[email protected]

现代护理医学杂志

Journal of Modern Nursing Medicine

您当前位置:首页 > 精选文章

Journal of Modern Nursing Medicine. 2025; 4: (4) ; 10.12208/j.jmnm.20250187 .

The application of high-quality nursing combined with high-frequency vibration sputum excretion device in in patients with tumor radiotherapy pneumonia
优质护理联合高频震动排痰仪在肿瘤放疗患者肺炎中的应用

作者: 廖新颖, 黄菊花, 贺鲜娇 *

广西医科大学附属肿瘤医院 广西南宁

*通讯作者: 贺鲜娇,单位:广西医科大学附属肿瘤医院 广西南宁;

引用本文: 廖新颖, 黄菊花, 贺鲜娇 优质护理联合高频震动排痰仪在肿瘤放疗患者肺炎中的应用[J]. 现代护理医学杂志, 2025; 4: (4) : 42-45.
Published: 2025/4/28 14:45:15

摘要

目的 探讨优质护理联合高频震动排痰仪在肿瘤患者放疗后相关肺炎的应用。方法 选取2023年12月-2024年12月收治的60例肿瘤相关肺炎患者作为研究对象。采用随机数字表法将研究对象随机分为对照组和试验组,每组各30例(n=30),对照组采用常规雾化吸入、指导有效咳嗽、用药护理等方案;试验组采用优质护理服务结合高频震动排痰仪等护理方案,比较两组患者护理干预前后的肺功能与生活质量。结果 护理后试验组肺功能指标水平高于对照组(P<0.05);护理后试验组患者的WHOQOL-BREF量表各维度均高于对照组(P0.05);结论 优质护理联合高频震动排痰仪在肿瘤相关肺炎患者中的应用效果显著,可显著改善患者肺功能,提升患者生活质量。

关键词: 优质护理;高频震动排痰仪;肿瘤相关肺炎;肺部感染

Abstract

Objective This study aims to examine the efficacy of integrating high-quality nursing care with the use of a high-frequency vibration sputum discharge instrument in the management of pneumonia in cancer patients following radiotherapy.
Methods Sixty patients diagnosed with tumor-related pneumonia, admitted between December 2023 and December 2024, were selected as participants for this study. The participants were randomly assigned to either the control group or the experimental group using a random number table method, with each group comprising 30 individuals (n=30). The control group received standard care, which included routine nebulization therapy, effective cough guidance, medication management, and other conventional interventions. In contrast, the experimental group received an enhanced nursing care protocol, which incorporated high-quality nursing services in conjunction with a high-frequency vibration sputum clearance device. The study aimed to compare the pulmonary function and quality of life between the two groups before and after the nursing interventions.
Results Following the nursing intervention, the lung function index in the study group was significantly higher than that in the control group (P<0.05). Additionally, the WHOQOL-BREF scale scores for patients in the study group exceeded those of the control group across all dimensions (P<0.05). The research results require changes in indicators.
Conclusion   The integration of high-quality nursing care with the use of high-frequency vibration sputum discharge instruments in patients with tumor-associated pneumonia demonstrates significant efficacy, notably enhancing pulmonary function and improving patients' quality of life.

Key words: High-quality nursing; High-frequency vibrating sputum excretion device; Tumor-related pneumonia; Pulmonary infection

参考文献 References

[1] 薛鸣,帖永新,张如楠,等.肺癌放疗后放射性肺炎合并肺部感染病原菌及PCT和IL-16与TGF-β水平[J].中华医院感染学杂志,2024,34(03):332-336.

[2] 柳静,李微,田甜.强化心理护理对重症肺炎伴呼吸衰竭患者的应用效果观察[J].心理月刊,2024,19(20):178-180.[3]李笑影,夏黎明,焦胜美.医护一体化早期肠内营养支持管理对ICU重症肺炎患者营养状况及预后的影响[J].航空航天医学杂志,2024,35(10):1246-1248.

[3] 尚云,裴倩,王玉琼.侧向旋转体位密闭式吸痰护理对急诊重症监护室机械通气患者呼吸机相关性肺炎的预防效果[J].罕少疾病杂志,2024,31(10):158-160.

[4] 朱雪娟,程元骏,杨文涛,等.高频胸壁振荡排痰仪对单孔胸腔镜肺叶切除术后肺功能的影响[J].中国肺癌杂志,2018,21(12):885-889.

[5] 吴鑫颖.优质护理对社区获得性肺炎患者治疗效果研究[J].中国城乡企业卫生,2024,39(10):196-198.

[6] 国旭.集束化护理对无创呼吸机治疗心衰患者的护理效果及对左心功能的影响[J].医学信息,2024,37(20):167-170+174.

[7] 王锦霞,陈彬,何银珠.风险等级防控护理应用在肺炎合并呼吸衰竭患者药物治疗期间的效果[J].中国药物滥用防治杂志,2024,30(10):1953-1956.

[8] 彭静惠.医护合作管理模式指导下人文关怀干预对重症肺炎患者希望水平及营养状态的影响[J].基层医学论坛,2024,28(28):108-110+117.

[9] 陈宇兰,管云.综合护理对胸部肿瘤放疗所致放射性肺炎的干预效果[J].现代养生,2024,24(19):1498-1501.

[10] 杨春月,林辉亮,刘阿英.基于约翰霍普金斯循证护理干预在胸部肿瘤放疗致放射性肺炎患者中的应用效果[J].实用临床医学,2024,25(02):98-102+124.

[11] 王芳,孙露,孙亚婷.加强护理干预对胸部肿瘤同步放化疗并发放射性肺炎患者心理状态及生活质量的影响[J].现代养生,2023,23(15):1173-1175.

[12] 张位位,张艳飞,刘洁.PDCA循环护理结合四位一体护理对肺癌患者放射性肺炎发生率的影响[J].中西医结合护理(中英文),2023,9(01):142-144.

[13] 陈静.肺癌放疗患者放射性肺炎优质护理的应用[J].中西医结合护理(中英文),2015,1(02):40-41.

[14] 李忡.胸部肿瘤患者放射治疗致放射性肺炎的护理干预体会[J].中国医药指南,2021,19(18):167-168.