Effect of airway clearance system on pulmonary infection prevention in elderly patients undergone abdominal operation
10.3760/cma.j.issn.1674-2907.2011.23.014
- VernacularTitle:呼吸道清除系统预防老年腹部手术后肺部感染的效果
- Author:
Zhu-Yun GONG
1
;
Cui-E ZHANG
;
Xiang LI
Author Information
1. 解放军总医院
- Keywords:
Airway clearance system;
Elderly patient;
Abdominal operation;
Pulmonary infection
- From:
Chinese Journal of Modern Nursing
2011;17(23):2765-2767
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of airway clearance system (VestTM system) and traditional person knocking method on expectoration and pulmonary infection prevention in elderly patients undergone abdominal operation. Methods 60 cases of elderly patients undergone abdominal operation were randomly divided into observation group (n = 30) and control group (n = 30). The control group received person knocking method to promote expectoration while the observation group was treated with VestTM system.Clinical effect was compared between the groups. Results Sputum volume on day 1 of the observation group [(25.32 ± 2.12) ml/d] was higher than that of the control group [(14.20 ± 1.58) ml/d], and the difference was statistically significant (t = 23.04, P ＜ 0.05). There were also significant differences of sputum volume on day 2, day 3 and day4 (P＜0.05). 6 cases of cut pain, (4.2±0.2) scores of VAS and3 cases of difficulty in position cooperation were reported in the observation group, while the control group reported 21 cases,(7.2±0.3) scores and 16 cases, respectively, the differences were statistically significant (x2 = 13.20,11.09, respectively, t = 45. 57, P ＜ 0.05). There was no significant difference regarding hemodynamics and drainage volume (P ＞ 0.05). Conclusions Compared with traditional person knocking method, the VestTM system has satisfying effect of expectoration and popularity with patients, and can effectively prevent pulmonary infection in elderly patients undergone abdominal operation.
