对心脏手术患者实施肺部护理集束化措施对康复的影响。

The Effect of a Pulmonary Care Bundle Implemented With Cardiac Surgery Patients on Recovery.

作者信息

Yılmaz Yasemin, Yava Ayla, Aydın Mehmet Salih

机构信息

Faculty of Health Sciences, Department of Surgery Nursing, Harran University, Şanlıurfa, Turkey.

Faculty of Health Sciences, Department of Surgery Nursing, Hasan Kalyoncu University, Gaziantep, Turkey.

出版信息

Nurs Crit Care. 2025 Jul;30(4):e70075. doi: 10.1111/nicc.70075.

DOI:10.1111/nicc.70075

PMID:40468561

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12138175/

Abstract

BACKGROUND

Various care bundles have been used with cardiac surgery patients in order to improve recovery by reducing complication rates. Pulmonary complications are frequent in cardiac surgery patients. The number of studies examining care bundles aimed at preventing pulmonary complications is limited. Further studies in this field may support the recovery of patients.

AIM

The primary aim of this study was to examine the effect of a pulmonary care bundle (PCB) on the recovery of patients undergoing cardiac surgery.

STUDY DESIGN

In this quasi-experimental study, 103 patients were divided into control and study groups. The control group received standard care. A PCB was administered to the study group by nurses in a Cardiovascular Surgery Clinic in Turkey. The Descriptive Characteristics Data Form, Pulmonary Care Bundle Implementation and Evaluation Form, Respiratory Patterns Follow-up Form and Quality of Recovery Questionnaire-40 were applied to the patients. After data collection, the Quality of Recovery Questionnaire-40 scores and respiratory patterns of the patients in the study and control groups were compared. In addition, the nurses' rate of using the care bundle was examined, and their rate of compliance with the bundle was evaluated.

RESULTS

The Quality of Recovery Questionnaire-40 scores of the study group (177.70 ± 10.77) were higher than those of the control group (165.28 ± 15.63) (p < 0.05). The study group's scores for cough and pathologic pulmonary sound were lower than those of the control group. The oxygen saturation level was higher in the study group than in the control group (p < 0.05).

CONCLUSION

The PCB had positive effects on recovery. The respiratory pattern findings were better, and the incidence of respiratory complications was lower in patients who received the care bundle.

RELEVANCE TO CLINICAL PRACTICE

The PCB supported the patients' recovery. This care bundle can be used to prevent pulmonary complications.

摘要

背景

为降低并发症发生率以促进康复，各种护理集束已应用于心脏手术患者。肺部并发症在心脏手术患者中很常见。针对预防肺部并发症的护理集束的研究数量有限。该领域的进一步研究可能有助于患者康复。

目的

本研究的主要目的是检验肺部护理集束（PCB）对心脏手术患者康复的影响。

研究设计

在这项准实验研究中，103名患者被分为对照组和研究组。对照组接受标准护理。土耳其一家心血管外科诊所的护士对研究组实施PCB。向患者应用描述性特征数据表、肺部护理集束实施与评估表、呼吸模式随访表和康复质量问卷-40。数据收集后，比较研究组和对照组患者的康复质量问卷-40得分及呼吸模式。此外，检查护士使用护理集束的比例，并评估他们对集束的依从率。