摘要
目的研究精细化护理在胸腔镜下肺癌根治术患者中的临床应用效果。方法选取2017年1月—2019年12月期间46例胸腔镜下肺癌根治术患者作为研究对象,采用随机综合平衡法,把研究对象划分A组(n=23,常规护理模式)和B组(n=23,精细化护理模式),比较两组康复指标、并发症发生率、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分。结果B组患者的下床活动时间(3.37±1.06)d、拔管时间(3.12±0.44)d、住院时间(8.64±1.31)d均短于A组下床活动时间(5.43±1.55)d、拔管时间(5.08±0.14)d、住院时间(12.46±1.08)d,两组之间比较差异有统计学意义(t=5.261、20.358、10.791,P<0.05);B组患者并发症发生率(4.35%)低于A组并发症发生率(39.13%),两组之间对比差异有统计学意义(χ^2=8.177,P=0.004);护理后,B组患者SAS(42.15±3.69)分、SDS(45.63±4.71)分均低于A组患者SAS(47.42±4.57)分、SDS(53.26±5.11)分,比较组间数据差异有统计学意义(t=4.303、5.265,P<0.05)。结论在胸腔镜下肺癌根治术患者中应用精细化护理模式,能够缩短下床活动时间、拔管时间、住院时间,减少并发症,帮助患者克服焦虑、抑郁等不良情绪,值得推广应用。
Objective To study the clinical application effect of refined nursing in patients undergoing thoracoscopic radical resection of lung cancer.Methods From January 2017 to December 2019,46 patients undergoing thoracoscopic radical resection of lung cancer were selected as the research objects.The random comprehensive balance method was used to divide the research objects into group A(n=23,conventional nursing mode)and group B(n=23,refined nursing model),compare the two groups'rehabilitation indicators,complication rate,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores.Results The time of getting out of bed(3.37±1.06)d,extubation time(3.12±0.44)d,and hospitalization time(8.64±1.31)d of group B patients were shorter than those of group A(5.43±1.55)d;extubation time(5.08±0.14)d,hospitalization time(12.46±1.08)d,there were statistically significant differences between the two groups(t=5.261,20.358,10.791,P<0.05);the incidence of complications in group B(4.35%),lower than the complication rate of group A(39.13%),and the contrast between the two groups was statistically significantly different(χ^2=8.177,P=0.004);after nursing,group B patients had SAS(42.15±3.69)points and SDS(45.63±4.71)points were lower than the SAS(47.42±4.57)points and SDS(53.26±5.11)points of group A.The data difference between the comparison groups was statistically significant(t=4.303,5.265,P<0.05).Conclusion The application of refined nursing mode in patients undergoing thoracoscopic radical resection of lung cancer can shorten the time of getting out of bed,the time of extubation,the length of hospitalization,reduce complications,and help patients overcome anxiety,depression and other bad moods.It is worthy of promotion and application.
作者
董珍珍
DONG Zhen-zhen(Department of Thoracic Surgery,Fengxian People's Hospital,Xuzhou,Jiangsu Province,221700 China)
出处
《系统医学》
2020年第21期178-180,共3页
Systems Medicine
关键词
胸腔镜
肺癌根治术
精细化护理模式
并发症
焦虑
抑郁
Thoracoscopy
Radical resection of lung cancer
Refined nursing model
Complications
Anxiety
Depression
