循证护理在胸外科患者呼吸道管理中的实践效果(1)
[摘要] 目的 分析循证护理在胸外科患者呼吸道管理中的实践效果。 方法 随机选取该院2012年6月—2014年6月收治的80例胸外科患者为研究对象，按照入院前后顺序将其分为两组，各40例，对照组患者给予常规呼吸道管理护理，实验组患者则在呼吸道管理中应用循证护理干预，比较两组干预前后肺功能变化、并发症发生率及护理质量评分。 结果 两组干预后FEV1[(2.90±0.04)VS(1.90±0.05)]L、FEV1/FVC[(0.59±0.02)VS(0.45±0.03)]比较差异有统计学意义(P<0.05)。实验组并发症发生率5.0%，与对照组的32.5%比较差异有统计学意义(P<0.05)。另外，实验组护理质量评分明显高于对照组(P<0.01)。 结论 胸外科患者呼吸道管理中应用循证护理，能明显改善患者肺功能，减少并发症发生，护理质量高，值得临床推广。
[关键词] 循证护理；胸外科；呼吸道管理；实践效果
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2015)04(c)-0134-03
[Abstract] Objective To analyze the practical effect of evidence-based nursing on respiratory management of patients in Department of Thoracic Surgery. Methods 80 cases admitted in the Department of Thoracic Surgery of our hospital from June 2012 to June 2014 were selected as the subjects and divided into two groups， the control group and the experimental group with 40 cases in each in accordance with the order of admission. The control group were treated by the conventional respiratory nursing， while the experimental group were treated by the evidence-based nursing intervention based on the conventional respiratory nursing. And the pulmonary function， incidence of complications and nursing quality score before and after nursing intervention were compared between the two groups. Results After intervention， compared with the control group， the FEV1 of the experimental group was much better [(2.90±0.04) VS (1.90±0.05)]L， and the FEV1/FVC was much better[(0.59±0.02) VS (0.45±0.03)]， the differences were statistically significant(P<0.05). The incidence of complications in the experimental group was 5.0%， and that in the control group was 32.5%， the difference was statistically significant(P<0.05). In addition， the nursing quality score of the experimental group was significantly higher than that of the control group(P<0.01). Conclusion Evidence-based nursing applied to the respiratory management of patients in Department of Thoracic Surgery， can significantly improve the pulmonary function， reduce the incidence of complications with high nursing quality， which is worth the clinical promotion.
[Key words] Evidence-based nursing； Department of Thoracic Surgery； Respiratory management； Practice effect
呼吸道管理作为胸外科护理一项重要举措，在恢复呼吸肌肌力、改善肺功能、预防或减少肺部并发症上有至关重要的作用[1]。临床实践表明呼吸道管理是保证手术顺利完成的关键，有利于患者早日康复[2]。近年来一种新的护理模式——循证护理在临床上广泛应用且效果明显，该模式即护理人员依据科学证据对患者对症施护，能有效提高护理效果，降低并发症发生率。基于此，本研究对该院胸外科患者呼吸道管理中应用循证护理干预，报道如下。
1 资料与方法
1.1 一般资料
随机选取该院2012年6月—2014年6月收治的80例胸外科患者为研究对象，按照入院前后顺序将其分为对照组和实验组，各40例，对照组中男25例，女15例，年龄41～83岁，平均(67.2±6.4)岁。手术类型：食管癌切除术20例，全肺或肺叶切除术11例，肺气肿部分肺切除术4例，其他5例。实验组中男24例，女16例，年龄42～84岁，平均(68.3±6.7)岁。手术类型：食管癌切除术21例，全肺或肺叶切除术10例，肺气肿部分肺切除术5例，其他4例。对比两组年龄、手术类型等差异无统计学意义(P>0.05)。有可比性。, http://www.100md.com(蔡飒)
[关键词] 循证护理；胸外科；呼吸道管理；实践效果
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2015)04(c)-0134-03
[Abstract] Objective To analyze the practical effect of evidence-based nursing on respiratory management of patients in Department of Thoracic Surgery. Methods 80 cases admitted in the Department of Thoracic Surgery of our hospital from June 2012 to June 2014 were selected as the subjects and divided into two groups， the control group and the experimental group with 40 cases in each in accordance with the order of admission. The control group were treated by the conventional respiratory nursing， while the experimental group were treated by the evidence-based nursing intervention based on the conventional respiratory nursing. And the pulmonary function， incidence of complications and nursing quality score before and after nursing intervention were compared between the two groups. Results After intervention， compared with the control group， the FEV1 of the experimental group was much better [(2.90±0.04) VS (1.90±0.05)]L， and the FEV1/FVC was much better[(0.59±0.02) VS (0.45±0.03)]， the differences were statistically significant(P<0.05). The incidence of complications in the experimental group was 5.0%， and that in the control group was 32.5%， the difference was statistically significant(P<0.05). In addition， the nursing quality score of the experimental group was significantly higher than that of the control group(P<0.01). Conclusion Evidence-based nursing applied to the respiratory management of patients in Department of Thoracic Surgery， can significantly improve the pulmonary function， reduce the incidence of complications with high nursing quality， which is worth the clinical promotion.
[Key words] Evidence-based nursing； Department of Thoracic Surgery； Respiratory management； Practice effect
呼吸道管理作为胸外科护理一项重要举措，在恢复呼吸肌肌力、改善肺功能、预防或减少肺部并发症上有至关重要的作用[1]。临床实践表明呼吸道管理是保证手术顺利完成的关键，有利于患者早日康复[2]。近年来一种新的护理模式——循证护理在临床上广泛应用且效果明显，该模式即护理人员依据科学证据对患者对症施护，能有效提高护理效果，降低并发症发生率。基于此，本研究对该院胸外科患者呼吸道管理中应用循证护理干预，报道如下。
1 资料与方法
1.1 一般资料
随机选取该院2012年6月—2014年6月收治的80例胸外科患者为研究对象，按照入院前后顺序将其分为对照组和实验组，各40例，对照组中男25例，女15例，年龄41～83岁，平均(67.2±6.4)岁。手术类型：食管癌切除术20例，全肺或肺叶切除术11例，肺气肿部分肺切除术4例，其他5例。实验组中男24例，女16例，年龄42～84岁，平均(68.3±6.7)岁。手术类型：食管癌切除术21例，全肺或肺叶切除术10例，肺气肿部分肺切除术5例，其他4例。对比两组年龄、手术类型等差异无统计学意义(P>0.05)。有可比性。, http://www.100md.com(蔡飒)