The effect of three-dimensional nursing management on the respiratory exercise compliance and nursing efficiency in post-thoracotomy patients with acute pulmonary embolisms

摘要

Objective: To study the effect of the three-dimensional nursing management mode on compliance with respiratory function exercises and on the nursing efficiency in post-thoracotomy, acute pulmonary embolism (PE) patients. Methods: A cohort of 20 post-thoracotomy patients with acute PE were equally and randomly divided into two groups. The patients in the experimental group underwent the three-dimensional nursing management mode, and the patients in the control group underwent ordinary nursing. The compliance with respiratory function exercises during the hospital stay and within 3 months after discharge was observed, and the efficiency of the three-dimensional nursing management mode was determined according to the patient recovery. Results: The overall recovery effect in the experimental group was good, the respiratory function exercise effect was significant, and just one patient still had dyspnea after one week of nursing. There were 5 patients with chest tightness and chest pain and 7 patients with dyspnea in the control group. One patient died after a recurrence of the disease (P < 0.05). The total nursing efficiency was 90% in the experimental group and 30% in the control group (P < 0.05). Three months after discharge, the patients in the two groups were followed up, and a survey was conducted. In the experimental group, 14 patients and their families were very satisfied with the nursing. In the control group, 2 patients and their families were dissatisfied with the nursing, and the difference was statistically significant (P < 0.05). Conclusions: Three-dimensional nursing management with post-thoracotomy, acute pulmonary embolism patients contributes to improving the patients’ compliance with respiratory function exercises and to the nursing efficiency. It can greatly improve the nursing efficiency, relieve patients’ post-surgical pain, and can promote the formation of a good doctor-patient relationship to a certain extent.