摘要
目的:探究胸腔镜治疗自发性气胸并发肺大泡的护理干预效果。方法:2019年8月-2020年8月收治自发性气胸并发肺大泡患者74例,随机分为两组,各37例。两组患者均行封堵及胸膜内固定术治疗;参照组给予常规护理;试验组在常规护理基础上加强整体护理干预。比较两组患者负性情绪、肺功能指标水平、并发症发生率及护理满意度。结果:试验组焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分均低于参照组,通气储量(VR)及第一秒最大呼气量(FEV_(1))均高于参照组,差异有统计学意义(P<0.05);试验组并发症发生率低于参照组,且护理满意度高于参照组,差异有统计学意义(P<0.05)。结论:对胸腔镜治疗的自发性气胸并发肺大泡患者加强整体护理干预,效果显著。
Objective:To explore the effect of nursing intervention in the treatment of spontaneous pneumothorax complicated with pulmonary bullae by thoracoscopy.Methods:From August 2019 to August 2020,74 patients with spontaneous pneumothorax complicated with bullae were selected and randomly divided into two groups with 37 cases in each group.Both groups were treated with occlusion and intrapleural fixation.The reference group was given conventional nursing care.The experimental group strengthened the holistic nursing intervention on the basis of conventional nursing.The levels of negative emotions,lung function indexes,complication rate and nursing satisfaction were compared between the two groups.Results:Anxiety(SAS)score and depression(SDS)score in test group were lower than the control group,ventilation volume(VR)and maximum expiratory volume in 1 second(FEV_(1))were higher than the control group,with the differences were statistically significant(P<0.05).The complication rate of the experimental group was lower than the reference group,and the nursing satisfaction was higher than the reference group,with the differences were statistically significant(P<0.05).Conclusion:It is effective to strengthen holistic nursing intervention for patients with spontaneous pneumothorax complicated with pulmonary bullae of lung treated by thoracoscopy.
作者
石春华
Shi Chunhua(Department of Respiratory and Critical Care Medicine,Central Hospital of Changsha City,Hunan Changsha 410004)
出处
《中国社区医师》
2021年第17期149-150,共2页
Chinese Community Doctors
关键词
胸腔镜
肺大泡
自发性气胸
护理
Thoracoscopy
Pulmonary bullae
Spontaneous pneumothorax
Nursing
