谢　方　张洛利　鲁豪果

循证护理在胸外科手术患者呼吸道管理中应用观察

谢方张洛利鲁豪果

目的 探讨循证护理在胸外科手术患者呼吸道管理中的应用。方法 选取我院2013年3月～2015年11月接收的98例胸外科手术患者，随机分组，各49例。对照组采用常规护理方法，观察组给予循证护理。对比两组肺功能改善情况、满意度。结果 护理治疗前两组肺功能情况比较，差异无统计学意义（P＞0.05），护理治疗后观察组肺功能改善情况优于对照组，差异具有统计学意义（P＜0.05）；护理治疗后观察组满意度95.92%高于对照组81.63%，差异具有统计学意义（P＜0.05）。结论 在胸外科手术患者呼吸道管理中采用循证护理效果显著，可改善患者肺功能，提高护理满意度。

循证护理；胸外科手术；呼吸道管理

作者单位：郑州大学附属洛阳中心医院胸外科，河南 洛阳 471000

【Abstract】Ob jective To explore the application of evidence-based nursing in respiratory tract management of surgical patients in department of thoracic surgery. Methods 98 cases of surgical patients in our hospital from March 2013 to November 2015 were selected，random grouping，each of 49 cases. The control group was given routine nursing，the observation group was given evidence-based nursing. The improvement of lung function and satisfaction of the two groups were compared. Resu lts There was no significant difference in pulmonary function between the two groups before nursing treatment （P＞0.05），after nursing treatment，the improvement of pulmonary function in the observation group was significantly better than that in the control group，and the difference was significant（P＜0.05）. After nursing treatment，the observation group satisfaction 95.92% was significantly higher than that of the control group 81.63%，and the difference was significant（P＜0.05）. Conclusion The effect of evidence-based nursing in the management of respiratory tract in patients with operation in department of thoracic surgery is remarkable，which can improve the patient's lung function and improve the nursing satisfaction.

【Key words】Evidence-based nursing，Department of thoracic surgery operation，Respiratory tract management

循证护理是护理人员在护理过程中采用最新、最佳的科学依据对患者实施护理［1-2］。胸外科手术是一种大型手术，术后胸部活动受限、肺部易发生感染［3-4］，因此对胸外科手术患者围手术期的护理至关重要。为探讨循证护理在胸外科手术患者呼吸道管理中的应用，对我院98例患者进行研究，报道如下。

1　资料与方法

1.1一般资料

选取我院2013年3月～2015年11月接收的98例胸外科手术患者，男62例，女36例，年龄46～78岁，平均年龄（57.64±7.36）岁，随机分为观察组、对照组，各49例，两组年龄等资料差异无统计学意义（P＞0.05），具有可比性。

1.2方法

1.2.1对照组对照组采用常规护理，入院宣教、指导饮食注意事项。

1.2.2观察组观察组采用循证护理。……