摘要
目的探讨图表式临床护理路径在胸腔镜下肺切除患者术后康复中的作用效果.方法选取2017年1月-2018年12月行胸腔镜肺切除术患者105例,随机分为观察组(n=52)与对照组(n=53),观察组患者按图表式临床护理路径实施围手术期护理,对照组采用常规护理.比较两组患者术后疼痛、呼吸恢复效果及治疗依从性.结果观察组患者术后24 h、48 h疼痛评分为(4.85±0.42)、(3.74±0.30)分,均低于对照组,差异有统计学意义(t值分别为5.594、13.105;P<0.05);术后5 d,观察组患者血氧饱和度为(95.78±0.29)%,对照组为(91.73±0.33)%,差异有统计学意义(t=4.603,P<0.05);观察组围手术期治疗依从性好的患者占73.08%,对照组为45.28%,差异有统计学意义(Z=4.891,P<0.05).结论图表式临床护理路径在胸腔镜下肺切除患者中的应用有效缓解术后疼痛水平,提高康复效果及其治疗依从性.
Objective To explore the effects of clinical nursing pathway chart in rehabilitation of perioperative patients with thoracoscope pneumonectomy.Methods From January 2017 to December 2018,we selected 105 patients with thoracoscope pneumonectomy.All of the patients were randomly divided into observation group(n=52)and control group(n=53).Observation group carried out perioperative nursing according to the clinical nursing pathway chart,while control group implemented routine nursing.We compared the pain,respiratory recovery effect and treatment compliance of patients after surgery.Results The scores of pain of patients in observation group 24 and 48 hours after surgery was(4.85±0.42)and(3.74±0.30)respectively lower than those in control group with statistical differences(t=5.594,13.105;P<0.05).Five days after surgery,the blood oxygen saturation of observation group and control group was(95.78±0.29)%and(91.73±0.33)%respectively with a statistical difference(t=4.603,P<0.05).Patients with the high level of treatment compliance in intraoperative period accounted for 73.08%in observation group and 45.28%in control group with a statistical difference(Z=4.891,P<0.05).Conclusions Application of clinical nursing pathway chart in rehabilitation of perioperative patients with thoracoscope pneumonectomy relieves the postoperative pain and improves rehabilitation effects as well as treatment compliance.
作者
桑莹莹
方丽梅
夏超
赵梅
Sang Yingying;Fang Limei;Xia Chao;Zhao Mei(School of Nursing,Anhui Medical University,Hefei 230022,China;the Third Chest Surgery,Anhui Chest Hospital,Hefei 230022,China;Nursing Department,Anhui Chest Hospital,Hefei 230022,China)
出处
《中华现代护理杂志》
2019年第22期2803-2806,共4页
Chinese Journal of Modern Nursing
基金
安徽省卫生和计划生育委员会科研计划项目(15tb008).
关键词
围手术期护理
胸腔镜
肺切除
康复
图表式
临床护理路径
Perioperative nursing
Thoracoscopes
Pneumonectomy
Rehabilitation
Chart
Clinical nursingpathway
