CAJ | 학술논문

目的探讨护理干预对心胸外科患者气道排痰的影响.方法将270例心胸外科患者随机分为干预组和对照组各135例,对照组给予常规的护理及随意的健康教育,干预组在上述护理的基础上,还对患者进行全面评估,给予系统的健康教育、呼吸功能锻炼、叩背、指导患者掌握有效咳嗽排痰的技巧、适量气道湿化、心理干预等护理措施,观察两组有效排痰率、胸腔闭式引流管拔管时间、住院时间.结果两组患者有效排痰率、胸腔闭式引流管拔管时间、住院时间比较有显著性差异(P＜0.05),干预组并发症发生率明显低于对照组(P＜0.05).结论有效的护理干预能促进患者肺功能的康复、保持呼吸道通畅,对减少并发症的发生,提高患者生命质量有重要的意义.
목적 탐토호리간예대심흉외과환자기도배담적영향.방법 장270례심흉외과환자수궤분위간예조화대조조각135례,대조조급여상규적호리급수의적건강교육,간예조재상술호리적기출상,환대환자진행전면평고,급여계통적건강교육、호흡공능단련、고배、지도환자장악유효해수배담적기교、괄량기도습화、심리간예등호리조시,관찰량조유효배담솔、흉강폐식인류관발관시간、주원시간.결과 량조환자유효배담솔、흉강폐식인류관발관시간、주원시간비교유현저성차이(P＜0.05),간예조병발증발생솔명현저우대조조(P＜0.05).결론 유효적호리간예능촉진환자폐공능적강복、보지호흡도통창,대감소병발증적발생,제고환자생명질량유중요적의의.
Objective To discuss the effect of nursing intervention on productive cough through air duct of cardiothoracic surgery patients. Methods A total of 270 patients were divided into two groups at random with 135 patients in each group. The control group was treated with normal nursing and health education. On the basis of the above nursing, intervention group was evaluated fully and treated with systemic health education, respiratory training, direct the patients with effective technique of productive cough, proper humidification artificial airway, psychology intervention ect. Results The effective expectoration rate, closed thoracic drainage tube extubation time, in hospital time were significance different between the two groups (P ＜ 0. 05), the complication rate of intervention group was lower than that of control group (P ＜0. 05) . Conclusions Effective nursing invervention can improve the recovery of patients'lung function, keep airway clear, and reduce complications, increase patients'quality of life.