综合护理干预对肺癌胸腔镜术后患者并发症及生存质量的影响  

Effect of comprehensive nursing intervention on postoperative complications and quality of life of patients with lung cancer after thoracoscopic surgery

作　　者：王玉梅[1] 王雪峰[1] WANG Yu-mei;WANG Xue-feng(Department of Cardiothoracic Surgery,Qingdao Eighth People＇ s Hospital,Qingdao 266100,China)

机构地区：[1]山东省青岛市第八人民医院心胸外科,266100

出　　处：《中国实用医药》2018年第24期131-132,共2页China Practical Medicine

摘　　要：目的研究综合护理干预的应用对胸腔镜下治疗肺癌术后患者的影响。方法 150例心胸外科采用胸腔镜治疗的肺癌患者,随机分为观察组和对照组,每组75例。观察组采用综合护理干预,对照组采用常规护理,对两组患者的术后并发症发生情况、生存质量评分进行对比分析。结果观察组发生胸腔积液2例,肺不张1例,心律失常1例,并发症发生率为5.3%;对照组发生胸腔积液4例,呼吸系统感染4例,心律失常2例,肺不张3例,并发症发生率为17.3%;观察组患者的并发症发生率显著低于对照组,差异具有统计学意义(P<0.05)。观察组患者的躯体功能、心理功能、社会功能、物质生活状态评分均显著高于对照组,差异具有统计学意义(P<0.05)。结论行肺癌胸腔镜手术的患者辅以综合护理干预,能够有效降低患者术后并发症的发生率,提高患者生存质量,利于临床开展。Objective To research the effect of comprehensive nursing intervention on postoperative patients with lung cancer treated by thoracoscopy. Methods A total of 150 cases of lung cancer treated by thoracoscopy-in department of cardiothoracic surgery were randomly divided into the observation group and the control group, 75 cases in each group. The observation group was given comprehensive nursing intervention, the control group was given conventional nursing. The postoperative complications and quality of life score between the two groups were compared and analyzed. Results In the observation group, there were 2 cases of pleural effusion, 1 case of atelectasis, 1 case of arrhythmia, the incidence of complications was 5.3%. In the control group, there were 4 cases of pleural effusion, 4 cases of respiratory infection, 2 cases of arrhythmia, 3 cases of atelectasis, the incidence of complications was 17.3%. The incidence of complications in the observation group was significantly lower than that of the control group, the difference was statistically significant （P〈0.05）. The scores of body function, psychological function, social function and material living state in the observation group were significantly higher than those in the control group, the differences were statistically significant （P〈O.05）. Conclusion Patients with lung cancer for thoracoscopic surgery assisted by comprehensive nursing intervention can effectively for thoracoscopic surgery the incidence of postoperative complications, improve the quality of life, and is conducive to clinical development.

关 键 词：肺癌 胸腔镜 术后并发症 生存质量 

分 类 号：R473.73[医药卫生—护理学]