胸腔鏡下肺大皰切除術(shù)的圍手術(shù)期護(hù)理對(duì)策探討

《胸腔鏡下肺大皰切除術(shù)的圍手術(shù)期護(hù)理對(duì)策探討》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。

1、胸腔鏡下肺大皰切除術(shù)的圍手術(shù)期護(hù)理對(duì)策探討(陜丙省延安市人民醫(yī)院心胸腫瘤外科陜丙延安716000)【摘要】目的：分析探討胸腔鏡下肺大泡切除術(shù)患者的圍手術(shù)期護(hù)理對(duì)策。方法：選擇我院2014年1月-2014年12月之間收治的72例行胸腔鏡下肺大泡切除術(shù)患者作為觀察對(duì)象，根據(jù)患者入院日期將其分為觀察組和對(duì)照組各36例。對(duì)照組患者采取常規(guī)的護(hù)理干預(yù)手段；觀察組患者則實(shí)施系統(tǒng)的圍手術(shù)期護(hù)理干預(yù)措施，分析對(duì)比兩組患者的護(hù)理成效。結(jié)果：觀察組患者的護(hù)理服務(wù)滿意度為94.44%,高于對(duì)照組患者的護(hù)理服務(wù)滿意度72

2、.22%,組間的差異具有統(tǒng)計(jì)學(xué)意義(P<0.05)；同時(shí)，觀察組患者的并發(fā)癥發(fā)生率低于對(duì)照組，差異同樣具有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論：對(duì)胸腔鏡下肺大泡切除術(shù)患者采取系統(tǒng)的圍手術(shù)期護(hù)理干預(yù)能夠降低患者并發(fā)癥的發(fā)生率，改善生活質(zhì)量，同時(shí)提高患者護(hù)理服務(wù)滿意度，構(gòu)建和諧護(hù)患關(guān)系，只有很好的臨床推廣和應(yīng)用價(jià)值?！娟P(guān)鍵詞】胸腔鏡；肺大泡切除術(shù)；自發(fā)性氣胸：圍手術(shù)期護(hù)理【中圖分類號(hào)】R655.3【文獻(xiàn)標(biāo)識(shí)碼】A【文章編號(hào)】1004-6194(2015)02-0091-02Thoracoscopicres

3、ectionoflungbullaeperioperationperiodnursingcountermeasuresZhangQinYan'anPeople'sHospitalofShaanxiprovincecardiothoracicsurgicaloncologyzipcode:716000【Abstract】Objective:Toexploretheperioperationperiodnursingofpatientswithpulmonarybullaresectionundert

4、horacoscope.Methods:fromourhospitalinJanuary20142014Decemberin72casesofthoracoscopicpulmonarybullaresectionpatientsastheobservationobject,accordingtothedateofadmissionwillbedividedintotheobservationgroupandthecontrolgroupwith36casesineach.Thecontrolgr

5、oupreceivedroutinenursingintervention,theobservationgroupwereimplementedthesystemofperioperativenursinginterventionmeasures,analysisandcomparisonofthetwogroupsofpatientswiththenursingeffect.Results:intheobservationgroupofpatients1satisfactiontonursing

6、servicewas94.44%,higherthanthatofthecontrolgroupofpatients'satisfactiontonursingservicewas72.22%,thedifferencesbetweenthegroupswithstatisticalsignificance(P<0.05);atthesametime,observationgroup,thecomplicationratewaslowerthanthecontrolgroup,thediff

7、erencehasstatisticalsignificance(P<0.05).Conclusion:thoracoscopicpulmonarybullaresectionpatientstakesystemofperioperativenursinginterventioncanreducecomplicationsoccurrencerateandimprovethequalityoflife,andimprovepatientssatisfactionwithnursingserv

8、ice,tobuildaharmoniousrelationshipbetweennursesandpatients,hasgoodclinicalapplicationvalue.肺人皰導(dǎo)致的自發(fā)性氣胸是臨床胸外科中較為常見的疾病之一【1】，患者臨床表現(xiàn)為呼吸閑難、胸悶以及氣急等癥狀，嚴(yán)重的情況下甚至?xí)l(fā)昏迷，威脅到患者的生命健康。相關(guān)研究顯示，自發(fā)性氣胸通過內(nèi)科保守治療之后具奮極高的復(fù)發(fā)率，約為29%,通過胸腔閉式引流之后同樣具有21%的復(fù)發(fā)率，而開胸手術(shù)治療后的復(fù)發(fā)率僅為5