系统化呼吸训练在开胸手术患者快速康复中的应用效果评价

发布时间：2018-04-10 17:21

本文选题：快速康复 + 深吸气训练　；参考：《实用医学杂志》2017年17期

【摘要】：目的评价系统化呼吸训练在开胸手术患者快速康复中的作用。方法对干预组165例开胸手术患者采用系统化呼吸训练的方法,具体包括:系统的健康教育、呼吸训练器辅导下的深吸气运动、主动呼吸循环技术及深吸气预测值表的使用、系统的登记记录及责任护士的系统管理。对对照组167例开胸手术患者则采用传统的呼吸训练方法。通过历史对照的方法比较干预组和对照组对呼吸训练的依从性及术后康复情况。结果 (1)干预组与对照组相比,对呼吸训练的依从性较高(P0.005);(2)干预组较对照组的术后肺部并发症发生率低(P0.005),留置胸管时间较短(P0.05),术后住院时间缩短(P0.01)。结论系统化呼吸训练可有效改善开胸手术患者的依从性,加速患者的康复进程。
[Abstract]:Objective to evaluate the role of systematic breathing training in the rapid recovery of patients undergoing thoracotomy.Methods 165 patients with thoracotomy in the intervention group were treated with systematic breathing training, including systematic health education, deep inspiratory exercise guided by respiratory trainer, active breathing and circulation technique and the use of predictive value table of deep inspiratory.System registration records and system management of responsible nurses.In the control group, 167 patients undergoing thoracotomy were treated with traditional breathing training.The compliance of intervention group and control group to respiratory training and postoperative rehabilitation were compared by means of historical control.Results 1) compared with the control group, the compliance of the intervention group to respiratory training was higher than that of the control group. The incidence of postoperative pulmonary complications in the intervention group was lower than that in the control group (P 0.005), the time of chest tube indwelling was shorter than that in the control group (P 0.05), and the postoperative hospitalization time was shorter than that in the control group (P 0.01).Conclusion systematic breathing training can effectively improve the compliance of patients undergoing thoracotomy and accelerate the rehabilitation process.
【作者单位】：南方医科大学南方医院胸外科;南方医科大学护理学院;
【基金】：广东省科技计划项目(编号:2014A020212541) 南方医科大学南方医院院长基金(编号:2014H007)
【分类号】：R473.6

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