Nursing intervention of respiratory function training and cough intervention on the rehabilitation of 123 patients with chronic tuberculosis empyema after surgery
呼吸功能训练联合咳嗽排痰干预对慢性结核性脓胸123例手术后患者康复的护理体会

摘要

目的 深入细致的分析探讨呼吸功能训练联合咳嗽排痰干预在慢性结核性脓胸手术患者康复中的应用效果，期待可将研究理论应用至实践中去，对领域发展形成促进，更好的服务于患者，为其解除病苦。方法 实验以对比方式展开，123例研究对象均为2022年5月至2023年5月在本院行慢性结核性脓胸手术治疗的患者，以患者建档顺序为依据将其分成甲乙两组，同时将不同干预策略实行于两组之间，前者划入人数61例，提供常规护理服务；后者划入人数62例，提供呼吸训练联合咳嗽排痰干预方案，随之进行数据收集、效果评价，整合阐述。采用t检测（正态计量数据）；采用χ2检验（计数资料）；计算均数以（-x±s）代替。结果 统计学分析后所得，乙组采纳方案更具可实施性，患者在疼痛评分、护理满意程度、并发症发生率、生活质量各项评分方面体现，均显优甲组（P＜0.05），实验价值突出，值得探讨。结论 对于慢性结核性脓胸手术患者而言，在其临床护理方案的横向选择中，建议优先选择乙组采纳方案，即呼吸功能训练联合咳嗽排痰干预策略，不仅能够减轻患者疼痛症状，降低并发症发生几率、提高生活质量，还可极大程度增进护患关系，收获患者满意度提高，值得肯定、引用、推崇。

Abstract

Objective: To analyze and detail the application effect of respiratory function training combined with cough and sputum removal intervention in the rehabilitation of patients with chronic tuberculosis empyema surgery. It is expected that the research theory can be applied to practice to promote the development of the field, better serve patients and relieve the disease and suffering.
Methods: The study of 123 patients undergoing chronic tuberculosis empyema in our hospital from May 2022 to May 2023 were divided into two groups based on the order of patients, and different intervention strategies were implemented between the two groups, including 61 cases and providing routine nursing services; 62 cases including respiratory training, followed by data collection, effect evaluation, and integration. Use t test (normal measurement data); use χ2 test (count data); calculate means with (-x±s) instead.
Results: After statistical analysis, the plan adopted by group B was more feasible, and the patients were reflected in pain score, nursing satisfaction, complication rate and quality of life, which showed excellent group A (P <0.05), with outstanding experimental value and worth discussing.
Conclusion  : for patients with chronic tuberculosis empyema surgery, in the horizontal selection of clinical nursing scheme, suggest preferred b group adopted, namely respiratory function training joint cough sputum intervention strategy, not only can reduce patients pain symptoms, reduce complications incidence, improve the quality of life, also can greatly improve the relationship between nurses, harvest patient satisfaction, worthy of affirmation, reference, praise.