Application of comprehensive chest physical therapy in patients with extracorporeal circulation operation
10.3760/cma.j.issn.1674-2907.2017.08.002
- VernacularTitle:综合胸部物理治疗在体外循环手术患者中的应用
- Author:
Hao WANG
1
;
Juan CHEN
;
Yuhong CHEN
Author Information
1. 210000,南京医科大学护理学院
- Keywords:
Extracorporeal circulation;
Physical treatment;
Inspiratory capacity;
Pain;
Comfort degree
- From:
Chinese Journal of Modern Nursing
2017;23(8):1043-1049
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of comprehensive chest physical therapy in patients with extracorporeal circulation operation. Methods A total of 90 patients with extracorporeal circulation operation under general anesthesia were recruited in Department of Thoracic Surgery, The Affiliated Nanjing Hospital of Nanjing Medical University from June to September 2016 and all patients were randomly divided into A, B, and C three groups, 30 cases in each. Patients in group A received conventional nursing measures, while group B and C received extro comprehensive chest physical therapy after operation and on the admission day respectively. Deep inspiratory capacity after removing orotracheal intubation, coughing pain score, comfort score, incidence of pulmonary infection, atelectasis, length of hospital stay, postoperative hospital stay were investigated. Results Repeated measures analysis of variance showed that deep inspiratory capacity after removing the orotracheal intubation, coughing pain score, comfort score were different before and after the intervention (F time=77.319, 70.463, 21.434; P<0.05); deep inspiratory capacity after removing the orotracheal intubation, coughing pain score, comfort score of group A, B, and C were different (Fgroup= 29.194, 8.272, 27.177; P < 0.05); for deep inspiratory capacity, there was interaction between time and group (Ftime× group= 5.889, P<0.05). Deep inspiratory capacity of patients of three groups all fell before gradually recovered compared with those of before operation, with recovery rate group C>group B >group A; daily deep inspiration capacity of group C were higher than those of group A and B(P< 0.05); deep inspiratory capacity of group B was higher than that of group A on postoperative 3rd day (P<0.05). Coughing pain score of group C was lower than that of group A on 2nd day, and on 3rd day, coughing pain score of group B was lower than group A (P<0.05).Comfort score of 3 group increased at first and then decreased. Comfort score of group B and C were not different (P>0.05), but better than that of group A(P<0.05). The postoperative hospital stay among the three groups was different (P<0.05). group C had a shorter hospital stay than that of group A (P<0.05). Conclusions Comprehensive chest physical therapy could speed up the recovery postoperatively, improve patient comfort, reduce postoperative hospital stay for patients with extracorporeal circulation surgery.
