摘要
目的 研讨在胸腔镜下肺癌根治术患者手术室护理中加入精细化护理理念的临床价值。方法 简单随机选取2019年1月—2021年1月入住该院行胸腔镜下肺癌根治术的80例患者作为研究对象,按照随机数表法分为两组,每组40例。对照组接受常规手术室护理,观察组基于对照组条件实施精细化护理,比较两组术后康复指标及并发症发生情况。结果 观察组下床活动时间为(3.38±1.02)d、拔管时间(3.09±0.38)d、住院时间(8.47±1.42)d与对照组比较,差异有统计学意义(t=6.782、17.480、5.853,P<0.05);干预后,观察组患者FEV1占预计值百分比(FEV1%)(63.87±5.59)%、第一秒用力呼气容积(FEV1)(1.81±0.15)L及FEV1与用力肺活量的比值(FEV1/FVC)(84.87±8.65)%指标明显优于对照组患者,差异有统计学意义(t=7.733,9.877,4.777,P<0.05);干预后,观察组社会功能(60.67±6.15)分、心理功能(64.32±5.57)分、生理功能(62.72±5.21)分均显著高于对照组,差异有统计学意义(t=11.202、21.069、18.119,P<0.05)。观察组术后发生切口感染、吻合口渗血等并发症的患者总占比低于对照组,差异有统计学意义(χ^(2)=4.114,P<0.05)。结论 将精细化护理理念引入胸腔镜下肺癌根治术患者的手术室护理中,在减少并发症发生、促进患者术后康复等方面均有明显优势。
Objective To study the clinical value of adding refined nursing concept to the nursing of patients with thoracoscopic radical mastectomy for lung cancer.Methods A total of 80 patients who were admitted to the hospital for thoracoscopic radical resection of lung cancer from January 2019 to January 2021 were simple randomly selected as the research subjects,and they were divided into two groups with 40 cases in each group by random number table method.The control group received routine operating room nursing,and the observation group received refined nursing based on the conditions of the control group.The postoperative rehabilitation indicators and the incidence of complications were compared between the two groups.Results The time of getting out of bed in the observation group was(3.38±1.02)d,the time of extubation was(3.09±0.38)d,and the hospital stay was(8.47±1.42)d,which was compared with the control group,the difference was statistically significant(t=6.782,17.480,5.853,P<0.05).After intervention,the indexes of the percentage of FEV1 to the predicted value(FEV1%)(63.87±5.59)%,the forced expiratory volume in one second(FEV1)(1.81±0.15)L,and the ratio of FEV1 to forced vital capacity(FEV1/FVC)(84.87±8.65)%in the observation group were significantly better than those in the control group,the difference was statistically significant(t=7.733,9.877,4.777,P<0.05).After intervention,social function(60.67±6.15)points,psychological function(64.32±5.57)points,and the physical function(62.72±5.21)points scores of the observation group were significantly higher than those of the control group,the difference was statistically significant(t=11.202,21.069,18.119,P<0.05).The total proportion of patients with postoperative complications such as incision infection and anastomotic bleeding in the observation group was lower than that in the control group,the difference was statistically significant(χ^(2)=4.114,P<0.05).Conclusion Introducing the concept of refined nursing into the operating room nursing of patients with
作者
顾竞宇
GU Jingyu(Operating Room,Jiangdu People's Hospital,Yangzhou,Jiangsu Province,225200 China)
出处
《中外医疗》
2022年第13期154-158,共5页
China & Foreign Medical Treatment
关键词
胸腔镜
肺癌根治术
手术室护理
精细化护理
Thoracoscopy
Radical operation for lung cancer
Operating room nursing
Refined nursing
