摘要
背景肺癌发病率在我国一直居高不下,随着外科手术水平和技术的提升,肺癌术后患者的生存周期呈现增长趋势,但是术后的生活质量以及持续的康复照护未引起医务人员及其家属的重视。目的探讨基于TCM模式对肺癌手术患者进行康复护理的效果。方法选取2017年9月—2019年6月在牡丹江医学院附属红旗医院胸外科确诊为非小细胞肺癌(NSCLC)行电视辅助胸腔镜手术(VATS)的患者62例,采用随机数字表法分为对照组和试验组,各31例。对照组采用常规护理,试验组基于TCM模式实施康复护理方案。记录患者一般资料,于术前及术后30 d,采用中文版欧洲癌症研究与治疗组织生命质量核心量表调查患者生活质量,手持肺功能测量仪测量第一秒用力呼气末容积(FEV1)、呼气峰流量(PEF)、最大通气量(MVV);于术后30 d,采用护理满意度得分仿真尺记录患者满意度。结果术后30 d,两组躯体功能、角色功能、情绪功能、认知功能、社会功能、总健康水平、疲倦、恶心呕吐、疼痛、气促、失眠、食欲丧失、便秘、经济困难得分比较,差异均有统计学意义(P<0.05)。术后30 d,两组FEV1、PEF、MVV比较,差异均无统计学意义(P>0.05)。术后30 d,试验组满意度得分高于对照组(P<0.05)。结论基于TCM模式对肺癌手术患者实施康复护理方案,能够显著改善患者的生活质量、提升患者在住院期间的医疗护理服务整体满意度。
Background The incidence of lung cancer remains high in China.With the improvement of surgical level and techniques,postoperative survival of lung cancer patients shows an increasing trend,but their postoperative quality of life and continuous rehabilitation care often fail to attract enough attention from medical workers and the patient's family members.Objective To explore the effect of rehabilitation nursing based on the Transitional Care Model(TCM)in lung cancer patients.Methods From September 2017 to June 2019,62 patients diagnosed with non-small cell lung cancer(NSCLC)who underwent video-assisted thoracoscopic surgery(VATS)in Department of Thoracic Surgery,Hongqi Hospital Affiliated to Mudanjiang Medical University were selected and were equally divided into the control group(n=31)and experimental group(n=31)by a random number table,receiving routine nursing,and rehabilitation nursing based on the TCM,respectively.The general information was recorded.The Chinese version of the EORTC QLQ-C30 was used to investigate the quality of life before surgery and 30 days after surgery.Hand-held spirometer was used to measure pulmonary parameters such as the forced expiratory volume in one second(FEV1),peak expiratory flow(PEF)and maximum voluntary ventilation(MVV).A simulation ruler was used to measure patient nursing satisfaction level at 30 days after the operation.Results At 30 days after the operation,the scores of physical function,role function,emotional function,cognitive function,social function,global health status,fatigue,nausea and vomiting,pain,dyspnoea,insomnia,loss of appetite,constipation and perceived financial impact of the disease in the two groups were still significantly different(P<0.05).At 30 days after surgery,mean FEV1,PEF,and MVV were similar in both groups(P>0.05).The mean satisfaction score of the experimental group was higher than that of the control group(P<0.05).Conclusion The rehabilitation nursing program developed based on the TCM may significantly improve the quality of life and patient satisfaction with nursing during hospitalization in lung cancer patients.
作者
戴安
杜晶晶
刘思雨
修艳丽
王晶茹
王璐
廖蕾
王晴
林英
DAI An;DU Jingjing;LIU Siyu;XIU Yanli;WANG Jingru;WANG Lu;LIAO Lei;WANG Qing;LIN Ying(Mudanjiang Medical University,Mudanjiang 157011,China;Hongqi Hospital Affiliated to Mudanjiang Medical University,Mudanjiang157011,China)
出处
《中国全科医学》
CAS
北大核心
2020年第35期4508-4513,共6页
Chinese General Practice
基金
牡丹江研究生创新科研项目(2018YJSCX-14MY)。
关键词
肺肿瘤
过渡性护理模式
康复
护理
Lung neoplasms
Transitional care model
Rehabilitation
Nursing care
