八步早康操在肺癌患者术后康复中的应用  

Application of eight-step early rehabilitation exercise in postoperative rehabilitation management of lung cancer patients

作　　者：屈惠琴[1] 陆云[1] 陈珊[1] 孙园园[1] QU Huiqin;LU Yun;CHEN Shan;SUN Yuanyuan(Department of Surgery,Traditional Chinese Medicine Hospital of Kunshan,Kunshan,Jiangsu,215300)

机构地区：[1]南京中医药大学昆山附属医院江苏省昆山市中医医院外科,江苏昆山215300

出　　处：《中西医结合护理（中英文）》2018年第11期142-145,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨八步早康操在肺癌患者术后康复中的应用效果。方法选取2017年1月—2018年6月行肺癌根治手术的患者60例,随机分为试验组和对照组,各30例。对照组实施常规康复护理。试验组在常规康复护理的基础上,实施八步早康操。观察2组入院当天、术后第3、7天6 min步行距离和呼气峰流速,观察术后第1天至出院术后胸腔引流管留置时间、术后住院时间及肺部并发症的发生情况。结果试验组术后胸腔引流管留置时间、术后住院时间短于对照组(P <0. 05)。试验组肺部并发症总发生率低于对照组(χ~2=4. 320,P <0. 05)。2组入院当天呼气峰流速和6 min步行距离差异均无统计学意义(P> 0. 05)。术后3 d患者呼气峰流速和6 min步行距离均降低,但试验组高于对照组(P <0. 05),术后7 d,2组均较术后3 d有所提高,但试验组仍高于对照组(P <0. 05)。结论八步早康操用于肺癌手术患者的康复,可有效减少术后并发症发生率,缩短了住院时间,促进患者康复。Objective To investigate the efficacy of eight-step early rehabilitation exercise in postoperative rehabilitation management of lung cancer patients. Methods Totally 60 patients with radical surgery for lung cancer were assigned to the study group and the control group, with 30 cases in each group. Patients of both two groups were given routine nursing and pulmonary rehabilitation care after the surgery, and those in the study group received eight-step early rehabilitation exercise. The 6-min walk distance (6MWD) and peak expiratory flows (PEF) were assessed at admission, 3 and 7 days after the surgery. The indwelling time of chest drainage tube, postoperative length of stay and pulmonary complications were observed and compared between two groups. Results Patients in the study group had shorter indwelling time of chest drainage tube and postoperative length of stay compared with those in the control group (P<0.05). The incidence of pulmonary complications was lower in the study group than that in the control group (χ^2=4.320, P<0.05). There was no significant difference in 6MWD and PEF between two groups at baseline (P>0.05). The 6MWD and PEF of patients decreased at 3 days, but slightly increased at 7 days after the surgery, and patients in the study group achieved a longer 6MWD and higher PEF compared with those in the control after the surgery (P<0.05). Conclusion The eight-step early rehabilitation exercise is potentially effective to reduce the postoperative complications and shorten the length of stay in patients with radical surgery for lung cancer.

关 键 词：早期康复训练 肺癌 康复护理 呼气峰流速 6分钟步行距离 

分 类 号：R473.6[医药卫生—护理学]