网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
纽曼系统护理模式对肺大泡切除术合并肺栓塞患者负面情绪和生活质量的作用
作者:张锦萍 
单位:青海省心脑血管病专科医院 胸外科, 青海 西宁 810000
关键词:纽曼系统模式 肺栓塞 凝血指标 生活质量 
分类号:R563.5;R473.56
出版年·卷·期(页码):2018·46·第六期(719-723)
摘要:

目的:探讨纽曼系统模式在肺大泡切除术合并肺栓塞患者中对负面情绪和生活质量的影响。方法:选取2013年9月至2017年7月在我院进行肺大泡切除术合并肺栓塞的患者156例,根据随机数字表法分为观察组和对照组,每组78例。两组患者均在电视辅助胸腔镜手术(VATS)下完成切除手术并且由同一组护理人员进行监护与护理。对照组采用常规临床护理,观察组在对照组的基础上采用纽曼系统模式护理。对两组患者护理后的抑郁情绪、焦虑情绪、凝血指标、生活质量以及护理满意度进行对比与分析。结果:观察组患者重度焦虑和抑郁的比例分别为6.41%、2.56%,显著低于对照组的15.38%、12.82%(P<0.05)。观察组患者血小板计数(PLT)水平接近正常水平,显著高于对照组,D-二聚体(D-D)和血纤维蛋白原(FIB)显著低于对照组(P<0.05),此外,与对照组比较,观察组的血浆凝血酶原时间(PT)和活化部分凝血活酶时间(APTT)则显著延长(P<0.05)。经过护理后观察组患者的生活质量显著高于对照组(P<0.05),患者的满意度显著高于对照组(P<0.05)。结论:纽曼系统模式在肺大泡切除术合并肺栓塞患者的治疗中能有效改善患者的负面情绪和凝血功能,并能提高患者生活质量。

Objective:To investigate the effects of the neuman system model on negative emotions and quality of life in patients with bulllectomy and pulmonary embolism. Methods:from September 2013 to July 2017, 156 cases of bullectomy and pulmonary embolism were performed in our hospital. They were randomly divided into the observation group and the control group, with 78 cases in each group. The control group was treated with routine clinical nursing, while the observation group was treated with neuman system model in addition to the control group. The depression, anxiety and other negative emotions of the two groups of patients after nursing treatment were compared and analyzed. The coagulation indexes of two groups of patients after treatment were compared and analyzed. The analysis on the life quality and nursing satisfaction of two groups of patients after nursing were compared. Results:The anxiety degree and depression degree of the observation group were 6.41% and 2.56%, which were significantly lower than 15.38% and 12.82% in the control group (P<0.05). The lood platelet (PLT) level in the observation group was close to normal level, which was significantly higher than the control group. Regarding D-dimer (D-D) and Fibrinogen (FIB), the observation group was significantly lower than the control group (P<0.05). In addition, compared with the control group, prothrombin time (TP) and activated partial thrombop-lastin time (APTT) in the observation group were significantly prolonged (P<0.05). After nursing, the quality of life in the observation group was significantly higher than that in the control group (P<0.05). The nursing satisfaction comparison showed that patients satisfaction in the observation group was significantly higher than that in the control group (P<0.05). Conclusion:The neuman system model can effectively improve the negative mood and function in blood coagulation and improve the quality of life in patients with bullectomy combined with pulmonary embolism.

参考文献:

[1] 王进富,李拥军,吴刚,等.低分子肝素作用于NSCLC的临床疗效及对患者凝血功能的影响[J].实用癌症杂志,2017,32(4):586-589.
[2] OUELLETTE D W,PATOCKA C.Pulmonary embolism[J].Emerg Med Clin North Am,2012,30(2):329-375.
[3] 刘本,侯秋月.急性肺栓塞患者血清A pelin-13水平改变及临床意义[J].检验医学与临床,2016,13(24):3520-3522.
[4] 周卫华,徐晓,金东生,等.三种临床量表在老年非高危急性肺栓塞诊断中的应用价值[J].现代医学,2014,42(12):1383-1386.
[5] 陈哲,张秀峰,涂容芳,等.脓毒性肺栓塞1例并文献复习[J].中南医学科学杂志,2016,44(4):465-468.
[6] 沈鹏.华法林联合低分子肝素治疗晚期肺癌急性非大面积肺栓塞的疗效观察[J].现代药物与临床,2016,31(4):431-434.
[7] 单颖.纽曼护理对抑郁症患者抑郁症状与生存质量的影响[J].现代医学,2016,44(3):388-392.
[8] 张青云,丁萌,陈磊,等.经腘静脉置管接触性溶栓治疗急性下肢深静脉血栓形成应用价值研究[J].临床军医杂志,2017,45(9):926-929.
[9] 吴之瑶,邬玉辉,吴畏,等.溶栓与单纯抗凝初始性治疗术前合并中高危肺栓塞癌症患者的疗效比较[J].实用癌症杂志,2017,32(6):1041-1044.
[10] BUCK J R,CONNORS R H,COON W W,et al.Pulmonary embolism in children[J].Paediatr Respir Rev,2012,13(2):112-122.
[11] 谢娟华,黄宏艳,张亚军,等.盐酸右美托咪定联合肢体远隔缺血预处理在胸腔镜肺切除术中的疗效评价[J].检验医学与临床,2017,14(4):472-475.
[12] DURU S,KELEǦLU A,ARDIÇ S.Clinical update on pulmonary embolism[J].ArchMed Sci,2014,10(3):557-565.
[13] 刘晓鹏,王在义.抗凝药物在肺栓塞治疗中的应用进展[J].心血管病学进展,2014,35(6):703-706.
[14] 李小可,段跃云,陈川丽.综合护理对难治性癫痫患儿脑电图背景波、凝血及家属情绪的改善研究[J].血栓与止血学,2016,22(6):709-711.
[15] 陈惠霞,张淑霞,鞠兆丽,等.早期康复护理对高血压脑出血患者术后凝血相关并发症的预防效果[J].国际医药卫生导报,2017,23(22):3638-3641.
[16] 韩莉丽,康伟,姚春桃,等.护理干预对骨科手术患者血液流变学、凝血功能及下肢深静脉血栓形成的影响[J].世界最新医学信息文摘,2018,18(3):218-219.
[17] 刘萍,陈艳芳.体位护理联合抗凝对下肢静脉曲张术后凝血的改善[J].血栓与止血学,2017,23(1):164-165.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 730415 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541