“123”健康教育模式对老年胸腔镜肺叶切除患者术后呼吸功能快速康复的影响

发布时间：2019-07-09 16:19

【摘要】：目的探讨"123"健康教育模式对老年胸腔镜肺叶切除患者术后肺功能快速康复的影响。方法将南京胸科医院2015年4月至2016年3月收治的60例拟行胸腔镜肺叶切除手术的老年肺癌患者(年龄65岁),以2015年12月前、后入院分为观察组和对照组各30例,对照组术前按常规宣教实施呼吸功能锻炼,观察组术前在"123"健康教育模式指导下实施呼吸功能锻炼,观察术后第1天动脉血气分析、术后拔管时间、开始独立步行时间、住院时间以及肺部并发症发生情况等指标。结果观察组术后第1天动脉血气分析指标中动脉氧分压及氧合指数均好于对照组(P均0.05);术后胸管拔除时间、住院时间均早于对照组(P均0.05);术后肺不张、肺部感染等肺部并发症发生率低于对照组(P均0.05)。结论 "123"健康教育模式可提高老年胸腔镜肺叶切除患者呼吸功能训练的积极性和依从性,有利于改善患者术后肺功能,促进患者快速康复。
[Abstract]:Objective to investigate the effect of 123 health education model on the rapid rehabilitation of pulmonary function in elderly patients with thoracoscopic lobectomy. Methods from April 2015 to March 2016, 60 elderly patients with lung cancer undergoing thoracoscopic lobectomy (aged 65 years) were divided into observation group (n = 30) and control group (n = 30) before December 2015. The control group was given respiratory function exercise according to routine education before operation, and the respiratory function exercise was carried out under the guidance of "123" health education mode before operation, and arterial blood gas analysis was observed on the first day after operation. Postoperative extubation time, independent walking time, hospitalization time and pulmonary complications. Results on the first day after operation, the partial pressure of arterial oxygen and the index of oxygen in the observation group were better than those in the control group (P 0.05), the extubation time and hospitalization time of the chest tube were earlier than those in the control group (P 0.05), and the incidence of pulmonary complications such as atelectasis and pulmonary infection was lower than that in the control group (P 0.05). Conclusion "123" health education model can improve the enthusiasm and compliance of respiratory function training in elderly patients undergoing thoracoscopic lobectomy, which is beneficial to improve the postoperative pulmonary function and promote the rapid recovery of the patients.
【作者单位】：南京医科大学护理学院;
【分类号】：R473.73

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