摘要
目的:探讨快速康复外科护理在胸腔镜肺癌根治术患者围术期的应用效果。方法:选取2021年1月—2022年12月于苏州市相城人民医院行胸腔镜肺癌根治术的患者136例作为研究对象,随机分为对照组和研究组,各68例。对照组实施常规护理,研究组在对照组基础上实施快速康复外科护理。比较两组焦虑状态、疼痛情况、肺功能、术后恢复情况。结果:护理后,两组焦虑评分低于护理前,且研究组低于对照组(P<0.001)。术后1、3、7 d,两组疼痛评分逐渐降低,且研究组低于对照组(P<0.05)。护理后,两组第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)/FVC均高于护理前,且研究组高于对照组(P<0.001)。研究组下床活动时间、排气时间、拔管时间早于对照组,住院时间短于对照组(P<0.05)。结论:快速康复外科护理在胸腔镜肺癌根治术患者围术期的应用效果显著,可缓解患者焦虑情绪,减轻术后疼痛,改善肺功能,促进患者康复。
Objective:To explore the application effect of enhanced recovery after surgery nursing in perioperative patients undergoing thoracoscopic radical resection of lung cancer.Methods:A total of 136 patients undergoing thoracoscopic radical surgery of lung cancer in Suzhou Xiangcheng People's Hospital from January 2021 to December 2022 were selected as the study subjects.They were randomly divided into control group and study group with 68 cases in each group.The control group received routine nursing and the study group received enhanced recovery after surgery nursing on the basis of control group.The anxiety sate,pain,lung function,and postoperative recovery were compared between the two groups.Results:After nursing,the anxiety scores in the two groups were lower than those before nursing,and the scores in the study group were lower than those in the control group(P<0.001).On 1 d,3 d,and 7 d after surgery,the pain scores in the two groups gradually decreased,and the scores in the study group were lower than those in the control group(P<0.05).After nursing,the forced expiratory volume in 1 second(FEV_(1)),forced vital capacity(FVC)and FEV_(1)/FVC in the two groups were higher than those before nursing,and these indexes in the study group were higher than those in the control group(P<0.001).The ambulation time,the exhaust time and the extubation time in the study group were earlier than those in the control group,and the length of hospital stay in the study group was shorter than that in the control group(P<0.05).Conclusion:The application of enhanced recovery after surgery nursing in perioperative patients undergoing thoracoscopic radical resection of lung cancer has significant effects,and can alleviate anxiety state,relieve postoperative pain,improve lung function and promote the recovery of patients.
作者
孙虹
徐杨艳
金骁予
Sun Hong;Xu Yangyan;Jin Xiaoyu(Department of Thoracic Surgery and Urology Surgery,Suzhou Xiangcheng People's Hospital,Suzhou 215100,Jiangsu Province,China)
出处
《中国社区医师》
2024年第31期89-91,共3页
Chinese Community Doctors
关键词
围术期
胸腔镜肺癌根治术
快速康复外科护理
Perioperative
Thoracoscopic radical resection of lung cancer
Enhanced recovery after surgery nursing
