Contemporary Nursing
Contemporary Nursing. 2025; 6: (5) ; 10.12208/j.cn.20250236 .
总浏览量: 114
十堰市太和医院 湖北十堰
*通讯作者: 贺桂莲,单位:十堰市太和医院 湖北十堰;
目的 分析A型主动脉夹层术后者行分级肺康复方案的效果。方法 纳入我院2022年1月~2023年1月内A型主动脉夹层手术治疗患者66例,采用随机数字表法分为对照组(常规护理)和观察组(分级肺康复方案护理)各33例,对比两组护理效果。结果 干预前两组自我护理能力评分(自我概念、自我责任感、自我护理技能、健康知识水平)差异均无统计学意义(P>0.05),干预后观察组评分均显著较对照组更高,且并发症总发生率较对对照组更低,差异均有统计学意义(P<0.05)。结论 临床中对A型主动脉夹层术后患者行分级肺康复方案干预能够显著减少其术后并发症发生,提高自我护理能力。
Objective To analyze the effect of graded pulmonary rehabilitation program on patients with type A aortic dissection after surgery. Methods 66 patients with type A aortic dissection who underwent surgical treatment in our hospital from January 2022 to January 2023 were included. They were randomly divided into a control group (conventional nursing) and an observation group (graded lung rehabilitation program nursing), with 33 patients in each group. The nursing effects of the two groups were compared. Results There was no statistically significant difference in self-care ability scores (self-concept, sense of self responsibility, self-care skills, health knowledge level) between the two groups before intervention (P>0.05). After intervention, the observation group had significantly higher scores than the control group, and the total incidence of complications was lower than that of the control group, with statistical significance (P<0.05). Conclusion In clinical practice, implementing a graded pulmonary rehabilitation program intervention for patients with type A aortic dissection after surgery can significantly reduce the occurrence of postoperative complications and improve their self-care ability.
[1] 郭晨,宋亚敏. Stanford A型主动脉夹层肥胖患者术后低氧血症的护理[J]. 护理学杂志,2023,38(21):46-49.
[2] 祁萍. 基于ABCDE的集束化、个性化护理方案对老年急性A型主动脉夹层病人术后谵妄的影响[J]. 实用老年医学,2024,38(4):418-421.
[3] 卫建华,何国军,桑明,等. A型主动脉夹层术后患者行悬雍垂腭咽成形术的护理[J]. 中华急危重症护理杂志,2022,3(5):455-457.
[4] 胡岳秀,苏云艳,王哲芸,等. 肥胖合并A型主动脉夹层患者术后急性肺损伤的肺康复护理[J]. 护士进修杂志, 2022, 37(10):943-946.
[5] 王毅贞,裴海燕. Stanford A型主动脉夹层患者术后延迟拔管的危险因素分析及护理[J]. 中外医疗,2022, 41(15): 119-123.
[6] 余云,王哲芸,王岩,等. A型主动脉夹层术后并发急性肠系膜上动脉缺血患者的护理[J]. 护理学杂志,2022, 37(20):51-53.
[7] 辛飞飞,王莹莹,程伶俐. 基于HBM的跟踪护理联合健康宣教对急性Stanford A型主动脉夹层术后患者依从性及生活质量的影响[J]. 保健医学研究与实践,2022, 19(12):136-140.
[8] 栗林,武文贤,王学艳,等. 自我管理和护理依赖在A型主动脉夹层术后患者健康素养与出院准备度间的链式中介作用[J]. 护理学杂志,2024,39(2):42-46.