基于慢性疾病轨迹模式的护理干预对胸腔镜肺癌根治术患者的影响  

Effect of Nursing Intervention Based on Chronic Disease Trajectory Model in Patients Undergoing Thoracoscopic Radical Resection of Lung Cancer

作　　者：李亚萍[1] 王晓东[1] 周芮伊 徐露露 杨程舒 Li Yaping;Wang Xiaodong;Zhou Ruiyi(The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《齐鲁护理杂志》2023年第8期6-8,共3页Journal of Qilu Nursing

基　　金：河南省高等学校重点科研项目(编号:22A320072)。

摘　　要：目的:探讨基于慢性疾病轨迹模式的护理干预对胸腔镜肺癌根治术患者的影响。方法:选取2021年6月1日~2022年6月30日372例胸腔镜肺癌根治术患者随机分为观察组192例和对照组180例,对照组给予常规护理干预,观察组在对照组基础上实施基于慢性疾病轨迹模式的护理干预;比较两组术后吸氧时间、下床活动时间、拔管时间、住院时间、术后并发症发生率、护理满意度以及术后1个月生存质量评分。结果:观察组术后吸氧时间、下床活动时间、拔管时间、住院时间均短于对照组(P<0.01),术后并发症发生率低于对照组(P<0.01),护理满意度高于对照组(P<0.01);观察组术后1个月生存质量评分高于对照组(P<0.01)。结论:对胸腔镜肺癌根治术患者采取基于慢性疾病轨迹模式的护理干预,不仅能减少术后并发症发生,促进患者早日恢复,还有利于提高护理满意度和生存质量。Objective:To explore the effect of nursing intervention based on chronic disease trajectory model in patients undergoing thoracoscopic radical resection of lung cancer.Methods:A total of 372 patients who had undergone thoracoscopic radical resection of lung cancer from June 1,2021 to June 30,2022 were randomly divided into the observation group(192 cases)and the control group(180 cases).The control group was given routine nursing intervention,and on this basis,the observation group was given nursing intervention based on chronic disease trajectory model.The postoperative oxygen inhalation time,ambulation time,extubation time,length of hospital stay,incidence of postoperative complications,nursing satisfaction and quality of life scores 1 month after operation were compared between the two groups.Results:The postoperative oxygen inhalation time,ambulation time,extubation time and hospital stay in the observation group were shorter than those in the control group(P<0.01).The incidence of postoperative complications was lower in the observation group than that in the control group(P<0.01),the nursing satisfaction was higher in the observation group than that in the control group(P<0.01).1 month after operation,the scores of quality of life in the observation group were higher than those in the control group(P<0.01).Conclusion:Application of nursing intervention based on chronic disease trajectory model in patients undergoing thoracoscopic radical resection of lung cancer can not only reduce the incidence of postoperative complications,promote thee early recovery,but also improve the nursing satisfaction and quality of life.

关 键 词：胸腔镜肺癌根治术 慢性疾病轨迹模式 并发症 护理满意度 生存质量 

分 类 号：R473.73[医药卫生—护理学]