我院胸腔积液72例护理效果剖析.docVIP

我院胸腔积液72例护理效果剖析 　　[摘要] 目的:分析胸腔积液不同护理方法的临床效果。方法:将我院2007年7月～2009年10月收治的胸腔积液患者72例随机分为常规护理组和舒适护理组各36例,比较分析两组的临床效果。结果:舒适护理组总有效率为97.2%,略高于常规护理组的91.7%,两组间差异无统计学意义(P0.05);舒适护理组患者满意率为97.2%,常规护理组为77.8%,两组间差异有统计学意义(P0.05)。结论:胸腔积液患者采用舒适护理效果满意,值得在临床关注。 　　[关键词] 胸腔积液;常规护理;舒适护理 　　[中图分类号] R473.6[文献标识码]C [文章编号]1673-7210(2010)06(a)-116-02 　　 　　Analysis on nursing effect with 72 patients of pleural effusion in our hospital 　　ZHONG Fengling 　　(Shipai Hospital of Dongguan City, Guangdong Province, Dongguan 523331, China) 　　[Abstract] Objective: To analyze the clinical effects of different methods of nursing care in pleural effusion. Methods: 72 patients of pleural effusion in our hospital were randomly divided into routine nursing group (n=36) and comfortable nursing group (n=36), we compared and analyzed the clinical effects of two groups. Results: The total effective rate of the comfortable nursing group was 97.2%, slightly higher than 91.7% of the routine nursing group, there was no significant difference between the two groups(P0.05); the satisfaction rate of the comfortable nursing group was 97.2%, the routine nursing group was 77.8%, there was a significant difference between the two groups(P0.05). Conclusion: The comfortable nursing has satisfactory nursing effect on patients of pleural effusion, it is worthy of attention. 　　[Key words]Pleural effusion;Comfortable nursing;Routine nursing 　　 　　正常人的胸腔内都会有少量的液体,以便在呼吸时保持润滑,但积液产生的过多或者由于器官病变造成积液不能及时吸收,就造成了胸腔积液,应积极诊治,治疗的同时护理工作不容忽视。现将我院72例胸腔积液患者的护理情况总结如下: 　　1 资料与方法 　　1.1 一般资料 　　选择我院2007年7月～2009年10月收治的胸腔积液患者72例,综合临床症状及胸片、超声检查等确诊。男42例,女30例,年龄19～77岁,平均(57.5±3.6)岁。心衰导致积液29例,结核性胸腔积液13例,其他原因所致30例。单侧胸腔积液50例,双侧胸腔积液22例。患者均胸穿抽液,对于大量胸腔积液部分予以胸腔闭式引流,疑为结核性胸膜炎进行抗结核治疗,全身毒性症状严重者口服泼尼松。将所有患者按照入院顺序随机分为常规护理组和舒适护理组各36例,两组的一般资料具有可比性(P0.05)。 　　1.2 护理方法 　　常规护理组:①密观察生命体征的变化,胸闷气急时给予吸氧,胸痛剧烈时给予止痛剂[1]。②协助医生抽胸水,观察胸水的颜色、量并记录。如有胸腔闭式引流,应严密观察引流是否通畅,记录引流量,并每日更换胸腔闭式引流瓶,严格无菌操作[2]。③鼓励患者卧床休息,给予高蛋白、高热量、粗纤维饮食,让患者注意饮食,避免劳累。④出院时告知患者遵医嘱按时服药,定期门诊复查。 　　舒适护理组在对照组的基础上更