基于快速康复外科理念的护理干预对肺癌患者疗效、疲乏及生活质量的影响  

Effect of nursing intervention based on the concept of fast rehabilitation surgery on the efficacy, fatigue and quality of life of patients with lung cancer

作　　者：曹艳超[1] 尹桂梅[1] 郑新英 马洪霞[1] 姜雪莲[1] 孙杰[1] CAO Yanchao;YIN Guimei;ZHENG Xinying;MA Hongxia;JIANG Xuelian;SUN JIE(Department of Nursing,Cangzhou Central Hospital,Hebei Province,Cangzhou061001,China)

机构地区：[1]河北省沧州市中心医院护理部,河北沧州061001

出　　处：《中国医药导报》2020年第28期173-176,181,共5页China Medical Herald

基　　金：河北省医学高等专科项目(201738094)。

摘　　要：目的探讨基于快速康复外科(FTS)理念的护理干预对行手术治疗肺癌患者临床效果、疲乏程度及生活质量改善中的作用。方法2017年8月—2019年8月河北省沧州市中心医院治疗胸腔镜辅助肿瘤切除术肺癌患者216例,采用随机数字表法分为FTS组和对照组,每组各108例。对照组给予常规护理干预,FTS组给予基于FTS理念的护理。记录两组患者术后恢复指标及术后7 d并发症;采用自制调查问卷评定患者对护理满意率,Piper疲乏量表评定疲乏程度,生存质量量表(QLQ-C30)评定生活质量。结果FTS组拔管时间、排气时间、下床活动时间早于对照组,差异有统计学意义(P<0.05);抗生素使用时间、住院时间短于对照组,差异有统计学意义(P<0.05)。FTS组并发症发生率低于对照组,差异有统计学意义(P<0.05)。FTS组护理满意率高于对照组,差异有统计学意义(P<0.05)。两组患者干预后行为、情感、躯体、认知评分及总分均低于干预前,且FTS组低于对照组,差异有统计学意义(P<0.05)。两组患者干预后QLQ-C30功能评分高于干预前,症状评分低于干预前,差异有统计学意义(P<0.05)。FTS组功能评分高于对照组,症状评分低于对照组,差异有统计学意义(P<0.05)。结论基于FTS理念的护理干预可促进肺癌患者术后恢复,降低并发症发生率,改善疲乏,提高生活质量。Objective To explore the role of nursing intervention based on the concept of fast rehabilitation surgery(FTS)in improving the clinical effect,fatigue level and quality of life of patients with lung cancer undergoing surgery.Methods From August 2017 to August 2019,Cangzhou Central Hospital,Hebei Province,a total of 216 patients with thoracoscopic-assisted tumor resection for lung cancer were treated.They were divided into FTS group and control group by random number table method,with 108 cases in each group.The control group was given routine nursing intervention,and the FTS group was given nursing intervention based on the concept of FTS.The postoperative recovery indicators and postoperative complications in severn days were recorded for the two groups;self-made questionnaires were used to assess the patient's satisfaction rate with care,the Piper fatigue scale to assess the degree of fatigue,and the quality of life questionnaire(QLQ-C30)scale to assess the quality of life.Results The extubation time,exhaust time,and time to get out of bed in the FTS group were earlier than those in the control group,and the differences were statistically significant(P<0.05);the antibiotic use time and hospital stay were shorter than the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the FTS group was lower than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction rate of the FTS group was higher than that of the control group,and the difference was statistically significant(P<0.05).The behavioral,emotional,physical,cognitive scores and total scores of the two groups after intervention were all lower than before the intervention,while the FTS group was lower than the control group,and the differences were statistically significant(P<0.05).The QLQ-C30 function scores of the two groups after intervention were higher than those before the intervention,while the symptom scores were lower than before the intervention,an

关 键 词：肺癌 快速康复外科 术后恢复 疲乏 生活质量 

分 类 号：R47[医药卫生—护理学]