摘要
目的探究术中危机事件促发点前瞻控制护理在肺癌胸腔镜手术患者中的应用效果。方法在2018年1月-2019年1月间,选择该院收治的肺癌患者参与该次研究,采用随机抽样法从中随机抽选出80例肺癌患者,所有肺癌患者均接受胸腔镜手术治疗。在此基础上,采用简单随机法将这80例肺癌手术患者分为对照组与观察组,分别给予常规护理和术中危机事件促发点前瞻性控制护理,对比两组患者护理前后卡氏功能状态量表(KPS)、生活质量评分量表(SF-36)、焦虑(SAS)、抑郁自评量表(SDS)以及并发症发生率。结果两组患者护理前KPS分别为﹙56.74±3.64﹚分(对照组)、﹙56.73±2.46﹚分(观察组),数据对比差异无统计学意义﹙t=0.014,P=0.989﹚;SF-36分别为:﹙65.84±3.49﹚分(对照组)、﹙65.82±3.57﹚分(观察组),数据比较差异无统计学意义﹙t=0.025,P=0.980﹚;SAS、SDS评分对比差异无统计学意义(P>0.05)。护理后观察组患者KPS:﹙69.70±3.35﹚(分)对照组KPS评分为:﹙60.75±3.60﹚分,组间数据对比差异有统计学意义﹙t=11.511,P=0.000﹚;SF-36:﹙78.51±3.20﹚分(观察组)高于对照组的﹙73.76±3.47﹚分组间数据对比差异有统计学意义﹙t=6.364,P=0.000﹚,SAS:观察组﹙47.07±3.71﹚分、对照组:﹙54.39±3.74﹚分,组间数据对比差异有统计学意义﹙t=8.788 P=0.000﹚;SDS评分对比差异有统计学意义﹙P<0.05﹚。而且观察组患者并发症发生率低于对照组,差异有统计学意义﹙P<0.05﹚。结论术中危机事件促发点前前瞻控制护理在肺癌患者术中应用效果明显,可以有效减低并发症发生率。
Objective To explore the effect of prospective control nursing in patients undergoing thoracoscopic surgery for lung cancer.Methods From January 2018 to January 2019,80 patients with lung cancer were randomly selected by random sampling.All patients with lung cancer received thoracoscopic surgery.On this basis,80 patients undergoing lung cancer surgery were divided into control group and observation group by simple random method.They were given routine nursing and prospective control nursing at the trigger point of intraoperative crisis events.The KPS,SF-36,SAS,SDS and the incidence of complications were compared before and after nursing.Results The KPS of the two groups before nursing were﹙56.74±3.64﹚points(control group)and﹙56.73±2.46﹚points(observation group),respectively.The data comparison the difference was not statistically significant﹙t=0.014,P=0.989﹚;Sf-36 was﹙65.84±3.49﹚points(control group)and﹙65.82±3.57﹚points(observation group),respectively.Data comparison the difference was not statistically significant﹙t=0.025,P=0.980﹚.There was no significant difference in SAS and SDS scores﹙P>0.05﹚.KPS score of the control group was﹙60.75±3.60﹚points.Data comparison between groups the difference was statistically significant﹙t=11.511,P=0.000﹚;Sf-36:﹙78.51±3.20﹚points(observation group)was higher than that of control group(73.76±3.47)points,the difference was statistically significant﹙t=6.364,P=0.000﹚;SAS:observation group(47.07±3.71)points;control group:﹙54.39±3.74﹚points;intergroup data comparison:﹙t=8.788 P=0.000﹚.SDS score the difference was statistically significant﹙P<0.05﹚.In addition,the complication rate of the observation group was lower than that of the control group,and the difference was statistically significant﹙P<0.05﹚.Conclusion Prospective control nursing of intraoperative crisis incidents in patients with lung cancer has obvious effect and can effectively reduce the incidence of complications.
作者
孙海燕
倪俊玲
SUN Hai-yan;NI Jun-ling(Supply Room of the First People's Hospital of Honghe Prefecture,Honghe,Yunnan Province,661199 China)
出处
《中外医疗》
2020年第4期139-141,共3页
China & Foreign Medical Treatment
关键词
术中
危机事件
促发点
前瞻控制护理
肺癌
Intraoperative
Crisis events
Trigger point
Prospective control nursing
Lung cancer
