期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

International Journal of Nursing Research. 2023; 5: (12) ; 16-19 ; DOI: 10.12208/j.ijnr.20230340.

Clinical nursing study on negative pressure suction in incision after thyroid breast surgery
甲状腺乳腺术后切口内负压吸引的临床护理研究

作者: 蒋蔚 *, 张娜, 冯秀娟, 齐晓霞, 方小玉

西安交通大学第二附属医院 陕西西安

*通讯作者: 蒋蔚,单位:西安交通大学第二附属医院 陕西西安;

发布时间: 2023-12-22 总浏览量: 166

摘要

目的 本文主要对甲状腺乳腺术后切口内负压吸引的临床护理效果展开简要分析与探讨。方法 本文主要选取的研究对象为在2022年9月-2023年9月入我院开展手术治疗后的甲状腺乳腺患者,共计100例,为探讨甲状腺乳腺术后有效护理方式,将100例参与实验的患者进行随机分组,共计分为2组,其中对照组患者行常规护理,观察组患者行内负压吸引护理,观察对比两组患者护理后引流各项指标情况、并发症发生情况及患者对护理工作满意度情况,完成有效护理方式探讨。结果 观察组患者引流液含量明显少于对照组,引流时间明显短于对照组,且切口疼痛度评分明显低于对照组,结果具有统计学意义(p<0.05);观察组患者发生切口渗液、切口出血、切口周围肿胀情况人数均明显低于对照组患者发生人数,并发症总发生率明显低于对照组,结果具有统计学意义(p<0.05);护理后,观察组患者护理总满意度明显高于对照组患者护理总满意度,结果具有统计学意义(p<0.05)。结论 综上所述,在对甲状腺乳腺术后开展护理工作中,开展切口内负压吸引护理模式,可减少引流液含量、缩短引流时间、减轻患者切口疼痛度,除此之外,还可大大降低并发症发生率,提高患者及家属满意度,但护理人员应注意,在护理过程中,应密切观察患者生命体征,时刻监测患者引流管道情况,对引流液含量进行评估记录,当有意外情况时,及时告知主治医生,相比于常规护理模式,切口内负压吸引护理应大力应用。

关键词: 甲状腺乳腺术后;切口内负压吸引护理;常规护理;引流指标;并发症

Abstract

Objective This article mainly analyzes and explores the clinical nursing effect of negative pressure suction in the incision after thyroid breast surgery.
Methods The main research subjects selected in this article were 100 thyroid breast patients who underwent surgical treatment in our hospital from September 2022 to September 2023. To explore effective postoperative care methods for thyroid breast surgery, 100 patients participating in the experiment were randomly divided into two groups. The control group received routine care, while the observation group received negative pressure suction care, Observe and compare the drainage indicators, incidence of complications, and patient satisfaction with nursing work between two groups of patients after nursing, and explore effective nursing methods.
Results The drainage fluid content of the observation group was significantly lower than that of the control group, the drainage time was significantly shorter than that of the control group, and the incision pain score was significantly lower than that of the control group, with statistical significance (p<0.05); The number of patients in the observation group who experienced incision fluid leakage, incision bleeding, and swelling around the incision was significantly lower than that in the control group, and the total incidence of complications was significantly lower than that in the control group, with statistical significance (p<0.05); After nursing, the overall satisfaction of patients in the observation group was significantly higher than that of patients in the control group, and the results were statistically significant (p<0.05).
Conclusion   In summary, implementing the negative pressure suction nursing model within the incision can reduce the amount of drainage fluid, shorten the drainage time, and alleviate patient incision pain in postoperative care of thyroid and breast surgery. In addition, it can greatly reduce the incidence of complications and improve patient and family satisfaction. When nursing staff should pay attention, they should closely observe the patient's vital signs during the nursing process, Monitor the condition of the patient's drainage pipeline at all times, evaluate and record the content of the drainage fluid. In case of unexpected situations, inform the attending physician in a timely manner. Compared with conventional nursing modes, negative pressure suction nursing within the incision should be vigorously applied.

Key words: After thyroid and breast surgery; Negative pressure suction nursing within the incision; Routine care; Drainage indicators; Complications

参考文献 References

[1] 蔡戴梅.甲状腺乳腺术后切口内负压吸引的护理分析[J].世界最新医学信息文摘,2019,19(07):254+257.

[2] 王丽丽.甲状腺乳腺术后切口内负压吸引的护理分析[J].人人健康,2017,(16):178.

[3] 陈书英,韩秋峪.超声指引下负压吸宫治疗子宫切口瘢痕妊娠27例临床分析[J].中外女性健康研究,2016,(09): 202+200.

[4] 陈红.78例子宫切口妊娠负压吸宫术的护理[J].天津护理,2011,19(03):137-138.

[5] 刘德成,赵伟.早期切口内负压引流治疗脂肪液化20例[J].山东医药,2008,48(47):52.

[6] 陈红艳,陈辉,叶华,唐微波.小切口肿胀麻醉负压吸刮治疗腋臭的护理体会[J].中国美容医学,2006,(06):728.

[7] 李雪.骨科切口内负压引流装置的改进[J].齐齐哈尔医学院学报,1999,(04):397.

[8] 孙丁美,陈子杰.甲状腺乳腺术后切口内负压吸引的护理[J].锦州医学院学报,1993,(04):55.

引用本文

蒋蔚, 张娜, 冯秀娟, 齐晓霞, 方小玉, 甲状腺乳腺术后切口内负压吸引的临床护理研究[J]. 国际护理学研究, 2023; 5: (12) : 16-19.