胸腔手術患者術後護理的成效探討

IA Discussion on the Effectiveness of Post-Operative Care for Patients Receiving Thoracic

林美盈(Mei-Ieng Lam) ； 黃倩玉(Sin-Iok Won) ； 潘志敏(Chi-Man Pun) ； 伍慧兒(Wai-I Ng)

《澳門護理雜誌》 13卷1期 (2014/06) Pp. 39-42+29

摘要

胸腔手術後患者常因身心的變化而引起疼痛、肺功能改變、肺部併發症及心理情緒變化等問題，適切且有效的術後護理是患者康復的關鍵。本文批判性回顧了當代研究結論以檢視目前胸腔術後常規護理措施在解決上列問題的效果。綜述結果顯示音樂療法、放鬆療法、術前呼吸肌訓練及霧化吸入分別有助緩解術後疼痛及減低術後肺部併發症的發生，而指導深呼吸、誘導肺量計使用及有效咳嗽則在促進術後肺部復康未有充份實證支持。本文採取循證護理的進路為胸腔手術患者的常規護理作重新評估，可為臨床護理提供有效的參考依據。

關鍵字

胸腔手術 ； 術後護理 ； 護理成效

並列摘要

Patients undergoing thoracic surgery may experience pain, altered pulmonary function, lung complications and emotional disturbance due to surgery-related physical and psychological changes. It is important to provide relevant and effective postoperative nursing management to these patients. A critical review is adopted to examine the current literatures to explore the effectiveness of the provision of the common post-operative nursing interventions to the patients receiving thoracic surgery. Relaxation and music therapy, pre-operative inspiratory muscle training and inhalation therapy are found to be able to relieve pain and prevent lung complication from the patients respectively. However, the effectiveness of deep breathing, incentive spirometry and effective coughing has not yet been proved by empirical studies. This paper reviews the common post-operative care for the patients receiving thoracic surgery with an evidence-based approach and provides references for effective clinical care.

並列關鍵字

thoracic surgery ； post-operative nursing care ； nursing outcome