Application of perioperative infection nursing pathway in pulmonary complications prevention after thoracic surgery
10.3760/j.issn.1674-2907.2014.31.024
- VernacularTitle:围术期感染护理路径在预防胸部手术后肺部并发症中的应用
- Author:
Xiaoping XIANG
1
;
Xiaolu LI
;
Qin TONG
Author Information
1. 325000 温州医科大学附属第二医院胸外科
- Keywords:
Nursing pathway;
Thoracic operation;
Lung complications
- From:
Chinese Journal of Modern Nursing
2014;20(31):3968-3970
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of perioperative nursing pathway on lung complications after thoracic surgery, so as to provide new evidence for the perioperative nursing pathway in the patients undergoing thoracotomy.Methods Totals of 106 patients who underwent thoracic surgery were randomly divided into observed group (n=53,double) and control group (n=53,odd).Then, hospitalization days, costs, sputum and oropharyngeal bacteria, patients satisfaction of two groups were observed and compared.Results After perioperative nursing pathway application, in observation group, the average days of hospitalization was significantly shorten (7.16 ±0.83 vs 10.45 ±1.51;t=-2.260,P<0.05),the cost (1.09 ±0.54 vs 1.44 ±0.65;t=-7.958,P<0.05) was significantly reduced, and compliance was greatly improved than that in control group (2.58 ±0.62 vs 1.21 ±0.55;t=6.334,P<0.05).Laboratory tests showed that two cases with sputum bacteria positive (3.77%vs 18.87%) and three cases with oropharyngeal bacteria positive (5.66% vs 28.30%) in observation group was significantly lower than that in control group(χ2 =4.357, 6.150,respectively,P<0.05).Patients satisfaction of observation group was higher than control group,and the difference was statistically significant ( 4.68 ±0.83 vs 3.01 ±1.02;t =3.467, P <0.05 ) . Conclusions Perioperative nursing pathway is positive and beneficial to prevent lung complications after thoracic surgery, which can improve the operation efficiency and patients satisfaction.
