摘要
目的探讨护理干预联合肺康复运动对肺癌全肺切除术患者肺功能及心衰的影响。方法选取2015年7月至2017年12月间陕西省安康市中医医院收治的87例肺癌全肺切除术患者,采用随机数字表法分为试验组(44例)和对照组(43例)。试验组患者采用围术期护理干预联合肺康复运动指导,对照组患者采用围术期护理干预,对两组患者术后肺功能恢复情况、心衰发生率和生活质量进行比较。结果术前,两组患者用力肺活量(FVC)、第一秒末呼吸容积(FEV1)和最大通气量(MVV)比较,差异无统计学意义(P<0.05)。术后一个月,试验组患者的FVC、FEV1和MVV值均优于对照组,差异均有统计学意义(均P<0.05)。试验组患者胸管留置时间和住院天数均低于对照组,满意度(93.2%)高于对照组(74.4%),两组比较,差异均有统计学意义(均P<0.05)。试验组患者术后生活质量总分为(85.21±4.12)分,对照组为(74.32±5.23)分,两组比较,差异有统计学意义(P<0.05)。试验组患者心衰并发率为6.8%,对照组为23.3%,两组比较,差异有统计学意义(P<0.05)。结论护理干预联合肺康复运动可帮助肺癌全肺切除患者肺功能恢复,提高手术治疗效果和生活质量,降低术后并发症发生率,值得临床推广应用。
Objective To investigate the effect of nursing intervention combined with pulmonary rehabilitation exercise on pulmonary function and heart failure in patients undergoing pneumonectomy for lung cancer.Methods Eighty-seven patients with lung cancer undergoing pneumonectomy between July2015 and December 2017 at Ankang Hospital of Traditional Chinese Medicine were selected as study subjects.The patients were grouped using a random number table method in to an experimental group（44 patients） and a control group（43 patients）.The experimental group received perioperative nursing intervention combined with pulmonary rehabilitation exercise guidance.The control group only received perioperative nursing intervention.The postoperative pulmonary function recovery,incidence of heart failure,and quality of life were statistically analyzed and compared.Results There was no significant difference in preoperative forced vital capacity（FVC）,forced expiratory volume in one second（FEV1）,and maximum ventilation volume（MVV） between the two groups（all P〈0.05）.At 1 month after surgery,FVC,FEV1,and MVV were significantly better in the experimental group than in the control group（all P〈0.05）.The chest tube indwelling time and length of hospital stay were significantly lower in the experimental group than in the control group and the satisfaction degree was 93.2% in the experimental group which was significantly higher than74.4% iof the control group（all P〈0.05）.The overall score of postoperative quality of life was85.21 ± 4.12 in the experimental group which was higher than 74.32 ± 5.23 of the control group（P〈0.05）.The incidence of heart failure was 6.8% in the experimental group and 23.3% in the control group（P〈0.05）.Conclusion Nursing intervention combined with pulmonary rehabilitation exercise can help with recovery of lung function,improve the efficacy of surgical treatment and quality of life,as well as reduce the incidence of postoperative complications in patients with lung cance
作者
刘淼鑫
刘侠
董香婷
LIU Miao-xin;LIU Xia;DONG Xiang-ting(Department of Cardiology,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000,China;Department of Respiratory,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000,China;Yan＇an University Affiliated Hospital,Yan＇an 716000,China)
出处
《中国肿瘤临床与康复》
2018年第8期998-1001,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
围术期护理
肺康复运动
肺肿瘤
全肺切除术
肺功能
心衰
Perioperative nursing intervention
Pulmonary rehabilitation exercise
Lung neo-plasms
Pneumonectomy
Pulmonary function
Heart failure
