目标管理对老龄食管癌开胸手术患者呼吸功能锻炼依从性的影响.pdf

中西医结合护理（中英文） 2017 年第 3 卷第 2 期 • 9 • Nursing of Integrated Traditional Chinese and Western Medicine V ol.3, No. 2, 2017 DOI ： 10.11997/nitcwm . 201702032 专科护理• 目标管理对老龄食管癌开胸手术患者 呼吸功能锻炼依从性的影响 黄 琴 \ 高 宏 \ 孙 寿 芳 2 (江苏省盱眙县人民医院1.护理部；2.胸外科，江苏盱眙，211700) 摘要：目的探索目标管理对老龄食管癌开胸手术患者呼吸功能锻炼依从性的影响。方 法 32例食管癌开 胸手术老年患者分为对照组17例和实验组15例。对照组采用常规护理，实验组实行目标管理，成立目标管 理小组，明确各成员的目标责任及任务、强化培训、确定呼吸功能锻炼的目标内容，制订目标计划及目标效果。 评价2 组呼吸功能锻炼依从性，对比2 组肺部并发症发生情况、住院时间和住院费用。结 果 实 验 组 12例 (80.0% )患者依从性高，对照组为6 例(35. 3% ) ，差异有统计学意义（/ 0. 01) 。实验组住院时间短于对照 组，住院费用低于对照组，差异有统计学意义(P 〇. 〇5)。2 组肺不张及肺炎发生率差异无统计学意义（/ 〇.〇5)。结论目标管理可提高老龄食管癌开胸手术患者呼吸功能锻炼的依从性，促进患者术后康复。 关键词：目标管理；食管癌；呼吸功能锻炼；依从性 中图分类号：R 473.5 文献标志码： A 文章编号：2096-0867(2017)02-0098-03 Effects of management by objectives on compliance of respiratory function training in elderly esophageal cancer patients with open chest surgery HUANG Qin1, GAO Hong1, SUN Shoufang2 ( 1. Department of Nursing 2. Department of Chest Surgery, Xuyi Peoples Hospital, Jiangsu, Xuyi, 211700) ABSTRACT ；Objective To investigate the effect of management by objectives on compliance of respiratory function training in elderly esophageal cancer patients with open chest surgery . Methods A total of 32 elderly esophageal cancer patients with open chest surgery were enrolled and assigned to the control group ( n = 17) and the study group ( n = 15). The control group re ­ ceived routine nursing care and the study group was given nursing management by objectives , in which goal setting