摘要
目的探讨呼吸训练仪对胸腔镜肺结节切除术患者康复效果及术后吸气量的影响。方法回顾性分析2021年10月至2022年3月在台州市中心医院行胸腔镜肺结节切除术的83例患者,采用随机数字表法分为对照组41例、研究组42例,对照组患者行常规护理干预,研究组患者在常规护理的基础上予呼吸训练仪干预,比较两组患者术后吸气量、自我管理能力、生活质量、负性情绪、住院天数、引流时间、并发症发生率。结果研究组患者干预后吸气量显著高于对照组,差异有统计学意义(P<0.05);研究组患者干预后情绪管理、症状管理、症状管理、康复训练评分分别显著高于对照组,差异有统计学意义(P<0.05);研究组患者干预后疾病与手术认知评分、日常生活管理评分、社会功能、躯体功能、心理功能分别显著高于对照组,差异有统计学意义(P<0.05);研究组患者干预后活力评分、焦虑自评量表评分(self-rating anxiety scale,SAS)、抑郁自评量表评分(self-rating depression scale,SDS)分别显著高于对照组,差异有统计学意义(P<0.05);研究组患者的住院天数明显短于对照组,差异有统计学意义(P<0.05);研究组患者的引流时间显著短于对照组,差异有统计学意义(P<0.05);研究组患者并发症发生率为4.76%,显著低于对照组的并发症发生率21.95%,差异有统计学意义(P<0.05)。结论对胸腔镜肺结节切除术患者使用呼吸训练仪可提高患者康复效果及术后吸气量。
Objective To analyze the rehabilitation effect and postoperative inspiratory capacity of patients undergoing thoracoscopic pulmonary nodule resection with respiratory training apparatus.Methods A total of 83 patients who underwent thoracoscopic pulmonary nodule resection in Taizhou Central Hospital from October 2021 to March 2022 were retrospectively analyzed.They were divided into 41 patients in the control group and 42 patients in the study group by random number table method.The patients in the control group received routine nursing intervention,and the patients in the study group received respiratory training instrument intervention on the basis of routine nursing.The postoperative inspiratory capacity,self-management ability,quality of life,negative emotions,hospital days drainage time and complication rate was compared.Results The inspiratory volume of the study group was significantly higher than that of the control group after intervention(P<0.05);The scores of emotion management,symptom management,symptom management and rehabilitation training in the study group were significantly higher than those in the control group after intervention(P<0.05);After the intervention,the patients in the study group had significantly higher disease and surgery cognitive score,daily life management score,social function,physical function and psychological function than those in the control group(P<0.05);The vitality score,self rating anxiety scale(SAS)and self rating depression scale(SDS)of the patients in the study group after intervention were significantly higher than those in the control group(P<0.05);The length of stay in the study group was significantly shorter than that in the control group,the difference is statistically significant(P<0.05);The drainage time in the study group was significantly shorter than that in the control group,the difference is statistically significant(P<0.05);The complication rate of the study group was 4.76%,which was significantly lower than that of the control group(21.95%),the differe
作者
朱礼礼
蔡璐
ZHU Lili;CAI Lu(Department of Cardiothoracic Surgery,Taizhou Central Hospital(Taizhou University Hospital),Zhejiang,Taizhou 318000,China)
出处
《中国现代医生》
2022年第30期40-43,75,共5页
China Modern Doctor
基金
浙江省中医药科技计划项目(2018ZB135)。
关键词
胸腔镜肺结节切除术
呼吸训练仪
康复效果
术后吸气量
Thoracoscopic pulmonary nodule resection
Breathing trainer
Rehabilitation effect
Postoperative inspiratory volume
