Objective: To explore the effect of video combined with the teach-back method on respiratory function exercise in patients undergoing tumor thoracotomy. Methods: Eligible patients undergoing thoracotomy for tumor were...Objective: To explore the effect of video combined with the teach-back method on respiratory function exercise in patients undergoing tumor thoracotomy. Methods: Eligible patients undergoing thoracotomy for tumor were selected from the thoracic surgery at a level-A tertiary hospital between August 2021 and December 2021 and included in the control group and the observation group (40 patients in each group). To prevent two groups of patients from interacting with each other, the thoracic surgery ward I was distinguished as the control group, which was adopted by the routine instruction. Based on routine instruction, the thoracic surgery ward II conducted respiratory function exercise instruction by video combined with the teach-back method to compare the two groups’ compliance with respiratory function exercise, complication rates, and patient satisfaction. Results: The patient compliance with respiratory function exercise in the observation group was significantly higher (P < 0.05) and the rate of pulmonary complications in the observation group was lower (P < 0.05) than that in the control group, while the observation group had a high level of satisfaction (P Conclusion: Taking video combined with the teach-back method, an effective health education method, can improve the compliance of the respiratory function exercise of patients undergoing thoracotomy for tumor and promote the recovery of pulmonary function to reduce the incidence of postoperative pulmonary complications so as to improve patient satisfaction.展开更多
目的探讨主动呼吸循环技术对老年肺癌电视胸腔镜肺叶切除术患者整体功能、心肺功能和运动耐量的影响。方法选取2019年10月至2021年10月于重庆两江新区第一人民医院行电视胸腔镜肺叶切除术的93例老年肺癌患者为研究对象,按照随机数字表...目的探讨主动呼吸循环技术对老年肺癌电视胸腔镜肺叶切除术患者整体功能、心肺功能和运动耐量的影响。方法选取2019年10月至2021年10月于重庆两江新区第一人民医院行电视胸腔镜肺叶切除术的93例老年肺癌患者为研究对象,按照随机数字表法将入选患者分为观察组(47例)与对照组(46例)。两组患者均行电视胸腔镜肺叶切除术治疗,均由同一组外科医生完成。对照组患者于术后第1天开始行常规康复训练,观察组患者于术后第1天开始采用主动呼吸循环技术进行锻炼。两组患者均于术后第14天评价。比较两组患者术后胸腔引流量、术后胸管拔除时间和术后住院天数,术后第1天和术后第14天心功能[左室射血分数(left ventricular ejection fraction,LVEF)和左心室舒张末期内径(left ventricular end diastolic dimension,LVEDD)]、肺功能[第1秒用力呼吸容积(forced expiratory volume in one second,FEV_(1))和一秒率]、改良的英国医学研究委员会呼吸困难量表(modified Medical Research Council dyspnea scale,mMRC)评分和6 min步行距离,以及术后肺部并发症发生情况。结果观察组患者术后胸腔引流量显著少于对照组(P<0.05),术后胸管拔除时间显著早于对照组(P<0.05),术后住院天数显著短于对照组(P<0.05),术后肺部并发症发生率显著低于对照组(P<0.05)。两组患者术后第14天LVEF均显著大于本组术后第1天(均P<0.05),LVEDD均显著小于本组术后第1天(均P<0.05),FEV_(1)和一秒率均显著高于本组术后第1天(均P<0.05),mMRC评分均显著低于本组术后第1天(均P<0.05),6 min步行距离均显著长于本组术后第1天(均P<0.05);观察组患者术后第14天LVEF显著大于对照组(P<0.05),LVEDD显著小于对照组(P<0.05),FEV_(1)和一秒率均显著高于对照组(均P<0.05),mMRC评分显著低于对照组(P<0.05),6 min步行距离显著长于对照组(P<0.05)。结论主动呼吸循环技术对老年肺癌电视胸腔镜肺�展开更多
文摘Objective: To explore the effect of video combined with the teach-back method on respiratory function exercise in patients undergoing tumor thoracotomy. Methods: Eligible patients undergoing thoracotomy for tumor were selected from the thoracic surgery at a level-A tertiary hospital between August 2021 and December 2021 and included in the control group and the observation group (40 patients in each group). To prevent two groups of patients from interacting with each other, the thoracic surgery ward I was distinguished as the control group, which was adopted by the routine instruction. Based on routine instruction, the thoracic surgery ward II conducted respiratory function exercise instruction by video combined with the teach-back method to compare the two groups’ compliance with respiratory function exercise, complication rates, and patient satisfaction. Results: The patient compliance with respiratory function exercise in the observation group was significantly higher (P < 0.05) and the rate of pulmonary complications in the observation group was lower (P < 0.05) than that in the control group, while the observation group had a high level of satisfaction (P Conclusion: Taking video combined with the teach-back method, an effective health education method, can improve the compliance of the respiratory function exercise of patients undergoing thoracotomy for tumor and promote the recovery of pulmonary function to reduce the incidence of postoperative pulmonary complications so as to improve patient satisfaction.
文摘目的探讨主动呼吸循环技术对老年肺癌电视胸腔镜肺叶切除术患者整体功能、心肺功能和运动耐量的影响。方法选取2019年10月至2021年10月于重庆两江新区第一人民医院行电视胸腔镜肺叶切除术的93例老年肺癌患者为研究对象,按照随机数字表法将入选患者分为观察组(47例)与对照组(46例)。两组患者均行电视胸腔镜肺叶切除术治疗,均由同一组外科医生完成。对照组患者于术后第1天开始行常规康复训练,观察组患者于术后第1天开始采用主动呼吸循环技术进行锻炼。两组患者均于术后第14天评价。比较两组患者术后胸腔引流量、术后胸管拔除时间和术后住院天数,术后第1天和术后第14天心功能[左室射血分数(left ventricular ejection fraction,LVEF)和左心室舒张末期内径(left ventricular end diastolic dimension,LVEDD)]、肺功能[第1秒用力呼吸容积(forced expiratory volume in one second,FEV_(1))和一秒率]、改良的英国医学研究委员会呼吸困难量表(modified Medical Research Council dyspnea scale,mMRC)评分和6 min步行距离,以及术后肺部并发症发生情况。结果观察组患者术后胸腔引流量显著少于对照组(P<0.05),术后胸管拔除时间显著早于对照组(P<0.05),术后住院天数显著短于对照组(P<0.05),术后肺部并发症发生率显著低于对照组(P<0.05)。两组患者术后第14天LVEF均显著大于本组术后第1天(均P<0.05),LVEDD均显著小于本组术后第1天(均P<0.05),FEV_(1)和一秒率均显著高于本组术后第1天(均P<0.05),mMRC评分均显著低于本组术后第1天(均P<0.05),6 min步行距离均显著长于本组术后第1天(均P<0.05);观察组患者术后第14天LVEF显著大于对照组(P<0.05),LVEDD显著小于对照组(P<0.05),FEV_(1)和一秒率均显著高于对照组(均P<0.05),mMRC评分显著低于对照组(P<0.05),6 min步行距离显著长于对照组(P<0.05)。结论主动呼吸循环技术对老年肺癌电视胸腔镜肺�
