以护士为主导的多学科肺康复在肺癌胸腔镜手术患者围术期中的应用  

Application of Nurse-led Multidisciplinary Pulmonary Rehabilitation Intervention in Perioperative Period of Lung Cancer Patients

作　　者：姚晓华 盘瑞兰[2] 袁金权[1] 黎昱江[1] YAO Xiao-hua;PAN Rui-lan;YUAN Jin-quan(Cardiothoracic Surgery,Dongguan People's Hospital,Guangdong 523000,China)

机构地区：[1]广东省东莞市人民医院心胸外科,广东东莞523000 [2]广东省东莞市人民医院护理部,广东东莞523000

出　　处：《医学临床研究》2021年第6期859-862,共4页Journal of Clinical Research

基　　金：东莞市社会科技发展重点项目(201950715001182)。

摘　　要：【目的】探讨以护士为主导的多学科肺康复干预在原发性肺癌胸腔镜手术患者围手术期中的应用效果。【方法】选取2018年7月至2019年7月东莞市人民医院胸外科收治的80例原发性肺癌手术患者,按随机数字表法随机分为观察组和对照组,各40例。其中对照组采用常规护理;观察组在常规护理基础上,采用以护士为主导的多学科肺康复干预,包括术前、术后呼吸功能训练及早期下床活动等。比较两组术后相关指标变化情况。【结果】观察组患者术后首次下床活动时间、胸管留置时间、尿管留置时间均较对照组明显缩短,且术后3个月肺功能、术后d1~5动脉血氧分压均明显优于对照组。【结论】以护士为主导的多学科肺康复干预可以较有效提高患者术前肺功能储备,促进术后的肺功能康复,降低术后并发症发生率,提升护理质量。【Objective】To explore the value of nurse-led multidisciplinary pulmonary rehabilitation intervention in the perioperative period of lung cancer patients.【Methods】Eighty lung cancer patients admitted to the thoracic surgery department of Dongguan People's Hospital from July 2018 to July 2019 were randomly divided into experimental group(40 cases)and control group(40 cases).In the experimental group,nurse-led multidisciplinary pulmonary rehabilitation comprehensive intervention measures were adopted on the basis of routine postoperative nursing,including preoperative respiratory function exercise,early respiratory function exercise and early out of bed activities.The changes of related indexes were collected.【Results】In the experimental group,the time of bed activity,the average time of detaining the chest tube and the time of detaining the urinary tube were significantly shortened,In addition,the pulmonary function and the arterial oxygen pressure of the first to fifth days were significantly better than those of the control group.【Conclusion】nurse-led multidisciplinary pulmonary rehabilitation intervention can rapidly and effectively improve the preoperative pulmonary function reserve,promote postoperative pulmonary rehabilitation,reduce the incidence of postoperative complications,and improve the quality of nursing.

关 键 词：肺肿瘤/外科学 胸腔镜检查 手术期间 康复护理 

分 类 号：R734.2[医药卫生—肿瘤]