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·胸部疾病·

健康宣教联合肺康复训练预防胸外科术后肺部感染的效果分析

作者:孙梅花 陈 华 彭华娜 唐小宏

所属单位:北京大学深圳医院胸外科 (广东 深圳 518036)

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摘要

目的 分析肺康复训练结合健康宣教在预防胸外科术后肺部感染中的效果。方法 选择我院收治的86例行胸外科手术 的患者进行研究,将其随机分成研究组与常规组,常规组为常规干预,研究组在常规干预基础上实施肺康复训练 与健康宣教,比较两组的肺部感染发生率、肺部功能指标、生活质量评分。结果 ①研究组护理后的肺功能改善情 况优于常规组,组别间有差异(P<0.05);②采取护理措施后,研究组生活质量明显上升,与常规组比较有差异 (P<0.05);③肺部感染率:研究组为2.33%,常规组为18.60%,前者低于后者,两组数据比较有统计学意义(P <0.05)。结论 临床对行胸外科手术的患者进行肺康复训练与健康宣教,能控制肺部感染风险,改善其呼吸功能 与生活质量,降低并发症率,值得临床推广。

Objective To analyze the effect of health education combined with pulmonaryrehabilitation training on prevention of pulmonary infection after thoracic surgery. Methods A total of 86 patients who accepted thoracic surgery in our hospital were taken as the clinical research objects, and they were randomly divided into study group and control group. Both groups were given conventional intervention, besides, the study group was given additional pulmonary rehabilitation training and health education. The incidence rates of pulmonary infection, pulmonary function indexes and scores of life quality in the two groups were compared. Results After nursing, the improvement of pulmonary function in the study group was better than that in the control group, and their difference was statistically significant(P<0.05), the quality of life in the study group was significantly increased, and the difference in life quality between the study group and the control group was statistically significant(P<0.05), the incidence rate of pulmonary infection in the study group was 2.33% which was obviously lower than that in the control group 18.60%, and their difference was statistically significant(P<0.05). Conclusion Pulmonary rehabilitation training and health education for patients with thoracic surgery can control the risk of pulmonary infection, improve respiratory function and quality of life, and reduce complications. Thus, it is worthy of clinical application.

【关键词】肺部感染;胸外科术;康复训练;健康宣教

【中图分类号】R816.41

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2017.04.003

前言

胸外科手术患者因术后卧床时间长、手术创伤 大、侵入性操作、机体抵抗能力下降,发生肺部感染 的风险较大[1]。除此之外,术后因伤口疼痛,导致患 者咳嗽、呼吸功能受到一定限制,也会加大肺部感染 可能性。肺部感染是胸外科术后常见的一种并发症, 临床表现包括体温异常、呼吸困难、痰液增加等,为 了提高患者术后生活质量,护理人员必须采取措施, 降低肺部感染风险[2-3]。研究表明[4],肺康复训练能 改善患者的肺部功能,同时辅以健康宣教,可使患者 对相关知识增强了解,降低术后肺部感染率。为了分 析肺康复训练+健康宣教在预防胸外科术后肺部感染中的具体效果,我院选择了86例病患参与研究,现报 道如下。