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当代护理

Contemporary Nursing

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Contemporary Nursing. 2026; 7: (4) ; 10.12208/j.cn.20260225 .

Analysis of the impact of comprehensive nursing intervention on the rehabilitation effect of patients undergoing pleural adhesion surgery for spontaneous pneumothorax
全程护理干预在自发性气胸行胸膜粘连术患者中应用对患者康复效果的影响分析

作者: 沈娟 *

苏州永鼎医院 江苏苏州

*通讯作者: 沈娟,单位:苏州永鼎医院 江苏苏州; ;

引用本文: 沈娟 全程护理干预在自发性气胸行胸膜粘连术患者中应用对患者康复效果的影响分析[J]. 当代护理, 2026; 7: (4) : 174-177.
Published: 2026/4/26 10:00:55

摘要

目的 分析全程护理干预模式对接受胸膜粘连术治疗的自发性气胸患者康复效果的影响。方法 选取我院2023年6月至2025年6月期间自发性气胸并行胸膜粘连术患者92例为研究对象。随机分为观察组与对照组。对照组实施常规围手术期护理,观察组则在此基础上实施全程护理干预。结果 观察组在术后首次下床活动时间、术后住院天数均显著短于对照组,术后24小时、48小时及72小时的静息状态VAS评分更低,术后并发症总发生率更低,且疾病知识掌握度评分更高(P<0.05)。结论 对行胸膜粘连术的自发性气胸患者实施全程护理干预,对改善患者整体康复质量具有积极的临床意义。

关键词: 自发性气胸;胸膜粘连术;全程护理;康复效果;疼痛管理

Abstract

Objective To analyze the impact of a comprehensive nursing intervention model on the rehabilitation outcomes of patients with spontaneous pneumothorax who underwent pleural adhesion surgery.
Methods 92 patients with spontaneous pneumothorax and pleural adhesions who underwent surgery in our hospital from June 2023 to June 2025 were selected as the study subjects. Randomly divided into observation group and control group. The control group received routine perioperative care, while the observation group received full course nursing intervention on this basis.
Results The observation group had significantly shorter first mobilization time and hospital stay after surgery compared to the control group. The resting VAS scores at 24, 48, and 72 hours after surgery were lower, the overall incidence of postoperative complications was lower, and the disease knowledge mastery score was higher (P<0.05).
Conclusion   Implementing full course nursing intervention for patients with spontaneous pneumothorax undergoing pleural adhesion surgery has positive clinical significance in improving the overall rehabilitation quality of patients.

Key words: Spontaneous pneumothorax; Pleural adhesion surgery; Full process care; Rehabilitation effect; Pain management

参考文献 References

[1] 谭继玲,冉雪梅,夏庆弟,等.自体血加血凝酶胸膜粘连术治疗难治性气胸的效果观察[J].医药前沿,2021,11(01): 5-7.

[2] 张浩.护理干预对老年自发性气胸治疗转归的影响[J].中国冶金工业医学杂志,2023,40(03):295.

[3] 高梅.全程护理在电视胸腔镜手术治疗自发性气胸中的应用观察[J].基层医学论坛,2020,24(12):1635-1636.

[4] 段春雪,余滨兵.用线性视觉模拟标尺评分法对混合痔术后疼痛的评估及护理[J].医学食疗与健康,2021,19(12): 123-124.

[5] 韩溢洪,肖海琴,徐伟.影响自发性气胸术后复发的危险因素分析及列线图模型的构建[J].上海医药,2024,45(13): 48-51.

[6] 周艳艳.基于概念重建理论的认知干预在自发性气胸术后患者中的应用[J].中外医学研究,2023,21(20):103-106.

[7] 成玉英,罗检林,黄仁丽.全程护理干预对自发性气胸手术患者术中应激反应及心理状况的影响[J].吉林医学, 2022,43(12):3439-3441.

[8] 张凤.全程优质护理结合心理干预在肋骨骨折并发气胸患者中的应用效果[J].心理月刊,2021,16(04):177-178.