摘要
目的探讨快速康复外科(fast track surgery,FTS)理念在早期非小细胞肺癌肺段切除患者围术期护理中的应用效果。方法随机抽选2019年6月-2020年6月于福建省泉州市第一医院行早期非小细胞肺癌肺段切除术治疗患者80例为研究对象,根据护理方法进行分组,对照组(n=40)采取常规围术期护理;观察组(n=40)患者在常规护理基础上联合快速康复外科理念制订干预计划,比较两组患者的护理效果。结果观察组术后肛门排气、排便、下床活动及住院时间、住院费用均低于对照组,差异有统计学意义(t=15.807、9.285、16.958、7.347、10.230,P<0.05)。观察组术后1、3、5 d的疼痛评分均低于对照组,差异有统计学意义(t=8.028、5.738、8.006,P<0.05)。观察组并发症发生率为10.00%,低于对照组的32.50%,差异有统计学意义(χ^(2)=6.050,P<0.05)。结论早期非小细胞肺癌肺段切除患者围术期中应用快速康复外科理念进行护理,不仅能有效减轻其术后疼痛感,降低并发症发生风险,还有利于加快患者术后健康恢复进度,缩短住院时间,减少医疗费用。
Objective To investigate the effect of rapid rehabilitation surgery in perioperative nursing of patients with early non-small cell lung cancer with segmental resection.Methods Eighty patients with early non-small cell lung cancer undergoing segmental resection in Quanzhou First Hospital of Fujian Province from June 2019 to June 2020 were randomly selected as the study subjects,and were divided according to the differences of nursing methods.Among them,in the control group(n=40)received routine perioperative nursing;in the observation group(n=40)developed an intervention plan on the basis of conventional nursing combined with the concept of rapid rehabilitation surgery,and compared the nursing effects of the two groups.Results Postoperative anal exhaust,defecation,ambulatory activities,hospital stay and hospital expenses in the observation group were significantly lower than those in the control group,and the difference was statistically significant(t=15.807,9.285,16.958,7.347,10.230,P<0.05).The pain score of the observation group on the 1 d,3 d and 5 d after operation was lower than those of the control group,and the difference was statistically significant(t=8.028,5.738,8.006,P<0.05).The incidence of complications in the observation group was 10.00%,lower than 32.50%in the control group,and the difference was statistically significant(χ^(2)=6.050,P<0.05).Conclusion The application of the concept of rapid rehabilitation surgery in perioperative nursing for patients with lung segmental resection of early non-small cell lung cancer can not only effectively reduce the postoperative pain,reduce the risk of complications,but also accelerate the progress of postoperative health recovery,shorten the length of hospital stay and reduce medical costs.
作者
杨梅琼
郑丽勉
李秀黎
YANG Meiqiong;ZHENG Limian;LI Xiuli(Department of Surgery,Quanzhou First Hospital,Quanzhou,Fujian Province,362000 China)
出处
《中外医疗》
2022年第34期160-164,共5页
China & Foreign Medical Treatment
关键词
快速康复外科理念
早期非小细胞肺癌肺段切除
围术期护理
应用价值
Rapid rehabilitation surgery concept
Segmental resection of early non-small cell lung cancer
Perioperative nursing
Application value
