护理干预对COPD并发自发性气胸行胸腔镜手术患者的影响

目的探讨护理干预对COPD并发自发性气胸行胸腔镜手术患者的影响。方法选择COPD并发自发性气胸行电视胸腔镜手术治疗患者60例，随机分为观察组和对照组各30例。对照组进行胸外科常规的护理和非规范的呼吸系统功能锻炼，观察组除进行常规胸外科护理外，还实施综合护理干预。采用焦虑自评量表（SAS）、抑郁自评量表（SDS）观察并比较两组患者焦虑、抑郁心理状况及术后并发症的发生率。结果两组患者入院24h内（干预前）SAS、SDS评分无统计学差异（P〉0．05），出院时（干预后）两组患者SAS、SDS评分干预组明显低于对照组．差异具有统计学意义（P〈0．05）。两组患者术后并发症的发生率观察组明显低于对照组（P〈0．05）。结论综合护理干预能改善患者的焦虑、抑郁情绪，能有效降低患者术后并发症的发生率，改善患者术后呼吸状况，对促进患者的早日康复具有积极的作用。

The nursing intervention COPD complicated spontaneous pneumothorax row thoracoscopic surgery patients

Objective To explore the impact of nursing intervention on COPD and spontaneous pneumothorax in VATS patients. Methods Selected COPD and spontaneous pneumothorax in line the VATS patients treated 60 cases,randomly divided into observation group and the control group, 30 cases in each group. Control group conventional thoracic surgery care and non-standardized respiratory functional exercise, observation group, in addition to conventional thoracic surgery care, but also the implementation of the integrated care intervention. Used Anxiety Rating Scale （SAS）, Self-Rating Depression Scale （SDS） to observed and compared the two groups of patients with anxiety, de- pression and psychological conditions and the incidence of postoperative complications. Results Two groups of patients admitted to hospital within 24h （intervention before） SAS, SDS scores were not statistically different, P 〉 0.05, Dis- charge （intervention） group 2 patients with SAS,SDS score intervention group was significantly lower than the control group,a statistically significant difference（P 〈 0.05）. 2 groups of patients the incidence of postoperative complications observed gronp was significantly lower than the control group （P 〈 0.05）. Conclusion Comprehensive nursing inter- vention can improve patient＇s anxiety, and depression, can effectively reduce the incidence of postoperative complications and improve postoperative respiratory status, and has positive role to promote the speedy recovery of the patient＇s.