摘要
目的探讨快速康复操对老年肺癌患者经胸腔镜肺叶切除术(VATS)后功能恢复及并发症的影响。方法选取2018年9月至2020年9月间上海市松江区中心医院收治的100例老年肺癌患者,随机分为研究组和对照组,每组50例。对照组患者采用传统康复措施干预,研究组患者以快速康复操进行干预,比较两组患者的护理满意度、术后功能恢复情况、并发症及疼痛评分。结果研究组患者护理满意度为98.0%,高于对照组的84.0%,差异有统计学意义(P<0.05)。研究组患者保留胸管时间、保留尿管时间、肛门排气时间、住院时间和术后下床活动时间均短于对照组,差异均有统计学意义(均P<0.05)。研究组患者并发症发生率为4.0%,低于对照组的18.0%,差异有统计学意义(P<0.05)。护理前,两组患者疼痛评分比较,差异无统计学意义(P>0.05)。护理后,两组患者疼痛评分均降低,且研究组低于对照组,差异均有统计学意义(均P<0.05)。结论老年肺癌患者经胸腔镜肺叶切除术后采用快速康复操进行干预,可提升患者护理满意度,改善术后功能恢复,减少并发症,缓解疼痛,建议临床应用。
Objective To explore the effect of fast rehabilitation exercises on the functional recovery and complications in elderly patients with lung cancer after video-assisted thoracoscopic(VATS)lobectomy.Methods One hundred elderly patients with lung cancer treated at Shanghai Songjiang District Central Hospital were selected from September 2018 to September 2020.They were randomly divided into a study group and a control group with 50 patients each.The study group received fast rehabilitation exercises and the control group received conventional intervention.Patient satisfaction with nursing,postoperative functional recovery,incidence of complications and numerical pain rating scale(NPRS)score were compared between the two groups.Results After nursing,patient satisfaction with nursing was 98.0%in the study group which was higher than 84.0%of the control group(P<0.05).Length of thoracic duct stay,length of urinary catheter stay,time to anal exhaust,length of hospital stay,and time to out-of-bed activities was shorter in the study group than in the control group(all P<0.05).The incidence of complications was4.0%in the study group which was lower than 18.0%of the control group(P<0.05).Before nursing,there was no significant difference in NPRS score between the two groups(P>0.05).After nursing,NPRS score decreased in both groups with the score lower in the study group than in the control group(all P<0.05).Conclusion The intervention of fast rehabilitation exercises can improves patient satisfaction with nursing,promote postoperative functional recovery,reduce incidence of complications,and relieve pain in elderly patients with lung cancer after thoracoscopic lobectomy.It is recommended it should be used in clinical practice.
作者
孙仁芳
张怡
周剑英
许晖
毕淑梅
SUN Ren-fang;ZHANG Yi;ZHOU Jian-ying;XU Hui;BI Shu-mei(Department of Thoracic Surgery,Shanghai Songjiang District Central Hospital,Shanghai 201699,China;Department of Nursing,Shanghai Songjiang District Central Hospital,Shanghai 201699,China;Department of Urology,Shanghai Songjiang District Central Hospital,Shanghai 201699,China)
出处
《中国肿瘤临床与康复》
2021年第5期627-630,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
基金
2019年度上海市松江区科学技术攻关项目(19sjkjgg120)。
关键词
快速康复操
老年患者
肺肿瘤
经胸腔镜肺叶切除术
术后功能恢复
并发症
Fast rehabilitation exercises
Elderly patients
Lung neoplasms
Transthoracoscopic lobectomy
Postoperative functional recovery
Complication rate
