手前伸式、抱球式和睡眠式体位在胸科手术中的应用效果比较
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摘要
目的探讨手前伸式、抱球式和睡眠式体位在胸外科手术中的运用效果。方法选取2015年1月~2017年12月我院收治的胸外科手术患者186例作为研究对象,采用随机数字表法将其分为手前伸组、抱球式组、睡眠式组,每组62例。手前伸组患者使用双手向前伸摆放体位,抱球式组患者使用抱球式体位,睡眠式组患者使用睡眠式体位。比较三组手术体位摆放时间、手术时间和术后并发症发生情况,并对参与体位摆放的工作人员,从操作省力和操作便捷两个角度进行满意度评价。结果睡眠式组患者的体位摆放、手术时间均短于手前伸组和抱球式组,抱球式组患者的体位摆放、手术时间短于手前伸组,差异均有统计学意义(P<0.05)。睡眠式组患者的术后并发症总发生率低于手前伸组和抱球式组,抱球式组患者的并发症总发生率低于手前伸组,差异均有统计学意义(P<0.05)。工作人员对睡眠式体位摆放方式的满意度均高于手前伸组和抱球式组,工作人员对各体位摆放方式的满意度比较,差异均有统计学意义(P<0.05)。结论在三种体位摆放方式中,睡眠式组患者的体位在胸科手术中的应用效果最好,值得推广运用。
Objective To investigate the effect of hand forward extension,ball-holding and sleep posture in thoracic surgery.Methods A total of 186 cases of thoracic surgery patients admitted to our hospital from January 2015 to December 2017 were selected as research objects.They were divided into the hand extension group,the ball holding group and the sleep group with 62 cases in each group by random number table method.Patients in the hand stretching group used both hands to stretch forward and put the posture,patients in the ball holding group used the ball holding posture,and patients in the sleep type group used the sleep type posture.The placement time,operation time and postoperative complications of the three groups of operation positions were compared,and the satisfaction of the staff participating in the placement was evaluated from the perspectives of labor saving and convenient operation.Results The placement time and operation time were the shortest in the sleep-posture group,followed by the ball-holding group,and the longest time was displayed in the hand-protraction group with statistical significance among the three groups(P<0.05).The total incidence of postoperative complications was the lowest in the sleep-posture group,followed by the ball-holding group,and the highest incidence was in the hand-protraction group,which were displayed significant differences among the three groups(P<0.05).The satisfaction of labor saving and convenience on sleep-posture by the staff was highest,followed by the ball-holding group,worst in the hand-protraction group with statistical significance(P<0.05).Conclusion Among the three kinds of posture placement methods,the sleep group patients′ posture has the best effect in chest surgery and is worth popularizing.
Objective To investigate the effect of hand forward extension,ball-holding and sleep posture in thoracic surgery.Methods A total of 186 cases of thoracic surgery patients admitted to our hospital from January 2015 to December 2017 were selected as research objects.They were divided into the hand extension group,the ball holding group and the sleep group with 62 cases in each group by random number table method.Patients in the hand stretching group used both hands to stretch forward and put the posture,patients in the ball holding group used the ball holding posture,and patients in the sleep type group used the sleep type posture.The placement time,operation time and postoperative complications of the three groups of operation positions were compared,and the satisfaction of the staff participating in the placement was evaluated from the perspectives of labor saving and convenient operation.Results The placement time and operation time were the shortest in the sleep-posture group,followed by the ball-holding group,and the longest time was displayed in the hand-protraction group with statistical significance among the three groups(P<0.05).The total incidence of postoperative complications was the lowest in the sleep-posture group,followed by the ball-holding group,and the highest incidence was in the hand-protraction group,which were displayed significant differences among the three groups(P<0.05).The satisfaction of labor saving and convenience on sleep-posture by the staff was highest,followed by the ball-holding group,worst in the hand-protraction group with statistical significance(P<0.05).Conclusion Among the three kinds of posture placement methods,the sleep group patients′ posture has the best effect in chest surgery and is worth popularizing.
引文
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[11]朱力,孙建华,绳宇.胸外科手术专项护理标准的制订及应用效果评价[J].中华护理杂志,2015,50(8):929-931.
[12]蔡中立,丁春萍,黄国胜,等.胸外科患者术后切口感染负压封闭引流治疗的疗效研究[J].中华医院感染学杂志,2016,26(14):3252-3254.
[13]张勇,陈肖.超声定位双腔支气管插管在胸外科手术的应用[J].江苏医药,2014,40(20):2510-2511.
[14]潘惠颜,梁卫群,梁丽仪,等.217例侧卧位手术患者预防并发症护理干预研究[J].中外医疗,2014,33(20):178-180.
[15]陈挺晖,吴秀红,魏永婷,等.三种侧卧位摆放方法在胸科手术中的应用效果观察[J].中国护理管理,2015,15(11):1338-1340.
[2]叶小月.改良侧卧位在胸科肺部手术患者中的应用[J].医疗装备,2017,30(8):121-122.
[3]杨畅,方玉淑,潘熔,等.自制搁手板在胸外科侧卧位术侧上肢安置中的应用[J].局解手术学杂志,2016,25(12):918-920.
[4]周翠玲,陈晓琳,时胜红,等.胸外科患者全程管理预防医院感染的效果分析[J].中华医院感染学杂志,2015,25(19):4534-4536.
[5]沈瑾,谢凤菊,汪韵芝.改良体位护理在胸外科手术患者中的应用效果[J].中国农村卫生事业管理,2016,36(4):523-524.
[6]谢园园,郑丽萍,黄惠桥,等.两种改良侧卧体位安置法在胸部手术患者中的应用[J].齐鲁护理杂志,2016,22(4):82-83.
[7]冯立,张笑萍,于丽,等.对胸科手术病人实施3个部位体温监测的方法探讨[J].护理研究,2015,29(34):4288-4290.
[8]张逊.我国胸外科发展现状分析[J].中国肺癌杂志,2014,17(7):518-522.
[9]聂志芳,刘秋秋.改良手术体位用物在普胸外科侧卧位手术的应用[J].护理学杂志,2015,30(10):43-45.
[10]杨志广,林星宇,张鹏,等.胸外科手术患者疼痛处理对策[J].中国老年学杂志,2014,34(15):4206-4207.
[11]朱力,孙建华,绳宇.胸外科手术专项护理标准的制订及应用效果评价[J].中华护理杂志,2015,50(8):929-931.
[12]蔡中立,丁春萍,黄国胜,等.胸外科患者术后切口感染负压封闭引流治疗的疗效研究[J].中华医院感染学杂志,2016,26(14):3252-3254.
[13]张勇,陈肖.超声定位双腔支气管插管在胸外科手术的应用[J].江苏医药,2014,40(20):2510-2511.
[14]潘惠颜,梁卫群,梁丽仪,等.217例侧卧位手术患者预防并发症护理干预研究[J].中外医疗,2014,33(20):178-180.
[15]陈挺晖,吴秀红,魏永婷,等.三种侧卧位摆放方法在胸科手术中的应用效果观察[J].中国护理管理,2015,15(11):1338-1340.