摘要
目的探讨集束化护理措施在老年腹部手术患者呼吸道管理中的作用。方法纳入2016年11月—2017年11月90例老年腹部手术患者以数字表法分组。对照组采用常规围手术期护理管理,观察组在对照组基础上运用集束化护理措施加强呼吸道管理。比较两组老年腹部手术围术期护理满意度;下床时间和住院天数;干预前后患者QOL-100评分、SAS评分;肺部感染等并发症发生率。结果观察组老年腹部手术围术期护理满意度高于对照组,P<0.05;观察组下床时间和住院天数短于对照组,P<0.05;干预前两组QOL-100评分、SAS评分相近,P>0.05;干预后观察组QOL-100评分、SAS评分优于对照组,P<0.05。结论运用集束化护理措施对老年患者腹部手术围手术期的呼吸道管理的实施效果确切,可减轻患者焦虑感,加速下床活动和缩短住院时间,减少呼吸道相关并发症发生,有助于提升患者生活质量和满意度。
Objective To explore the role of cluster care in the management of respiratory tract in elderly patients with abdominal surgery. Methods 90 patients with abdominal surgery from November 2016 to November 2017 were grouped by digital table. The control group was treated with routine perioperative nursing management. On the basis of the control group, the observation group was given the cluster nursing measures to strengthen the respiratory management. The perioperative nursing satisfaction, the time of getting out of bed and the length of stay in the two groups were compared between the two groups. The QOL-100 score, SAS score before and after intervention, and the incidence of pulmonary infection and other complications were also compared. Results The perioperative nursing satisfaction of the elderly patients in the observation group was higher than that of the control group, P 〈 0.05. The time and days of hospitalization were shorter in the observation group than in the control group, P 〈 0.05; Before the intervention, the scores of QOL-100 and SAS were similar in the two groups, and P 〉 0.05. The QOL-100 score and SAS score in the observation group were better than those in the control group, P 〈 0.05. Conclusion The effect of cluster nursing measures for the management of respiratory tract in elderly patients with abdominal surgery in the perioperative period is exact, can reduce patient anxiety, accelerate ambulation and shorten the hospitalization time, reduce respiratory complications, it is help to improve the quality of life and satisfaction of patients.
出处
《中国继续医学教育》
2018年第7期172-174,共3页
China Continuing Medical Education
关键词
老年患者
腹部手术围手术期
呼吸道管理
实施方法
效果
elderly patients
perioperative abdominal surgery
respiratory management
implementation methods
effect
