行为训练结合快速康复护理在肺癌患者围术期中的应用效果分析  

Analysis on Application Effect of Behavior Training Combined with Rapid Rehabilitation Nursing in Perioperative Patients with Lung Cancer

作　　者：李秀芝[1] 张金英[1] 赵玉双 李鹏[1] Li Xiuzhi;Zhang Jinying;Zhao Yushuang;Li Peng(Department of Thoracic Surgery,Binzhou People's Hospital,Binzhou 256610,Shandong Province,China)

机构地区：[1]滨州市人民医院胸外科,山东滨州256610

出　　处：《中国社区医师》2023年第24期122-124,共3页Chinese Community Doctors

摘　　要：目的:探讨行为训练结合快速康复护理在肺癌患者围术期中的应用效果。方法:选取2020年4月—2022年6月于滨州市人民医院接受胸腔镜肺癌根治术的患者180例作为研究对象,以随机数字表法分为两组,各90例。对照组采用常规围术期护理,观察组采用行为训练结合快速康复护理。比较两组临床指标、疼痛程度、并发症发生情况。结果:观察组首次下床时间、恢复肠鸣音时间、拔管时间、住院时间短于对照组,差异有统计学意义(P<0.001)。观察组术后12、24、72 h疼痛评分均低于对照组,差异有统计学意义(P<0.001)。观察组并发症发生率低于对照组,差异有统计学意义(P=0.009)。结论:肺癌患者围术期实施行为训练结合快速康复护理的效果显著,能够缩短患者下床时间、肠鸣音恢复时间、拔管时间、住院时间,减轻术后疼痛程度,降低并发症发生率。Objective:To explore the application effect of behavior training combined with rapid rehabilitation nursing inperioperative patients with lung cancer.Methods:A total of 180 patients who received thoracoscopic radical resection of lungcancer in Binzhou People's Hospital from April 2020 to June 2022 were selected as the study subjects.They were divided into twogroups according to random number table method,with 90 cases in each group.The control group received routine perioperativenursing,while the observation group received behavior training combined with rapid rehabilitation nursing.The clinical indexes,pain degree and complications in the two groups were compared.Results:The first ambulation time,bowel sound recovery time,extubation time,and length of hospital stay in the observation group were shorter than those in the control group,with statisticallysignificant differences(P<0.001).The pain levels in the observation group at 12,24 and 72 h after surgery were lower than thosein the control group,and the difference was statistically significant(P<0.001).The incidence of complications in the observationgroup was lower than that in the control group,and the difference was statistically significant(P=0.009).Conclusion:The effect ofbehavior training combined with rapid rehabilitation nursing in perioperative patients with lung cancer is significant,which canshorten the ambulation time,bowel sound recovery time,extubation time,and length of hospital stay,alleviate the postoperativepain,and reduce the incidence of complications.

关 键 词：行为训练 肺癌 围术期 快速康复护理模式 

分 类 号：R473.73[医药卫生—护理学]