中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
31期
3968-3970
,共3页
围手术期护理%临床路径%肺部并发症%胸部手术
圍手術期護理%臨床路徑%肺部併髮癥%胸部手術
위수술기호리%림상로경%폐부병발증%흉부수술
Nursing pathway%Thoracic operation%Lung complications
目的：评价围术期感染护理路径效果，为胸部手术患者围术期临床护理提供指导。方法按住院号将106例胸部手术患者随机分为观察组（单号）与对照组（双号）各53例，比较两组患者的平均住院天数、住院费用、痰液及口咽细菌检出率、患者满意度。结果实施围术期感染护理标准化路径后，观察组平均住院天数、住院费用分别为（7．16±0．83） d，（1．09±0．54）万元，明显优于对照组的（10．45±1．51）d，（1．44±0．65）万元，差异有统计学意义（t值分别为－2．260，－7．958；P＜0．05），观察组患者的依从性评分为（2．58±0．62）分，明显高于对照组的（1．21±0．55）分，差异有统计学意义（t＝6．334，P＜0．05）；术后3 d，观察组痰液细菌阳性2例（3．77％）、口咽细菌阳性3例（5．66％），明显低于对照组阳性检出率18．87％，28．30％，差异有统计学意义（χ2值分别为4．357，6．150；P＜0．05）；观察组患者对手术室护理服务工作的满意度达100％，平均得分为（4．68±0．83）分，明显高于对照组的（3．01±1．02）分，差异有统计学意义（ t＝3．467，P＜0．05）。结论设立胸部手术患者围术期感染护理标准化路径，既可以使围术期护理内容更全面规范；而且可指导实施预见性护理措施，有效提升手术效果，最大限度提高患者意度。
目的：評價圍術期感染護理路徑效果，為胸部手術患者圍術期臨床護理提供指導。方法按住院號將106例胸部手術患者隨機分為觀察組（單號）與對照組（雙號）各53例，比較兩組患者的平均住院天數、住院費用、痰液及口嚥細菌檢齣率、患者滿意度。結果實施圍術期感染護理標準化路徑後，觀察組平均住院天數、住院費用分彆為（7．16±0．83） d，（1．09±0．54）萬元，明顯優于對照組的（10．45±1．51）d，（1．44±0．65）萬元，差異有統計學意義（t值分彆為－2．260，－7．958；P＜0．05），觀察組患者的依從性評分為（2．58±0．62）分，明顯高于對照組的（1．21±0．55）分，差異有統計學意義（t＝6．334，P＜0．05）；術後3 d，觀察組痰液細菌暘性2例（3．77％）、口嚥細菌暘性3例（5．66％），明顯低于對照組暘性檢齣率18．87％，28．30％，差異有統計學意義（χ2值分彆為4．357，6．150；P＜0．05）；觀察組患者對手術室護理服務工作的滿意度達100％，平均得分為（4．68±0．83）分，明顯高于對照組的（3．01±1．02）分，差異有統計學意義（ t＝3．467，P＜0．05）。結論設立胸部手術患者圍術期感染護理標準化路徑，既可以使圍術期護理內容更全麵規範；而且可指導實施預見性護理措施，有效提升手術效果，最大限度提高患者意度。
목적：평개위술기감염호리로경효과，위흉부수술환자위술기림상호리제공지도。방법안주원호장106례흉부수술환자수궤분위관찰조（단호）여대조조（쌍호）각53례，비교량조환자적평균주원천수、주원비용、담액급구인세균검출솔、환자만의도。결과실시위술기감염호리표준화로경후，관찰조평균주원천수、주원비용분별위（7．16±0．83） d，（1．09±0．54）만원，명현우우대조조적（10．45±1．51）d，（1．44±0．65）만원，차이유통계학의의（t치분별위－2．260，－7．958；P＜0．05），관찰조환자적의종성평분위（2．58±0．62）분，명현고우대조조적（1．21±0．55）분，차이유통계학의의（t＝6．334，P＜0．05）；술후3 d，관찰조담액세균양성2례（3．77％）、구인세균양성3례（5．66％），명현저우대조조양성검출솔18．87％，28．30％，차이유통계학의의（χ2치분별위4．357，6．150；P＜0．05）；관찰조환자대수술실호리복무공작적만의도체100％，평균득분위（4．68±0．83）분，명현고우대조조적（3．01±1．02）분，차이유통계학의의（ t＝3．467，P＜0．05）。결론설립흉부수술환자위술기감염호리표준화로경，기가이사위술기호리내용경전면규범；이차가지도실시예견성호리조시，유효제승수술효과，최대한도제고환자의도。
Objective To evaluate the effect of perioperative nursing pathway on lung complications after thoracic surgery, so as to provide new evidence for the perioperative nursing pathway in the patients undergoing thoracotomy.Methods Totals of 106 patients who underwent thoracic surgery were randomly divided into observed group (n=53,double) and control group (n=53,odd).Then, hospitalization days, costs, sputum and oropharyngeal bacteria, patients satisfaction of two groups were observed and compared.Results After perioperative nursing pathway application, in observation group, the average days of hospitalization was significantly shorten (7.16 ±0.83 vs 10.45 ±1.51;t=-2.260,P<0.05),the cost (1.09 ±0.54 vs 1.44 ±0.65;t=-7.958,P<0.05) was significantly reduced, and compliance was greatly improved than that in control group (2.58 ±0.62 vs 1.21 ±0.55;t=6.334,P<0.05).Laboratory tests showed that two cases with sputum bacteria positive (3.77%vs 18.87%) and three cases with oropharyngeal bacteria positive (5.66% vs 28.30%) in observation group was significantly lower than that in control group(χ2 =4.357, 6.150,respectively,P<0.05).Patients satisfaction of observation group was higher than control group,and the difference was statistically significant ( 4.68 ±0.83 vs 3.01 ±1.02;t =3.467, P <0.05 ) . Conclusions Perioperative nursing pathway is positive and beneficial to prevent lung complications after thoracic surgery, which can improve the operation efficiency and patients satisfaction.
