=5. 42,P〈 0.05）. Conclusion： Clinical nursing path can significantly enhance the nursing satisfaction rate of lung cancer patients complicated with malignant pleural effusion, and can improve the postoperative psychological health conditions and quality of life of them.
出处
《全科护理》
2012年第33期3075-3077,共3页
Chinese General Practice Nursing
关键词
胸腔积液
恶性
肺癌
胸膜固定术
临床护理路径
clinical nursing path
pleural effusion/malignant
lung cancer
pleurodesis
