咳嗽训练对开胸术后患者的效果观察

摘要

Objective:To explore the effect of cough training on the complications of pulmonary infection and pulmonary closure for patients with thoracotomy, and to provide basis for choosing scientific and reasonable nursing care.Methods:A total of 241 patients underwent thoracotomy were divided into observation group (n=lll) and control group (n=115) at random. The effect of cough training before thoracotomy on postoperative complications of patients were compared, and the satisfaction of patients to nurses were also analyzed. Results:Nine of 111 cases of pulmonary infection occurred in observation group, accounting for 6.41%; and no pulmonary closure was observed. 19 of 115 cases occurred pulmonary infection and 1 case occurred pulmonary closure in control group, accounting for 17.40%. There was a statistical difference in the incidence of complications between the two groups (P<0.01). The satisfaction of patients to nurses was also improved from 85% in control group to 99.6% in observation group.Conclusion:Cough training before thoracotomy decreases the occurrence of postoperative pulmonary infection and pulmonary closure, enhances the quality of nursing care and the satisfaction of patients to nurses, thus it plays a key role in improving the quality of nursing care for patients with thoracotomy.%目的:探讨咳嗽训练开胸患者术后并发症肺部感染及肺不张的发生情况,为选择科学、合理的护理方法提供依据.方法:选取开胸手术患者241例,随机分为观察组(111例)和对照组(115例),对比分析术前开展咳嗽训练对开胸手术患者发生肺部感染及肺不张的影响,以及患者对医护人员的满意度.结果:观察组111例中,肺部感染9例、占6.41%,无肺不张发生;比对照组115例中,肺部感染19例、肺不张1例,占17.40%,两组并发症发生率比较,差异有统计学意义(P＜0.01).同时,患者对医护人员满意度由对照组的85%提高到观察组的99.6%.结论:咳嗽训练减少了开胸手术患者术后肺部感染和肺不张的发生,并提高了护理质量和患者对医护人员的满意度,对提高开胸患者的护理质量起到了重要的作用.