摘要
目的探讨对肺癌手术患者选择加速康复护理模式展开围手术期护理干预的可行性。方法便利选择该院2017年8月—2019年1月收治的110例肺癌手术患者作为实验对象;随机数表法分组后探究每组围手术期护理模式;对照组(55例):应用传统护理模式展开围手术期护理;观察组(55例):应用传统护理模式+加速康复护理模式展开围手术期护理;比较护理总满意率、带管时长、下床活动时长、住院时长、体质量下降数值、住院费用、护理后并发症总发生率。结果观察组肺癌手术患者护理总满意率(98.18%)高于对照组(72.73%)明显(χ^2=14.3351,P<0.05);观察组带管时长为(3.69±1.13)d,下床活动时长为(12.59±4.25)h,住院时长为(8.85±1.25)d,体质量下降为(3.05±0.69)kg;住院费用为(51658.85±1063.29)元;对照组带管时长为(5.39±1.49)d,下床活动时长为(33.49±5.69)h,住院时长为(12.19±1.52)d,体质量下降为(4.71±1.02)kg;住院费用为(55374.25±1223.39)元;观察组肺癌患者手术患者带管时长、下床活动时长、住院时长短于对照组明显,体质量下降数值、住院费用少于对照组明显,差异有统计学意义(t=6.7419、21.8245、12.5866、9.9969、16.9994,P<0.05);观察组肺癌手术患者护理后并发症总发生率(3.64%)低于对照组(27.27%)明显(χ^2=11.7584,P<0.05)。结论围手术期护理期间加速康复护理模式的有效应用,使得肺癌手术患者的护理总满意率获得有效提升,带管时长、下床活动时长、住院时长获得有效缩短,体质量下降数值、住院费用获得有效减少,护理后并发症总发生率获得有效降低,最终对于肺癌手术患者康复状态的提升,可奠定基础。
Objective To explore the feasibility of perioperative nursing intervention for patients with lung cancer surgery who chose accelerated rehabilitation nursing mode.Methods 110 patients with lung cancer who were admitted to our hospital from August 2017 to January 2019 were convenient selected as experimental subjects.The perioperative nursing model of each group was explored after random number table method.The control group(55 cases):applied traditional nursing Mode-expanded perioperative nursing;observation group(55 cases):application of traditional nursing mode+accelerated rehabilitation nursing mode to carry out perioperative nursing;comparison of total nursing satisfaction rate,duration of tube administration,length of getting out of bed,length of hospital stay,body weight loss value,hospitalization costs,total incidence of post-care complications.Results The total satisfaction rate of patients with lung cancer surgery in the observation group was 98.18%higher than that in the control group(72.73%)(χ^2=14.335 1,P<0.05).The length of the tube in the observation group was(3.69±1.13)d.The duration was(12.59±4.25)h,the length of hospital stay was(8.85±1.25)d,the body weight decreased to(3.05±0.69)kg,the hospitalization cost was(51 658.85±1 063.29)yuan,and the control group duration was(5.39±1.49)d,the length of time to get out of bed was(33.49±5.69)h,the length of hospitalization was(12.19±1.52)d,the body weight decreased to(4.71±1.02)kg,and the hospitalization cost was(55 374.25±1 223.39)yuan;the length of the tube,the length of time to get out of bed,and the length of hospitalization were significantly higher in the operation patients.The decrease in body weight and the hospitalization cost were significantly lower than those in the control group The difference was statistically significant(t=6.741 9,21.824 5,12.586 6,9.996 9,16.999 4,P<0.05);the total incidence of postoperative care complications in patients with lung cancer(3.64%)was significantly lower than that in the control group(27.27%)(χ^2=1
作者
纪之玲
JI Zhi-ling(Department of Surgery,Laiwu Central Hospital,Xinwen Mining Group,Laiwu,Shandong Province,271100 China)
出处
《中外医疗》
2019年第26期147-149,153,共4页
China & Foreign Medical Treatment
关键词
加速康复护理
肺癌
围手术期
应用效果
Accelerated rehabilitation nursing
Lung cancer
Perioperative period
Application effect
