心理护理干预对于开胸术后患者呼吸功能及疼痛症状的影响分析(1)
[摘要] 目的 分析和研究对开胸患者实施心理护理干预对术后呼吸功能以及疼痛症状所产生的影响。方法 方便选取该院在2017年5月—2018年5月期间收治的需要进行开胸手术治疗的720例患者，按照入院单双号将其分为参照组(360例)和研究组(360例)，其中参照组患者采取常规护理干预，研究组患者在常规护理的基础上加强心理护理干预，观察和比较两组患者在术后呼吸功能及疼痛症状的改善效果。结果 在护理前两组患者的FEV1、FVC、PaO2差异无统计学意义(P>0.05)，护理后，研究组患者的FEV1(3.65±0.93)L高于参照组(3.09±0.61)L(t=9.553 3，P=0.000 0);FVC(4.18±0.96)L高于参照组(3.75±0.71)L(t=6.832 9，P=0.000 0);PaO2(12.36±5.42)kPa高于参照组(10.84±5.06)kPa(t=3.889 5，P=0.000 1)。两组患者在术后都存在不同程度的疼痛情况，其中研究组患者中剧烈疼痛患者77例(21.39%)，少于参照组剧烈疼痛患者209例(58.06%)，(χ2=101.070 5，P=0.000 0)，比较差异有统计学意义。 结论 对接受开胸手术治疗的患者加强心理护理干预，能够有效改善其呼吸功能，同時减轻疼痛程度，这对提高患者生存质量，促进疾病痊愈具有重要作用，因此在临床中值得推广。
, 百拇医药
[关键词] 开胸术后患者;心理护理干预;呼吸功能;疼痛症状;影响
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742(2019)06(b)-0168-03
[Abstract] Objective To analyze and study the effects of psychological nursing intervention on postoperative respiratory function and pain symptoms in patients with thoracotomy. Methods A total of 720 patients who underwent thoracotomy during the period from May 2017 to May 2018 were convenient selected and enrolled in the study. According to the admission single and double numbers， they were divided into reference group (360 cases) and study group (360 cases). Among them， the reference group took routine nursing intervention， and the patients in the study group strengthened psychological nursing intervention on the basis of routine nursing， and observed and compared the improvement effects of postoperative respiratory function and pain symptoms in the two groups. Results The differences of FEV1， FVC and PaO2 in the two groups before treatment were small(P>0.05). After nursing， the FEV1 (3.65±0.93)L of the study group was higher than that of the reference group (3.09±0.61)L(t=9.553 3， P=0.000 0); FVC (4.18±0.96)L， higher than the reference group (3.75±0.71)L(t=6.832 9， P=0.000 0); PaO2 (12.36 ± 5.42) kPa， higher than the reference group (10.84 ± 5.06)kPa(t=3.889 5， P=0.000 1). There were different degrees of pain in the two groups after operation. Among them， 77 patients(21.39%) with severe pain in the study group and 209 patients(58.06%) with severe pain in the reference group(χ2=101.070 5， P=0.000 0); The difference was statistically significant. Conclusion Strengthening psychological nursing intervention for patients undergoing thoracotomy can effectively improve their respiratory function and reduce the degree of pain. This is important for improving the quality of life of patients and promoting disease recovery. Therefore， it is worth promoting in clinical practice., 百拇医药(杨海霞)
, 百拇医药
[关键词] 开胸术后患者;心理护理干预;呼吸功能;疼痛症状;影响
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742(2019)06(b)-0168-03
[Abstract] Objective To analyze and study the effects of psychological nursing intervention on postoperative respiratory function and pain symptoms in patients with thoracotomy. Methods A total of 720 patients who underwent thoracotomy during the period from May 2017 to May 2018 were convenient selected and enrolled in the study. According to the admission single and double numbers， they were divided into reference group (360 cases) and study group (360 cases). Among them， the reference group took routine nursing intervention， and the patients in the study group strengthened psychological nursing intervention on the basis of routine nursing， and observed and compared the improvement effects of postoperative respiratory function and pain symptoms in the two groups. Results The differences of FEV1， FVC and PaO2 in the two groups before treatment were small(P>0.05). After nursing， the FEV1 (3.65±0.93)L of the study group was higher than that of the reference group (3.09±0.61)L(t=9.553 3， P=0.000 0); FVC (4.18±0.96)L， higher than the reference group (3.75±0.71)L(t=6.832 9， P=0.000 0); PaO2 (12.36 ± 5.42) kPa， higher than the reference group (10.84 ± 5.06)kPa(t=3.889 5， P=0.000 1). There were different degrees of pain in the two groups after operation. Among them， 77 patients(21.39%) with severe pain in the study group and 209 patients(58.06%) with severe pain in the reference group(χ2=101.070 5， P=0.000 0); The difference was statistically significant. Conclusion Strengthening psychological nursing intervention for patients undergoing thoracotomy can effectively improve their respiratory function and reduce the degree of pain. This is important for improving the quality of life of patients and promoting disease recovery. Therefore， it is worth promoting in clinical practice., 百拇医药(杨海霞)