肺癌患者胸腔镜术中风险因素分析与护理配合探讨  

Risk factors for thoracoscopic surgery and nursing cooperation in patients with lung cancer

作　　者：郝宁宁[1] 高巍[1] 丁凤竹 

机构地区：[1]中国医科大学附属盛京医院手术室,沈阳110021

出　　处：《中国肿瘤临床与康复》2017年第7期860-862,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨肺癌胸腔镜患者术中风险因素与护理配合措施。方法选取2013年1月至2016年1月间中国医科大学附属盛京医院收治的96例肺癌患者,采用随机数字表法分为观察组与对照组,每组48例。两组患者均在胸腔镜下行肺癌手术。观察组患者采用前瞻性方法,分析术中护理环节存在的风险,给予预见性的护理与指导措施。对照组患者术中采用常规护理配合措施。结果两组患者手术时间对比,差异无统计学意义(P>0.05)。观察组患者术中出血量和住院时间均低于对照组患者,差异均有统计学意义(均P<0.05);观察组患者术中并发症发生率(4.17%)低于对照组(20.8%),差异有统计学意义(P<0.05)。结论分析肺癌患者胸腔镜术中风险因素,给予预见性的护理配合措施,不断完善护理方案,可在同等时间内有效减少术中并发症,加快康复速度,应用效果显著。Objective To analyze risk factors and care strategy in patients with lung cancer under- going thoracoseopic surgery. Methods Select 96 patients with lung cancer at Shengjing Hospital of China Medical University from January 2013 to January 2016. According to the average packet random number ta- ble, patients were divided into an observation and a control group. All the patients in the two groups under- went thoracoscopy surgery. Patients in observation group were analyzed using prospective method for intraop- erative risk during the operation and to provide predictive nursing care and guidance. Control group was only given routine care. Results There was no difference in operation time between the two groups （ P 〉 0. 05 ）. The intraoperative blood loss and length of hospital stay was lower in the observation group than in the con- trol group （P 〈 0. 05 ）. The intraoperative complication rate was lower in the observation group （ 4. 2% ） than in the control group （20. 8% ） （ P 〈 0. 05 ）. Conclusion Analysis of risk factors for thoracoscopic surgery, providing predictive nursing coordination measures and continuously improving the care program can effectively reduce the intraoperative complications and peed up the recovery in lung cancer patients, which has obvious applicative eficacy.

关 键 词：胸腔镜 肺肿瘤 术中风险因素 护理配合 

分 类 号：R472[医药卫生—护理学]