摘要
目的探讨智慧病房管理在肺癌根治术患者加速康复护理中的应用效果。方法选取医院胸外科病房于2020年1—8月收治的86例肺癌根治术患者为对照组,选取医院胸外科病房于2021年11月—2022年6月收治86例肺癌根治术患者为观察组,对照组采用常规护理流程管理,观察组在对照组基础上采用智慧化病房管理。比较两组患者并发症发生率、胸腔闭式引流管留置时间、住院时间、住院总费用、护理不良事件及护理满意程度。结果术后两组患者胸腔积液发生率比较差异无统计学意义(P>0.05),术后观察组肺部感染和肺不张发生率低于对照组,差异有统计学意义(P<0.05)。观察组住院时间及胸腔闭式引流管留置时间短于对照组,观察组住院总费用低于对照组,差异有统计学意义(P<0.05)。观察组护理不良事件(压力性损伤、意外事件报告、管道滑脱)发生率与对照组比较差异无统计学意义(P>0.05)。观察组患者护理满意程度高于对照组,差异有统计学意义(P<0.05)。结论智慧病房管理降低了肺癌根治术后患者相关并发症发生率,缩短了总住院时间和胸腔闭式引流管留置时间,节省了住院费用,同时促进了患者快速康复,显著提升了患者满意程度。
Objective To explore the application effect of intelligent ward management in accelerated rehabilitation nursing for patients with lung cancer undergoing radical surgery.Methods To select 86 patients with lung cancer undergoing radical surgery in the thoracic surgery ward of the hospital from January to August 2020 as a control group,and another 86 patients with lung cancer undergoing radical surgery in the thoracic surgery ward of the hospital from November 2021 to June 2022 were selected as an observation group.The control group adopted conventional nursing process management,and the observation group adopted intelligent ward management based on the control group.The incidence of complications,retention time of closed thoracic drainage tube,hospitalization time,total hospitalization cost,adverse nursing events and nursing satisfaction were compared between the two groups.Results There was no significant difference in the incidence of pleural eff usion between the two groups(P>0.05).The incidence of pulmonary infection and atelectasis in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The hospitalization time and retention time of closed thoracic drainage tube in the observation group were shorter than those in the control group,the total hospitalization cost was less than that in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse nursing events(pressure injury,accident report,pipeline slippage)between the observation group and the control group(P>0.05).The nursing satisfaction of patients in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Intelligent ward management can reduce the incidence of complications in patients with lung cancer after radical surgery,shorten the total hospitalization time and the retention time of closed thoracic drainage tube,save the hospitalization costs,promote the rapid recovery of patients,and significantly improve the satisfaction of patients.
作者
岳勤
马晓丽
马敏杰
马国婧
王敏
王盼盼
YUE Qin;MA Xiaoli;MA Minjie;MA Guojing;WANG Min;WANG Panpan(Gansu University of Traditional Chinese Medicine,Lanzhou,730000,China)
出处
《护理实践与研究》
2023年第6期814-818,共5页
Nursing Practice and Research
基金
甘肃省科技计划项目(编号:21JR1RA092)。
关键词
智慧病房
肺癌根治术
加速康复护理
引流管
护理不良事件
Intelligent ward
Lung cancer radical surgery
Accelerated rehabilitation nursing
Drainage tube
Adverse nursing events
