呼吸康复护理在胸外科重症患者术后康复中的应用效果(1)
[摘要]目的 探討呼吸康复护理在胸外科重症患者术后康复中的应用效果。方法 选取2018年1～12月于我院行手术治疗的100例胸外科重症患者作为研究对象，依据随机对照原则将其分为对照组和观察组，每组各50例。对照组患者接受常规护理，观察组患者在对照组的基础上接受呼吸康复护理。比较两组患者的手术相关并发症发生情况、手术前后(术后2周)生活质量[躯体健康(PF)、躯体角色功能(RP)、躯体疼痛(BP)、心理功能(MH)、情绪角色功能(RE)、活力(VT)、社会功能(SF)、总体健康(GH)]评分、术后2周肺功能指标[肺活量(VC)、潮气量(TV)、第1秒用力肺活量(FEV1)、用力肺活量(FVC)、FEV1/FVC]及血气分析指标[动脉血氧分压(PaO2)、动脉二氧化碳分压(PaCO2)]。结果 观察组患者术后2周的TV、VC、FVC、FEV1、FEV1/FVC、PaO2均高于对照组，差异有统计学意义(P<0.05);两组患者的PaCO2比较，差异无统计学意义(P>0.05)。两组患者术前的生活质量评分比较，差异无统计学意义(P>0.05);两组患者术后2周的各项生活质量评分均高于术前，差异有统计学意义(P<0.05);观察组患者术后2周的各项生活质量评分均高于对照组，差异有统计学意义(P<0.05)。观察组患者的手术相关并发症总发生率低于对照组，差异有统计学意义(P<0.05)。结论 呼吸康复护理能够促进胸外科重症患者术后肺功能恢复，提高患者的生活质量，降低并发症发生率，值得临床推荐。
[关键词]胸外科重症;呼吸康复护理;肺功能;生活质量;并发症
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2019)9(c)-0206-04
[Abstract] Objective To explore the application effect of respiratory rehabilitation nursing in postoperative rehabilitation of patients with severe thoracic surgery. Methods A total of 100 patients with severe thoracic surgery who underwent surgical treatment in our hospital from January to December 2018 were enrolled in the study. They were divided into control group and observation group according to the principle of randomized comparison， with 50 cases in each group. The patients in the control group received routine nursing， while those in the observation group received respiratory rehabilitation nursing on the basis of the control group. The incidence of surgery related complications， quality of life (physical health [PF]， physical role function [RP]， body pain [BP]， psychological function [MH]， emotional role function [RE]， vitality [VT]， social function [SF]， general health [GH]) score before and after surgery (2 weeks after surgery)， lung function indexes (pulmonary capacity [VC]， tidal volume [TV]， forced vital capacity in the first second [FEV1] ， forced vital capacity [FVC]， FEV1/FVC) and blood gas analysis indicators (arterial blood oxygen partial pressure [PaO2]， arterial carbon dioxide partial pressure [PaCO2]) 2 weeks after surgery were compared between the two groups. Results The TV， VC， FVC， FEV1， FEV1/FVC and PaO2 in the observation group were higher than those in the control group at 2 weeks after surgery， and the differences were statistically significant (P<0.05). There was no significant difference in PaCO2 between the two groups (P>0.05). There was no significant difference in the quality of life score between the two groups before surgery (P>0.05). The quality of life scores of the two groups at 2 weeks after surgery were higher than those before surgery， and the differences were statistically significant (P<0.05). The quality of life scores in the observation group at 2 weeks after surgery were higher than those in the control group， and the differences were statistically significant (P<0.05). The total incidence rate of surgical related complications in the observation group was lower than that in the control group， and the difference was statistically significant (P<0.05). Conclusion Respiratory rehabilitation nursing can promote the recovery of postoperative pulmonary function in patients with severe thoracic surgery， improve the life quality and reduce the incidence rate of complications， which is worthy of clinical recommendation., http://www.100md.com(曹玉丹 黄丽)
[关键词]胸外科重症;呼吸康复护理;肺功能;生活质量;并发症
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2019)9(c)-0206-04
[Abstract] Objective To explore the application effect of respiratory rehabilitation nursing in postoperative rehabilitation of patients with severe thoracic surgery. Methods A total of 100 patients with severe thoracic surgery who underwent surgical treatment in our hospital from January to December 2018 were enrolled in the study. They were divided into control group and observation group according to the principle of randomized comparison， with 50 cases in each group. The patients in the control group received routine nursing， while those in the observation group received respiratory rehabilitation nursing on the basis of the control group. The incidence of surgery related complications， quality of life (physical health [PF]， physical role function [RP]， body pain [BP]， psychological function [MH]， emotional role function [RE]， vitality [VT]， social function [SF]， general health [GH]) score before and after surgery (2 weeks after surgery)， lung function indexes (pulmonary capacity [VC]， tidal volume [TV]， forced vital capacity in the first second [FEV1] ， forced vital capacity [FVC]， FEV1/FVC) and blood gas analysis indicators (arterial blood oxygen partial pressure [PaO2]， arterial carbon dioxide partial pressure [PaCO2]) 2 weeks after surgery were compared between the two groups. Results The TV， VC， FVC， FEV1， FEV1/FVC and PaO2 in the observation group were higher than those in the control group at 2 weeks after surgery， and the differences were statistically significant (P<0.05). There was no significant difference in PaCO2 between the two groups (P>0.05). There was no significant difference in the quality of life score between the two groups before surgery (P>0.05). The quality of life scores of the two groups at 2 weeks after surgery were higher than those before surgery， and the differences were statistically significant (P<0.05). The quality of life scores in the observation group at 2 weeks after surgery were higher than those in the control group， and the differences were statistically significant (P<0.05). The total incidence rate of surgical related complications in the observation group was lower than that in the control group， and the difference was statistically significant (P<0.05). Conclusion Respiratory rehabilitation nursing can promote the recovery of postoperative pulmonary function in patients with severe thoracic surgery， improve the life quality and reduce the incidence rate of complications， which is worthy of clinical recommendation., http://www.100md.com(曹玉丹 黄丽)