摘要
目的:探讨二维码矩阵宣教联合一对一培训对肺癌术后主要照顾者的影响,以期为今后临床治疗提供指导。方法:对2019年9月至2021年9月某医院收治的132对肺癌患者及主要照顾者进行研究,按照随机数字表法分为观察组与对照组,各66例。所有患者均经手术治疗,对照组和观察组分别给予二维码矩阵宣教培训、二维码矩阵宣教联合一对一培训。对两组患者术后并发症、视觉模拟评分(VAS)、肺功能进行比较,并对两组照顾者各项护理实践情况进行比较。结果:与对照组相比,观察组患者的肺不张/感染和并发症总发生率较低;术后3 d、4 d、5 d的VAS评分较低;与对照组相比,干预前观察组患者的第1秒用力呼气量(FEV1)、用力肺活量(FVC)、最大呼气流量(PEF)、FEV1/FVC水平比较无明显差异(P>0.05);与干预前相比,干预后两组的FEV1、FVC、PEF水平均升高,但与对照组相比,无明显差异(P>0.05);与对照组相比,观察组照顾者的各护理相关知识和操作的实践正确率均较高,差异有统计学有意义(P<0.05)。结论:二维码矩阵宣教联合一对一培训能够改善肺癌术后主要照顾者的疾病相关知识和技能,提高各项操作正确率,缓解患者术后疼痛,减少并发症的发生率,但对肺功能无明显影响。
Objective: To explore the effect of two-dimensional code matrix education and one-on-one training on the practice effect of main caregivers after lung cancer surgery, in order to provide guidance for later clinical treatment. Methods: 132 pairs of lung cancer and their main caregivers admitted to one hospital from September 2019 to September 2021 were studied. According to the random number table method, an observation group and a control group were set up, with 66 cases in each. All patients were treated with lung cancer surgery, and caregivers in the control group and observation group were given two-dimensional code matrix education training and one-on-one training for two-dimensional code matrix education and education. The postoperative complications, visual analogue scale(VAS) and lung function were compared between the two groups of patients, and the correctness of the nursing practices of the two groups of caregivers was compared. Results: Compared with the control group, the total incidence of atelectasis/infection and complications was lower in the observation group. The VAS scores at 3d, 4d and 5d after operation were low. Compared with the control group, there were no significant differences in forced expiratory volume in the first second(FEV1), forced vital capacity(FVC) and maximum expiratory flow(PEF) FEV1/FVC levels in the observation group before intervention(P>0.05). Compared with the control group, the levels of FEV1, FVC and PEF in the two groups increased after the intervention, but there was no significant difference compared with the control group(P>0.05). Compared with the control group, the practical correct rate of the caregivers in the observation group was higher in the knowledge and operation related to nursing, and the difference was significant(P<0.05). Conclusion: The two-dimensional code matrix education and one-to-one training can improve the disease-related knowledge and skills of the primary caregivers after lung cancer surgery, improve the accuracy of various operations, relie
作者
刘玉荣
朱冰洁
董艳
周晶
孟醒
杨慧
LIU Yurong;ZHU Bingjie;DONG Yan;ZHOU Jing;MENG Xing;YANG Hui(Department of Thoracic Surgery,Henan Provincial People's Hospital/People's Hospital of Zhengzhou University,Zhengzhou 450003,CHN)
出处
《河南大学学报（医学版）》
CAS
2023年第1期62-67,共6页
Journal of Henan University:Medical Science
基金
中华医学会杂志社2019年护理学科研究课题(CMAPH-NRI2019007)
关键词
肺癌
主要照顾者
二维码矩阵宣教
并发症
肺功能
lung cancer
main caregivers
two-dimensional code matrix education
complications
lung function
