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国际护理学研究

International Journal of Nursing Research

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International Journal of Nursing Research. 2024; 6: (11) ; 10.12208/j.ijnr.20240383 .

Application of clinical nursing pathway based on pulmonary rehabilitation in the perioperative period of children with severe pectus excavatum
基于肺康复的临床护理路径在重度漏斗胸患儿围手术期的应用

作者: 史雯嘉 *, 孔珊珊, 黄燕, 殷睿, 熊紫薇

华中科技大学同济医学院附属协和医院 湖北武汉

*通讯作者: 史雯嘉,单位:华中科技大学同济医学院附属协和医院 湖北武汉;

引用本文: 史雯嘉, 孔珊珊, 黄燕, 殷睿, 熊紫薇 基于肺康复的临床护理路径在重度漏斗胸患儿围手术期的应用[J]. 国际护理学研究, 2024; 6: (11) : 48-50.
Published: 2024/11/21 14:16:26

摘要

目的 分析基于肺康复的临床护理路径在重度漏斗胸患儿围手术期的应用效果。方法 选取2022年1月至2023年12月在我院行手术治疗的87例重度漏斗胸患儿为研究对象,按照护理方式的不同分为对照组(42例)和实验组(45例),对照组接受常规护理,实验组在此基础上实施基于肺康复的临床护理路径的干预。对比两组的住院时间及照顾者出院准备度、并发症发生率以及肺康复依从性。结果 实验组的住院时间及照顾者出院准备度均显著优于对照组(P<0.05);实验组的并发症发生率显著低于对照组,且肺康复依从性显著高于对照组(P<0.05)。结论 基于肺康复的临床护理路径在重度漏斗胸患儿围手术期的应用效果显著,值得进一步推广及应用。

关键词: 漏斗胸;肺康复;临床护理路径;围手术期;胸廓矫形

Abstract

Objective To analyze the application effect of clinical nursing pathway based on pulmonary rehabilitation in patients with severe pectus excavatum during the perioperative period.
Methods 87 children with severe pectus excavatum who underwent surgical treatment in our hospital from January 2022 to December 2023 were selected as the research subjects. They were divided into a control group (42 cases) and an experimental group (45 cases) according to different nursing methods. The control group received routine nursing, while the experimental group received clinical nursing interventions based on pulmonary rehabilitation on this basis. Compare the hospitalization time, caregiver discharge readiness, incidence of complications, and compliance with pulmonary rehabilitation between the two groups.
Results The hospitalization time and caregiver readiness of the experimental group were significantly better than those of the control group (P<0.05); The incidence of complications in the experimental group was significantly lower than that in the control group, and the compliance with pulmonary rehabilitation was significantly higher than that in the control group (P<0.05).
Conclusion   The clinical nursing pathway based on pulmonary rehabilitation has a significant effect on the perioperative period of children with severe pectus excavatum, and is worthy of further promotion and application.

Key words: Funnel chest; Pulmonary rehabilitation; Clinical nursing pathway; Perioperative period; Thoracic correction

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