论文部分内容阅读
目的探讨胸腔镜治疗肺大疱合并自发性气胸患者的围术期护理措施及效果。方法选取广州医科大学附属第六医院86例进行胸腔镜治疗肺大疱伴自发性气胸的患者作为研究对象,随机分成对照组(常规护理)与观察组(常规护理+围手术期护理),每组43例,分析和比较两组患者的护理满意度、护理效果和并发症的发生情况。结果观察组总满意率为93.02%,其中非常满意率为62.79%;对照组总满意率为76.74%,其中非常满意率为39.53%,观察组患者非常满意率和总满意率均明显高于对照组,差异有统计学意义(P<0.05)。观察组X线复查肺复张时间和住院时间均明显优于对照组,差异有统计学意义(P<0.01),观察组患者并发症总发生率显著低于对照组(4.65%vs 18.60%),差异有统计学意义(P<0.05)。结论围手术期护理在胸腔镜治疗肺大疱合并自发性气胸患者中的应用,可以有效的提高患者护理满意度和临床治疗效果,还可降低患者的并发症发生率,值得临床应用与推广。
Objective To investigate the perioperative nursing measures and the effect of thoracoscopic treatment of patients with pulmonary bullae complicated by spontaneous pneumothorax. Methods Totally 86 patients in the Sixth Affiliated Hospital of Guangzhou Medical University who underwent thoracoscopic treatment of pulmonary bullae with spontaneous pneumothorax were randomly divided into control group (routine nursing) and observation group (conventional nursing and perioperative nursing) Group 43 cases, analysis and comparison of two groups of patients satisfaction with nursing, nursing and complications occurred. Results The total satisfaction rate of the observation group was 93.02%, of which the satisfaction rate was 62.79%. The total satisfaction rate of the control group was 76.74%, of which the satisfaction rate was 39.53%. The satisfaction rate and total satisfaction rate of the observation group were significantly higher than those of the control group Group, the difference was statistically significant (P <0.05). The time of lung reexpansion and hospital stay in the observation group were significantly better than those in the control group (P <0.01). The overall incidence of complications in the observation group was significantly lower than that in the control group (4.65% vs 18.60%) , The difference was statistically significant (P <0.05). Conclusion The application of perioperative nursing in the treatment of pulmonary bullae complicated with spontaneous pneumothorax by thoracoscope can effectively improve patient satisfaction and clinical treatment, reduce the incidence of complications and deserve clinical application and promotion.