术前护理干预对甲状腺疾病术后患者自主排痰的影响(1)
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摘 要 目的：探讨术前护理干预对甲状腺疾病术后患者自主排痰的影响。方法：将92例甲状腺疾病术后患者随机分为干预组和对照组各46例，干预组在术前、术后给予自主排痰的护理干预，对照组在手术当天给予常规护理。结果：干预组自主排痰有效率高于对照组(P<0.05)；干预组术后心理状态、协助排痰情况与对照组比较差异有统计学意义(P<0.05)。结论：对甲状腺疾病手术患者在术前、术后实行自主排痰的护理干预，让患者正确地掌握排痰的方法，能减轻患者术后不适症状和并发症的发生。
关键词 术前护理干预；甲状腺疾病；自主排痰
中图分类号：R473.6 文献标识码：A 文章编号：1006-7256(2011)15-0023-02
Impact of preoperative nursing intervention on the initiative expectoration of patients
with thyroid disease after surgery
Tong Jing-tao, Peng Ya-ni
(Affiliated Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan Hubei 430030, China)
Abstract Objective: To evaluate the impact of preoperative nursing intervention on the initiative expectoration of patients with thyroid disease after surgery. Methods: 92 patients with thyroid disease were randomly divided into intervention group and control group after surgery (46 cases for each group). In the intervention group, the patients were given nursing intervention on initiative expectoration before and after surgery; the patients in the control group were given routine nursing care on the right day of surgery. Results: The efficient rate of initiative expectoration of patients was higher in the intervention group than the control group (P<0.05); the differences in the comparison of mental state of the patients and the situation of assisted expectoration after the intervention were statistically significant between the two groups (P<0.05). Conclusion: The preoperative and postoperative nursing intervention on the initiative expectoration of patients can help them grasp the correct expectoration method and reduce their postoperative discomfort and the incidence of complications as well.
Key words Preoperative nursing intervention; Thyroid disease; Initiative expectoration of patients
2009年3~12月，我们对46例甲状腺疾病手术患者在术前、术后给予自主排痰的护理干预，经严密观察，取得满意效果。现报告如下。
1 资料与方法
1.1 临床资料 选取同期甲状腺疾病手术患者92例，均是全麻气管插管的麻醉方式，采用随机数字表法分为干预组和对照组各46例。干预组男22例，女24例；年龄15~68岁，平均(50.0±10.6)岁；其中甲状腺叶部分切除术32例，甲状腺叶全切除术14例。对照组男17例，女29例；年龄25~72岁，平均(58.0±11.8)岁；其中甲状腺叶部分切除术38例，甲状腺叶全切除术8例。以上病例术前均无呼吸道疾病，气管插管由麻醉师一次性成功插入。两组患者年龄、性别、病程、肺功能检查等方面比较差异无统计学意义(P>0.05)。
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