摘要
目的 探讨胸腔镜下肺切除术患者采用快速康复外科护理的价值。方法 选取2019年10月至2021年4月间西安市空军军医大学第二附属医院收治的70例胸腔镜下肺切除术患者,根据护理方法不同进行分组。采用常规护理的35例患者纳入对照组,采用快速康复外科护理的35例患者纳入观察组。统计两组护理效果、临床指标和并发症发生率。结果 护理前,两组患者视觉模拟评分(VAS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05)。护理后,观察组的VAS、SDS和SAS评分均低于对照组,护理满意度和生活质量评分均高于对照组,差异均有统计学意义(均P<0.05)。观察组的拔管时间、下床活动时间、自主咳嗽时间、引流管留置时间和住院时间均低于对照组,差异均有统计学意义(均P<0.05)。观察组并发症发生率为5.7%,低于对照组的25.7%,差异有统计学意义(P<0.05)。结论 快速康复外科护理在胸腔镜下肺切除术护理中可行性较高,可改善其预后效果及疼痛程度,亦可缩短拔管及引流时间,值得借鉴及参考。
Objective To explore the value of fast track surgery nursing in patients undergoing thoracoscopic pneumonectomy. Methods Seventy patients undergoing thoracoscopic lung resection surgery were enrolled at The Second Affiliated Hospital of Air Force Military Medical University from October 2019 to April 2021. They were divided into an observation group and a control group according to the different nursing they received. Thirty-five patients receiving fast track surgery nursing were included in an observation and 35 patients receiving routine nursing were included in a control group. Nursing efficacy, clinical indicators, and incidence of complication were estimated in the two groups. Results Before nursing, there was no statistically significant difference in the scores of visual analogue scale(VAS), self-rating anxiety scale(SAS) and self-rating depression scale(SDS) between the two groups(P>0.05). After nursing, VAS, SAS and SDS scores were lower and patient satisfaction with nursing and quality of life score were higher in observation group than in the control group(all P<0.05). Time to extubaiton, out-of-bed activities, spontaneous cough and length of drainage catheter stay were shorter in the observation group than in the control group(all P<0.05). The incidence of complications was 5.7% in the observation group which was lower than 25.7% of the control group(P<0.05). Conclusion Fast track surgery is feasible in the nursing of thoracoscopic lung resection surgery. It can improve the prognostic effect and pain degree, and shorten the time to extubation and length of drainage stay. It is worthy of use for reference.
作者
房雅君
姚艳玲
FANG Ya-jun;YAO Yan-ling(Department of Thoracic Surgery,The Second Affliated Hospital of Air Force Military Medical University,Xian 710038,China)
出处
《中国肿瘤临床与康复》
2022年第9期1137-1140,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
快速康复外科护理
胸腔镜
肺切除术
围术期加速康复
引流时间
并发症
Fast track surgery nursing
Thoracoscopy
Pneumonectomy
Perioperative accelerated rehabilitation
Drainage duration
Incidence of complications
