Application of respiratory care bundle combined with management by objectives on the gastrointestinal surgical patients with respiratory risk
10.3969/j.issn.1671-8283.2024.10.007
- VernacularTitle:基于目标管理的呼吸集束护理在胃肠手术呼吸风险患者中的应用
- Author:
Jinfang QIAO
1
;
Weixin XIONG
;
Shouzhen CHENG
Author Information
1. 中山大学附属第一医院胃肠外科三区,广东广州,510080
- Publication Type:Journal Article
- Keywords:
respiratory care bundle;
management by objectives;
pulmonary function;
respiratory risk;
postoperative pulmonary complications;
postoperative quality of recovery
- From:
Modern Clinical Nursing
2024;23(10):43-51
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of respiratory care bundle combined with management by objectives(MBO)on postoperative pulmonary function,pulmonary complications and postoperative quality of recovery of respiratory risky patients undergone gastrointestinal surgeries.Methods A total of 80 patients with respiratory risk underwent elective surgery in a ward of gastrointestinal surgery from April to November 2021 were selected.Based on the order of the surgery,48 patients with surgeries between April to July were selected into control group and received routine respiratory care,while 32 patients with surgeries between August to November were selected into trial group and received the respiratory care bundle combined with MBO.The pulmonary function,postoperative pulmonary complications and postoperative quality of recovery were analyzed and compared on the 7th postoperative day.Results There was no significant difference between two groups in preoperative general data,preoperative lung function,preoperative quality of recovery(QoR-15)and other baseline data,as well as the surgery data.On the 7th postoperative day,the decrease of pulmonary function indexes,FVC(t=3.173,P=0.002)and FEV1(t=2.883,P=0.005)in the trial group was less than that in the control group,and the degree of percutaneous oxygen saturation in the trial group was higher than that in the control group(Z=-2.454,P=0.014).There was no significant difference in the incidence of postoperative pulmonary complications.As with the QoR-15,the score of trial group was higher than that in the control group in 3 items including"moderate pain"(Z=-2.738,P=0.006),"feeling nervous or anxious"(Z=-2.593,P=0.010)and"feeling sad and depressed"(Z=-2.945,P=0.003).There was no significant difference in other items between the two groups.Conclusion The respiratory care bundle combined with MBO is beneficial to the recovery of postoperative pulmonary function and postoperative quality of recovery of gastrointestinal surgical patients with respiratory risk.
