摘要
目的对快速康复外科理念模式在肺癌根治术护理工作中的应用可行性、影响进行探讨。方法选取2023年1月到2023年12月期间河南省胸科医院收治的80例肺癌根治术患者作为研究对象,按随机数表法分成对照组(常规护理)与观察组(快速康复外科理念护理),各40例。干预工作结束后比较两组生存质量、术后恢复时间、肺功能、并发症。结果干预前,两组生存质量各项评分比较,差异无统计学意义(P>0.05);干预后,两组评分均有所上升,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组术后下床时间、胸管引流时间、住院时间、清醒时间均短于对照组,差异有统计学意义(P<0.05)。干预前,两组第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、一秒率(FEV_(1)/FVC)比较,差异无统计学意义(P>0.05);干预后,两组各项指标均有所上升,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率(5.00%)低于对照组(22.50%),差异有统计学意义(P<0.05)。结论在肺癌根治术患者护理工作中,行快速康复外科理念护理,有利于患者术后恢复,改善患者肺功能,降低并发症发生率,提升患者生存质量。
Objective Exploring the feasibility and impact of the application of the rapid recovery surgical concept model in the nursing work of lung cancer radical surgery.Methods Eighty lung cancer patients who underwent radical surgery and participated in the study were admitted to our hospital from January 2023 to December 2023.They were randomly divided into two groups using a random number table:a control group (conventional nursing,n=40) and an observation group (rapid recovery surgical concept nursing,n=40).After the intervention,the quality of life,postoperative recovery time,lung function,and complications of the two groups were compared.Results There was no statistically significant difference in the quality of life scores between groups before intervention (P>0.05).After intervention,the scores of each group increased,with statistical significance (P<0.05) compared to before intervention.The observation group had a higher intervention score than the control group,with statistical significance (P<0.05).There was a significant difference in postoperative time to get out of bed,chest tube drainage time,hospital stay,and wake-up time between the two groups.The observation group had a shorter duration,which was statistically significant (P<0.05).There was no statistically significant difference in the first second forced expiratory volume (FEV_1),forced vital capacity (FVC),and FEV_1/FVC between groups before intervention (P>0.05).After intervention,the indicators of each group increased,with statistical significance compared to before intervention (P<0.05).The level of prognostic indicators in the observation group was higher than that in the control group,with statistical significance (P<0.05).The difference in the risk of complications between groups is significant,with the observation group having a lower incidence of complications,which is statistically significant (P<0.05).Conclusion In the nursing work of lung cancer patients undergoing radical surgery,implementing the concept of rapid recovery surgery nursing is beneficial for postoperative recovery,improving lung function,reducing the incidence of complications,and enhancing the quality of life of patients.
作者
杨丽华
YANG Lihua(Department of Thoracic Surgery,Henan Chest Hospital,Chest Hospital Affiliated to Zhengzhou University,Zhengzhou Henan 450000,China)
出处
《临床研究》
2024年第5期158-161,共4页
Clinical Research
基金
2022年度河南省医学科技攻关计划联合共建项目(LHGJ20220240)。
关键词
快速康复外科理念
肺癌根治术
生存质量
术后恢复
肺功能
the concept of rapid rehabilitation surgery
lung cancer radical surgery
quality of life
postoperative recovery
pulmonary function
