带有激励性螺旋计的呼吸练习对心脏手术前后疼痛,焦虑,舒适和生理参数的影响:一项随机对照实验研究
Hatice Çiftçi1, Sevda Korkut2, Suat Karaca3
1Cardiac Surgery Operating Room, Health Sciences University Adana City Training and Research Hospital, Adana, Türkiye.
概括
带有激励螺旋计的呼吸练习显著减少了疼痛和焦虑,同时改善了心脏手术患者的舒适度. 这种干预措施对患者的结果产生了积极的影响,但并没有显著改变大多数生命体征或肺功能.
科学领域:
- 心血管外科心血管外科
- 呼吸系统疗法 呼吸系统疗法
- 患者的恢复 患者的恢复
背景情况:
- 心脏外科手术患者经常经历手术后的疼痛,焦虑和舒适度降低.
- 心脏手术后肺部并发症是一个问题,需要进行干预以维持呼吸功能.
研究的目的:
- 研究激励性螺旋仪呼吸练习对心脏手术患者疼痛,焦虑,舒适和生理参数的影响.
- 为了比较术前和术后与术后仅呼吸练习的效果.
主要方法:
- 进行了一项单中心,前性,随机控制的实验研究.
- 三组参与:干预I (术后练习),干预II (术前和术后练习),以及对照组 (例行护理).
- 干预持续了5天,评估了疼痛,焦虑,舒适和生理参数.
主要成果:
- 与对照组相比,这两组干预组在术后第1天和第5天显著减少疼痛和焦虑,以及更高的舒适度.
- 干预II显示在术后第一天的部分氧气压较高.
- 干预I显示在术后第一天心率明显降低,两组干预组的SaO2值都较高.
结论:
- 带有激励螺旋计的呼吸练习有效减少疼痛和焦虑,同时增加心脏手术患者的舒适度.
- 该干预措施在特定的生理标志物 (如心率和SaO2) 中显示出显著的改善,但在所有生命体征或肺功能测试中没有广泛改善.
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