中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
4期
87-89
,共3页
单侧全肺切除%预见性护理%术后并发症
單側全肺切除%預見性護理%術後併髮癥
단측전폐절제%예견성호리%술후병발증
Pneumonectomy%Predictable nursing%Postoperative complications
目的 观察全肺切除术后肺癌患者经有预见性护理干预后的并发症发生情况,探讨其护理效果.方法 选择2012年1月至2013年12月肺癌全肺切除加淋巴结清扫术的患者68例,随机分为观察组与对照组,每组34例.对照组采用胸外科护理常规方案,观察组在常规护理基础上采取术后并发症有预见性的护理,即由责任护士对一侧全肺切除的患者加强治疗过程中护理问题的前瞻性全面评估,找出患者现存的和潜在的护理问题,有针对性制定相应的护理干预措施,对全肺切除患者围术期进行管理.结果 预见性护理能有效减少全肺切除术后肺部并发症和心律失常发生率,两组比较差异有统计学意义(P＜0.05).结论 对全肺切除的肺癌患者经预见性护理,包括对患者术前全面检查评估,加强基础疾病的治疗和控制、呼吸功能锻炼;加强术后监测和气道、氧疗、液体、体位、胸管、疼痛等的管理可以有效地降低全肺切除患者术后并发症发生率.
目的 觀察全肺切除術後肺癌患者經有預見性護理榦預後的併髮癥髮生情況,探討其護理效果.方法 選擇2012年1月至2013年12月肺癌全肺切除加淋巴結清掃術的患者68例,隨機分為觀察組與對照組,每組34例.對照組採用胸外科護理常規方案,觀察組在常規護理基礎上採取術後併髮癥有預見性的護理,即由責任護士對一側全肺切除的患者加彊治療過程中護理問題的前瞻性全麵評估,找齣患者現存的和潛在的護理問題,有針對性製定相應的護理榦預措施,對全肺切除患者圍術期進行管理.結果 預見性護理能有效減少全肺切除術後肺部併髮癥和心律失常髮生率,兩組比較差異有統計學意義(P＜0.05).結論 對全肺切除的肺癌患者經預見性護理,包括對患者術前全麵檢查評估,加彊基礎疾病的治療和控製、呼吸功能鍛煉;加彊術後鑑測和氣道、氧療、液體、體位、胸管、疼痛等的管理可以有效地降低全肺切除患者術後併髮癥髮生率.
목적 관찰전폐절제술후폐암환자경유예견성호리간예후적병발증발생정황,탐토기호리효과.방법 선택2012년1월지2013년12월폐암전폐절제가림파결청소술적환자68례,수궤분위관찰조여대조조,매조34례.대조조채용흉외과호리상규방안,관찰조재상규호리기출상채취술후병발증유예견성적호리,즉유책임호사대일측전폐절제적환자가강치료과정중호리문제적전첨성전면평고,조출환자현존적화잠재적호리문제,유침대성제정상응적호리간예조시,대전폐절제환자위술기진행관리.결과 예견성호리능유효감소전폐절제술후폐부병발증화심률실상발생솔,량조비교차이유통계학의의(P＜0.05).결론 대전폐절제적폐암환자경예견성호리,포괄대환자술전전면검사평고,가강기출질병적치료화공제、호흡공능단련;가강술후감측화기도、양료、액체、체위、흉관、동통등적관리가이유효지강저전폐절제환자술후병발증발생솔.
Objective To investigate the effect of the predictable nursing on complications of pneumonectomy for patients with lung cancer.Methods From January 2012 to December 2013,68 cases of lung cancer underwent pneumonectomy plus lymphadenectomy were observed,these patients were randomly divided into two groups,34 patients in control group received conventional thoracic surgical care program,34 patients in observation group received the routine care and predictable nursing.The risks of postoperative complications were identified and followed appropriate nursing program were done for these patients by registered nurses.Results Predictable nursing can decrease pulmonary complications and cardiac arrhythmias for patients who received routine care plus predictive nursing care program,there were significant differences between the two groups (P ＜ 0.05).Conclusions The preoperative predictable nursing plays an important role in ensuring the success of pneumonectomy for treatment of patients with lung cancer.
