Objective To investigate the effect of homemade improved small catheter drainage ofpleural effusion with targeted nursing on the efficacy and nursing satisfaction.Methods 94 cases of pleural effusion in our hospital from May 2014 to January 2016 were selected in the study,and randomly divided into study group and control group.Study group adopted homemade improved small catheter drainage with targeted nursing,while control group adopted traditional thoracentesis with routine care.Compared the volume of drainage of pleural effusion,pleural effusion disappearance time,hospital stay,hospital costs,the incidence of complications,patients' nursing satisfaction of two groups.Results The volume of drainage of pleural effusion of study group was more than that of control group,pleural effusion disappearance time,hospital stay,hospital costs were all less than those of control group,with statistically significant differences (P＜0.05).The incidence of pleural thickening,pneumothorax,pleural adhesions parcels,and infection of study group were all lower than those of control group,with statistically significant differences (P＜0.05).Nursing satisfaction of study group was significantly higher than that of control group (95.74％ vs.80.85％),with statistically significant difference (P＜0.05).Conclusion Homemade improved small catheter with targeted nursing can improve the effect of pleural effusion drainage,shorten patients' treatment time,reduce treatment complications and hospitalization expenses,improve patients' nursing satisfaction,with substantial clinical curative effect.%目的 探讨自制改良细导管在胸腔积液中引流配合针对性护理方法对疗效和护理满意度的影响.方法 选取2014年5月至2016年1月我院收治的胸腔积液患者94例为研究对象,根据随机分组表将患者随机分为研究组和对照组,研究组采用自制改良细导管置管引流配合针对性护理,对照组采用传统胸穿抽液配合常规护理,比较两组患者胸液引流量、胸液消失时间、住院时间、住院费用及并发症发生率和护理满意度.结果 研究组患者胸液引流量多于对照组,胸液消失时间、住院时间、住院费用均低于对照组,差异有统计学意义(P＜0.05).研究组患者胸膜增厚、血气胸、胸膜粘连包裹及感染发生率均低于对照组,差异有统计学意义(P＜0.05).研究组患者护理满意度为95.74％,显著高于对照组的80.85％,差异有统计学意义(P＜0.05).结论 自制改良细导管配合针对性护理措施在胸腔积液患者中应用可提高胸液引流效果,缩短患者治疗时间,降低治疗并发症发生率及住院费用,提高患者护理满意度,具有显著临床应用效果.
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