改良腹式呼吸对鼻内镜手术患者舒适度影响.docVIP

改良腹式呼吸对鼻内镜手术患者舒适度影响 　　[摘要]目的 探讨缩唇腹式呼吸训练对经鼻内镜手术患者舒适度的影响。方法 选取我院在2015年3月～2017年3月收治的60例经鼻内镜手术患者作为研究对象，采用随机对照试验将其分为实验组（30例）和对照组（30例）。两组均行术前常规护理，实验组除常规护理外给予缩唇腹式呼吸训练，观察两组患者术后咽干痛、镇痛剂使用情况、夜间睡眠情况、饮水量及舒适度的差异。结果 实验组术后咽干痛时间短于对照组，差异有统计学意义（P0.05）；夜间睡眠时间长于对照组，差异有统计学意义（P0.05）；镇痛剂使用量和饮水量明显少于对照组，差异有统计学意义（P0.05）；舒适度评分高于对照组，差异有统计学意义（P0.05）。结论 术前掌握缩唇腹式呼吸并能在术后有效地应用，缓解患者术后咽干痛，延长患者夜间睡眠时间，减少饮水量，从而增加患者的舒适感。 　　[关键词]缩唇腹式呼吸；鼻内镜手术；舒适度 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2017）12（a）-0178-03 　　[Abstract]Objective To investigate the effect of contraction lip abdominal breathing training on the comfort of patients undergoing endoscopic sinus surgery.Methods 60 patients undergoing endoscopic sinus surgery from March 2015 to March 2017 were selected as subjects and divided into experimental group （30 cases） and control group（30 cases），according to randomized controlled trial.Rutine nursing care was performed before operation in the two groups.The experimental group was given further contraction lip abdominal breathing training.Throat pain，analgesic use，nocturnal sleep sleep situation，drinking water and comfort between the two groups after operation were observed.Results The postoperative throat pain in experimental group was shorter than the in control group，the difference was statistically significant（P0.05）.Nocturnal sleep time was longer than that of the control group，the difference was statistically significant（P0.05）.Analgesic use and water consumption were significantly reduced than those in control group，the differences were statistically significant（P0.05）.The comfort score was higher than the control group，the difference was statistically significant （P0.05）.Conclusion Preoperative master contraction lips abdominal breathing and can be effectively used in postoperative can alleviate postoperative throat pain，prolonged nocturnal sleep time，reduce the amount of drinking water，so as to increase the comfort of the patients. 　　[Key words]Contraction lip abdominal breathing；Endoscopic si