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The Application Of Anti-resistance Breathing Training For Preventing Postoperative Hypoxemia On Elderly Brain Tumor Patients

Posted on:2019-10-14Degree:MasterType:Thesis
Country:ChinaCandidate:A H ZhouFull Text:PDF
GTID:2394330566479241Subject:Nursing
Abstract/Summary:PDF Full Text Request
Objective:The aim of this study was to provide seven-day resistance breathing training to elderly brain tumor patients to restore or enhance muscle strength and endurance of respiratory muscles of the patients,improve perioperative pulmonary ventilation and lung ventilation,and improve lung function.And we will explore the impact of postoperative hypoxemia.Method:1.Research objectA total of 47 elderly brain tumor patients hospitalized in the Neurosurgery secondary ward of a provincial hospital from January 2017 to December 2017 were selected as subjects and were aged from 60 to 80 years old,including 17 males and 30 females.For example,there are 21 females.The control group consisted of 24 patients,with an average age of?63.46±3.36?years old and 14 women.In the experimental group,there were23 patients of the average age?65.04±6.04?years old.2.Research MethodsThis study is a kind of experimental study,using a convenient sampling method,according to the patient's case number,47 cases were divided into control group 24 cases,intervention group 23 cases.Each batch of patients in the control and intervention groups received routine preoperative care:teaching them knowledge after admission,deep thoraco-abdominal breathing,effective cough,and lip respiration.The intervention group was given a combined intervention of anti-breath training on the basis of the regular preoperative respiratory care measures.After a total of 7-9 days of intervention,routine preoperative preparation was performed,and patients'respiratory frequency were collected when returned to the intensive care unit immediately,30 minutes,60 minutes,and 90 minutes,also record their arterial blood gas analysis,and peripheral oxygen saturation of were used to observe whether there were statistical differences in respiratory rate,partial pressure of oxygen,partial pressure of carbon dioxide,and peripheral oxygen saturation in both groups.Result:1.Comparison of postoperative arterial partial pressure of oxygen between the two groups,.the difference was statistically significant;The comparison of postoperative transcutaneous oxygen saturation in the two groups the difference was statistically significant.The experimental group was higher than the control group.2.The satisfaction difference between the two groups was statistically significant.The incidence of hypoxemia in the two groups was 37.5%in the control group and 8%in the experimental group.3.There was no significant difference in pulse rate and preoperative pulse rate between the two groups;The comparison was not statistically significant;the postoperative PaCO2 comparison the difference was not statistically significant.Conclusion:Anti-resistance breathing training can effectively reduce postoperative hypoxemia in elderly patients with brain tumors.
Keywords/Search Tags:Elderly brain tumor patients, Hypoxemia, Resistance Breathing training, Blood gas analysis, Perioperative period
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