[1]刘光敏,齐卯娟,宫海斐,等.疼痛护理联合呼吸功能锻炼对胸腔积液行穿刺引流术后患者肺功能及生活质量的影响[J].医学信息,2023,36(03):156-159.[doi:10.3969/j.issn.1006-1959.2023.03.033]
　LIU Guang-min,QI Mao-juan,GONG Hai-fei,et al.Effect of Pain Nursing Combined with Respiratory Function Exercise on Pulmonary Function and Quality of Life in Patients with Pleural Effusion After Puncture and Drainage[J].Journal of Medical Information,2023,36(03):156-159.[doi:10.3969/j.issn.1006-1959.2023.03.033]
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疼痛护理联合呼吸功能锻炼对胸腔积液行穿刺引流术后患者肺功能及生活质量的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年03期
页码:
156-159
栏目:
护理研究
出版日期:
2023-02-01

文章信息/Info

Title:
Effect of Pain Nursing Combined with Respiratory Function Exercise on Pulmonary Function and Quality of Life in Patients with Pleural Effusion After Puncture and Drainage
文章编号:
1006-1959（2023）03-0156-04
作者:
刘光敏; 齐卯娟; 宫海斐; 等
（天津市滨海新区海滨人民医院外科，天津 300280）
Author(s):
LIU Guang-min; QI Mao-juan; GONG Hai-fei; et al.
(Department of Surgical,Haibin People’s Hospital,Binhai New District,Tianjin 300280,China)
关键词:
疼痛护理; 呼吸功能锻炼; 胸腔积液; 穿刺引流术; 生活质量
Keywords:
Pain nursing; Respiratory function exercise; Pleural effusion; Puncture drainage; Quality of life
分类号:
R473.5
DOI:
10.3969/j.issn.1006-1959.2023.03.033
文献标志码:
A
摘要:
目的 观察疼痛护理联合呼吸功能锻炼对胸腔积液行穿刺引流术后患者肺功能及生活质量的影响。方法 选取2020年1月-2022年1月在我院诊治的78例胸腔积液行穿刺引流术患者为研究对象，采用随机数字表法分为对照组和观察组，各39例。对照组采用常规护理，观察组在对照组基础上给予疼痛护理联合呼吸功能锻炼。比较两组术后引流临床指标（总引流天数、每天引流量）、肺功能指标、生活质量水平、不同时间段（术后2、12、24 h）疼痛评分、并发症发生率。结果 观察组总引流天数短于对照组，每天引流量小于对照组（P＜0.05）；观察组第1秒用力呼气容积（FEV1）、用力肺活量（FVC）、FEV1/FVC及最大通气量（MVV）均大于对照组（P＜0.05）；两组干预后生活质量评分均大于干预前，且观察组大于对照组（P＜0.05）；观察组术后2 h疼痛评分与对照组比较，差异无统计学意义（P＞0.05）；观察组术后12、24 h疼痛评分均小于对照组（P＜0.05）；观察组并发症发生率为7.69%，低于对照组的17.95%（P＜0.05）。结论 疼痛护理联合呼吸功能锻炼可促进胸腔积液行穿刺引流术后患者康复，缩短引流时间，减少引流量，降低并发症发生率，改善肺功能及生活质量，可实现较理想的护理效果，值得临床加以应用。
Abstract:
Objective To observe the effect of pain nursing combined with respiratory function exercise on pulmonary function and quality of life in patients with pleural effusion after puncture and drainage.Methods A total of 78 patients with pleural effusion who underwent puncture and drainage in our hospital from January 2020 to January 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 39 cases in each group. The control group was given routine nursing, and the observation group was given pain nursing combined with respiratory function exercise on the basis of the control group. The clinical indexes of postoperative drainage (total drainage days, daily drainage volume), lung function indexes, quality of life, pain scores at different time periods (2, 12, 24 h after operation) and incidence of complications were compared between the two groups.Results The total drainage days in the observation group were shorter than those in the control group, and the daily drainage volume was less than that in the control group (P<0.05). The forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), FEV1/FVC and maximum ventilation volume (MVV) in the observation group were higher than those in the control group (P<0.05). The quality of life scores of the two groups after intervention were higher than those before intervention, and the observation group was higher than the control group (P<0.05). There was no significant difference in pain score between the observation group and the control group at 2 h after operation (P>0.05). The pain scores of the observation group at 12 and 24 h after operation were lower than those of the control group (P<0.05). The incidence of complications in the observation group was 7.69%, which was lower than 17.95% in the control group (P<0.05).Conclusion Pain nursing combined with respiratory function exercise can promote the rehabilitation of patients with pleural effusion after puncture and drainage, shorten the drainage time, reduce the drainage volume, reduce the incidence of complications, improve lung function and quality of life, and achieve better nursing effect, which is worthy of clinical application.

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更新日期/Last Update: 1900-01-01