标题：围手术期系统护理对多发性肋骨骨折患者术后生活质量的影响

      作者：秦 毅 1，杨毓素 2，方 琪 3
    (綦江区人民医院胸外科 1、手术室 2、感染管理科 3，重庆 401420)

      卷次： 2014年25卷23期

      【摘要】 目的 探讨围手术期系统护理干预措施是否有利于提高肋骨骨折患者术后肺功能、降低术后并发
症及改善生活质量。方法 选取本院胸外科2012年1月至2013年9月收治的187例多发性肋骨骨折手术患者，
随机将入选患者分为实验组(94例)和对照组(93例)，对照组给予一般的常规护理，包括用药护理、管道护理及出
院指导等，实验组在对照组的基础上给予系统护理干预措施。术后6个月进行随访，比较两组患者的肺功能情
况、术后并发症发生情况及生活质量情况。结果 实验组第1秒用力呼气容积、最大通气量分别为(1.45±0.24) L
和(68.54±2.56) L，均明显高于对照组的(1.03±0.19) L和(52.01±2.03) L，差异均具有统计学意义(P<0.05)；实验组
患者术后SF-36各维度得分均高于对照组，且差异具有统计学意义(P<0.05)；术后并发症发生率实验组低于对照
组，但差异无统计学意义(P>0.05)。结论 多发性肋骨骨折手术患者在围手术期间行系统护理干预可显著改善
患者术后肺功能状况，降低术后并发症发生率，并提高患者的生活质量。

      【关键词】 系统护理干预；多发性肋骨骨折；肺功能；手术并发症；生活质量

      【中图分类号】 R473.6 【文献标识码】 A 【文章编号】 1003—6350（2014）23—3573—04


Influence of systemic perioperative nursing on the postoperative life quality of patients with multiple ribs
fracture.
QIN Yi 1, YANG Yu-su 2, FANG Qi 3. Department of Chest Surgery 1, Operating Room 2, Department of Infection
Management 3, Qijiang People's Hospital, Chongqing 401420, CHINA

【Abstract】 Objective To explore whether systemic perioperative nursing intervention could reduce postoper-
ative complications, improve pulmonary function and postoperative life quality of patients with multiple ribs fracture.
Methods A total of 187 multiple ribs fracture patients from the hospital between January 2012 and September 2013 were
divided into experimental group (94 cases) and control group (93 cases). The control group was given routine nursing care,
including medical care, canal nursing and discharge guidance, etc. The experimental group was given systemic perioperative
nursing intervention besides routine nursing care. The patients were followed up for 6 months ofter surgery, and the patients'
pulmonary function, postoperative complications and life quality were compared. Results The first-second forced expira-
tory volume and maximal voluntary ventilation of experimental group [(1.45±0.24) L and (68.54±2.56) L] were signifi-
cantly higher than those of the control group [(1.03±0.19)L and (52.01±2.03) L], the difference were statistically signifi-
cant (P<0.05); All 36-item Short Form Health Survey (SF-36) scores of experimental group were higher than that of the
control group, the differences were statistically significant (P<0.05). The postoperative complications rate of experimen-
tal group was lower than that of the control group, the difference was statistically significant. Conclusion Systemic
perioperative nursing intervention could significantly reduce postoperative complications, improve pulmonary func-
tion and the postoperative life quality of patients with multiple ribs fracture.

      【Key words】 Systemic perioperative nursing intervention; Multiple ribs fracture; Pulmonary function; Postop-