摘要
目的探讨术前预康复护理方案在肺癌胸腔镜手术患者中的应用效果。方法便利抽样选取2021年1-8月该院行肺癌手术患者为研究对象,其中1-4月的47例患者作为对照组,实施常规术前护理;5-8月的47例患者作为试验组,在常规护理基础上,采用肺癌手术患者预康复管理方案。比较两组术后康复情况,包括术后肺功能水平[第1秒用力呼气容积(FEV1)、第1秒用力呼气容积占预计值百分比(FEV1%)、FEV1与用力肺活量(FVC)的比值(FEV1/FVC)]、术后首次下床活动时间、胸腔引流管留置时间和术后住院时间、医院焦虑抑郁自评量表评分、术后并发症及出院非计划再入院情况。结果试验组肺功能水平明显优于对照组,术后首次下床活动时间、胸腔引流管留置时间及术后住院时间均短于对照组,试验组焦虑抑郁量表(HADS)评分低于对照组,试验组术后并发症(肺部感染、肺不张、持续性肺漏气及出院非计划再入院)发生率低于对照组,差异有统计学意义(P<0.05)。结论预康复可促进肺癌患者术后康复,减少并发症发生。
Objective To explore the application effect of preoperative pre-rehabilitation nursing scheme in the patients with lung cancer undergoing thoracoscopic surgery.Methods The patients with lung cancer surgery in this hospital from January to August 2021 were selected as the study subjects by the convenient sampling, among which 47 patients from January to April were selected as the control group to implement the routine preoperative nursing;47 patients from May to August were selected as the experimental group to adopt the pre-rehabilitation management scheme on the basis of routine nursing.The postoperative recovery was compared between the two groups, including the level of postoperative lung function [the first second forced expiratory volume(FEV1),percentage of forced expiratory volume in the first second to the expected value(FEV1%),ratio of FEV1 to forced vital capacity(FVC,FEV1/FVC)],first time of getting out of bed after surgery, time of thoracic drainage tube retention and postoperative hospital stay, score of hospital anxiety and depression scale, postoperative complications and unplanned hospital readmission status.Results The lung function level of the experimental group was significantly better than that of the control group, the first time of getting out of bed after surgery, the time of thoracic drainage tube indentation and postoperative hospital stay were significantly less than those of the control group, the score of hospital anxiety and depression scale(HADS) in the experimental group was significantly lower than that of the control group, and the incidence of postoperative complications(pulmonary infection, atelectasis, persistent pulmonary leakage and unplanned hospital readmission) in the experimental group was less than those of the control group, and the difference was statistically significant(P<0.05).Conclusion Pre-rehabilitation could promote postoperative rehabilitation of lung cancer patients and reduce the complications occurrence.
作者
夏萍
殷柳梅
袁玲
严婷婷
吕晓霞
XIA Ping;YIN Liumei;YUAN Ling;YAN Tingting;LYU Xiaoxia(Department of Cardio-Thoracic Surgery,Affiliated Drum Tower Hospital,Medical School,Nanjing University,Nanjing,Jiangsu 210008,China)
出处
《重庆医学》
CAS
2023年第2期245-249,共5页
Chongqing medicine
基金
江苏省医学会医院管理创新研究面上项目(JSYGY-3-2021-196)。
关键词
肺癌
预康复
快速康复外科
焦虑
抑郁
专科护理门诊
lung cancer
pre-rehabilitation
rapid rehabilitation surgery
anxiety
depression
specialized outpatient service
