Effect of integrated nursing intervention on the pulmonary function of patients having thoracic tuberculosis transthoracic approach surgery

Abstract

Objective To explore the effect of nursing intervention on the pulmonary function of patients having thoracic tuberculosis transthoracic approach surgery.Methods 80 cases of patients who were to have thoracic tuberculosis transthoracic approach surgery were randomly divided into the intervention group and the control group,each with 40 cases.The control group received conventional nursing before and after operation,while the intervention group received nursing intervention in addition.Their pulmonary function,arterial blood gas analysis,comparison of vital capacity (VC),maximal ventilatory volume (MVV),forced expiratory volume in one second (FEV1),a second volume than the forced vital capacity (FEV1/FVC),arterial partial pressure of oxygen (PaO2),arterial partial pressure of carbon dioxide (PaCO2) and arterial oxygen saturation (SaO2) were compared on the 1st day in hospital,1st and 7th day after operation.Results The indicators of pulmonary function on the 1st day in hospital had no significant differences between two groups (P ＞ 0.05).The VC (t =6.326,5.276,respectively),MVV (t =5.958,4.742,respectively),FEV1 (t =5.565,4.356,respectively),FEV1/FVC (t =5.066,4.866,respectively),PaO2 (t =5.213,4.113,respectively) and SaO2 (t =8.937,6.837,respectively) on the 1st and 7th day after operation were all higher in the intervention group than in the control group,while the PaCO2 was higher in the control group than in the intervention group [(48.7 ± 3.1) ％ vs (40.7 ± 2.5) ％,(44.3 ± 3.2) ％ vs (38.2 ± 2.4) ％],and the differences were statistically significant (t =3.157,2.557,respectively ; P ＜ 0.05).Conclusions Integrated nursing intervention can effectively improve the pulmonary function of patients having thoracic tuberculosis transthoracic approach surgery,and prevent pulmonary complications. Key words: Thoracic tuberculosis; Pulmonary function; Transthoracic approach surgery; Nursing intervention