The Effect of Precise Aerosol Inhalation Nursing on Sputum Excretion in Elderly Patients With Lung Surgery

Study Overview
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Brief Summary
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Comparing the effects of different kinds of aerosol inhalation nursing programs on effective sputum excretion in elderly patients with lung surgery.

Detailed Description
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Based on the traditional oxygen aerosol inhalation treatment, this study will improve it. In the process, precise body position care, time control, observation and treatment, evaluation, etc. will be used to form a precise aerosol inhalation care plan. To explore the effect of this program on effective sputum excretion in elderly patients undergoing lung surgery.

Official Title
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Study on the Effect of Precise Aerosol Inhalation Nursing Program on Effective Sputum Excretion in Elderly Patients With Lung Surgery

Conditions
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Inhalation

Intervention / Treatment
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* Behavioral: Precise Aerosol Inhalation Nursing Program
* Behavioral: Traditional Aerosol Inhalation Nursing Method


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ①The patient underwent thoracoscopic lung surgery; ②There was no obvious pulmonary infection before the operation; ③Good audiovisual function, no communication barriers, able to cooperate with nebulized inhalation operation; ④Patients informed consent to this study. Exclusion Criteria: ①Patients with mental illness; ②Acute COPD; ③Serious complications or failure of important organs after operation.

Ages Eligible for Study
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Minimum Age: 65 Years
Maximum Age: 79 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group A： Precise<br>The experimental group accepts improved precise aerosol inhalation nursing program，which was based on the traditional oxygen aerosol inhalation treatment, including precise body position care, time control, observation and treatment, evaluation, etc. This group is planned to enroll 100 patients. | Behavioral: Precise Aerosol Inhalation Nursing Program<br>* The precise aerosol inhalation nursing program was based on the traditional oxygen aerosol inhalation treatment, including precise body position care, time control, observation and treatment, evaluation, etc.<br>|
| Experimental: Group B：Traditional<br>The control group accepts traditional aerosol inhalation nursing method. This group is planned to enroll 100 patients. | Behavioral: Traditional Aerosol Inhalation Nursing Method<br>* The traditional aerosol inhalation nursing method is carried out according to the operation of aerosol inhalation.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Standardization of aerosol inhalation | The investigators use a self-made inhalation implementation standard evaluation form to evaluate whether inhalation was standard in postoperative patients. | From the first to the third day after surgery. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adverse events | Discomfort during inhalation: chest tightness, dyspnea, palpitations, elevated blood pressure, etc. | From the first to the third day after surgery. | 
| Viscosity of sputum | According to the viscosity, the sputum was divided into three types: ⅰ degree (thin phlegm), ⅱ degree (moderate phlegm), ⅲ degree (severe phlegm). | From the first to the third day after surgery. | 
| Phlegm retention | Sputum sounds can be heard or ausculted at the bedside. | From the first to the third day after surgery. | 
| Patient satisfaction | Likert 5-level scoring method was adopted to allow patients to evaluate the nursing plan. The higher the score, the more satisfied the patients were. | The third day after surgery. |