Evaluation of the effect of comprehensive nursing intervention on sputum excretion and pulmonary infectionin patients after thoracic surgery
综合护理干预对胸外科术后患者排痰效果、肺部感染的影响评估

摘要

目的 探究为胸外科术后患者进行综合护理干预对其排痰效果和肺部感染情况产生的影响。方法 从 本院 2020 年 2 月到 2022 年 2 月接收的胸外科手术患者中选取 282 例，均在接受手术治疗后，将其随机分配为对 照组（141 例，应用常规护理干预）和研究组（141 例，应用综合护理干预），对护理后患者的肺部感染情况和 排痰效果进行对比分析。结果 接受综合护理干预的研究组患者较对照组的有效排痰率明显更高，排痰效果更好； 研究组出现肺部并发症的情况较对照组明显更少；研究组各项手术相关指标时间较对照组明显更短，手术效果更 好，以上结果差异明显，有统计学意义（P＜0.05）。 结论 为胸外科术后患者进行综合护理干预得到了显著的 效果，不仅缩短了引流管留置时间和住院时间等术后相关指标，对降低肺部感染情况和提高排痰效果方面都产生 了积极的意义。

Abstract

Objective To explore the effect of comprehensive nursing intervention on sputum excretion and pulmonary infection of patients after thoracic surgery.
Methods 282 patients receiving thoracic surgery from February 2020 to February 2022 in our hospital were randomly assigned to the control group (141 patients, applying conventional nursing intervention) and the study group (141 patients, applying comprehensive nursing intervention) after receiving surgical treatment. The pulmonary infection and sputum excretion effect of patients after nursing were compared and analyzed.
Results The effective sputum excretion rate of the patients in the study group receiving comprehensive nursing intervention was significantly higher than that of the control group; There were fewer pulmonary complications in the study group than in the control group; The time of each operation related index in the study group was significantly shorter than that in the control group, and the operation effect was better. The above results were significantly different, with statistical significance (P<0.05).
Conclusion   Comprehensive nursing intervention for patients after thoracic surgery has achieved remarkable results, which not only shortens the indwelling time of drainage tube and hospitalization time, but also has positive significance in reducing pulmonary infection and improving the effect of sputum excretion.