陈明真　欧阳雁弟　卢燕珊

[摘要] 目的 探讨无缝隙护理在经电子支气管镜检查护理中的应用及对患者不良反应发生的影响。 方法 选取2017年2月～2018年1月我院收治的经电子支气管镜检查的患者62例，随机分为对照组与研究组各31例。对照组应用常规的环境、知识、心理、麻醉护理治疗，研究组应用全程的入院前、手术前、手术中、手术后的无缝隙护理治疗，对比两组患者满意度及不良反应发生情况。 结果 研究组护理满意率96.8%高于对照组74.2%，差异有统计学意义（P<0.05）;研究组咳嗽1例、气促0例、感染1例、出血0例等不良状况，不良率为6.5%，均少于对照组咳嗽3例、气促2例、感染4例、出血3例，不良反应发生率为38.7%，差异有统计学意义（P<0.05）。 结论 经电子支气管镜检查的护理过程中，无缝隙护理的疗效较理想，临床应当加大推广。

[关键词] 无缝隙护理;经电子支气管镜检查;不良反应;系统呼吸疾病;护理满意度

[中图分类号] R473.5          [文献标识码] B          [文章编号] 1673-9701（2019）12-0146-03

Application of seamless care in the nursing of electronic bronchoscopy and its adverse reactions

CHEN Mingzhen   OUYANG Yandi   LU Yanshan

Department of Respiratory Medicine， Shunde Hospital of Southern Medical University（the First People's Hospital of Shunde District）， Foshan   528308， China

[Abstract] Objective To explore the application of seamless care in the nursing of electronic bronchoscopy and its adverse reactions. Methods Sixty-two patients undergoing electronic bronchoscopy admitted to our hospital from February 2017 to January 2018 were randomly divided into two groups， 31 in the control group and 31 in the study group. The control group was treated with routine environmental， knowledge， psychological， and anesthetic care. The study group was given seamless care covering pre-hospital， preoperative， intraoperative， and postoperative stages. The satisfaction of the two groups and the occurrence of adverse reactions were compared. Results The nursing satisfaction rate of the study group was 96.8%， which was higher than that of the control group（74.2%），and the difference was statistically significant（P<0.05）. The study group had 1 case of cough， 0 case of shortness of breath， 1 case of infection， and 0 case of bleeding， and the adverse reaction rate was 6.5%， lowering than the 38.7% in the control group（3 cases of cough， 2 cases of shortness of breath， 4 cases of infection， and 3 cases of bleeding）， and the difference was statistically significant（P<0.05）. Conclusion During the nursing process through electronic bronchoscopy， the effect of seamless care is ideal and should be promoted.

[Key words] Seamless care; Electronic bronchoscopy; Adverse reactions; Systemic respiratory diseases; Nursing satisfaction

電子支气管镜较可靠、安全、创伤小，亮度较强、视野较广阔，从而受到人们的欢迎，在目前的诊断与治疗中有着极其重要的作用，适应的范围也越来越多。对于其此项的检查中有较大的创伤性与风险性，对患者的检查会出现较大痛苦。在进行检查前，患者由于对检查的过程不理解，导致接受检查者出现恐惧紧张的心理。因此，在检查中应要求医护人员对操作的技术进行熟练地掌握，并进行有效的无缝隙护理。由于环境的污染越来越严重，人类的呼吸系统的发病症状逐渐提升。电子支气管镜的检查属于系统呼吸疾病中普遍运用的方式，其诊断的疗效得到较大的肯定。进行手术中对清洁区、无菌区、污染区进行严格区分，在手术中严格做好消毒工作，避免感染情况的发生。在手术室护理中较多的细节工作都有可能对手术产生不良的影响。……