早期呼吸功能训练对肺癌根治术术后患者肺功能及生活质量的影响  

Effect of early respiratory function training on lung function and quality of life after radical lung cancer surgery

作　　者：陈静 严红 吕琳 吴晓莉[1] Chen Jing;Yan Hong;Lyu Lin;Wu Xiaoli(Department of Thoracic Surgery,Changshu Second People′s Hospital,Changshu 215500,China)

机构地区：[1]常熟市第二人民医院胸外科,常熟215500

出　　处：《国际护理学杂志》2024年第2期197-201,共5页international journal of nursing

基　　金：江苏省自然科学基金(2020J11980N)。

摘　　要：目的分析在肺癌根治术患者的护理过程中,实施早期呼吸功能训练对其肺功能及生活质量的影响。方法以常熟市第二人民医院胸外科在2020年1月至2022年1月期间收治的80例肺癌根治术患者为研究对象,采用随机数字表法将其分为对照组与观察组,对照组实行常规呼吸功能训练,观察组给予早期呼吸功能训练,每组40例。于患者术后1 d与术后7 d,比较两组患者的用力肺活量(FVC)、第一秒用力呼吸容积(FEV1)以及第一秒用力呼气量占用肺活量比值(FEV1/FVC)水平,并将两组患者的呼吸困难症状缓解时间、术后卧床时间以及切口愈合时间进行对比,另采用癌症患者生命测定量表体系中的肺癌量表(QLICP-LU),评价两组患者术后1 d与术后30 d的生活质量水平。结果术后1 d时,两组患者的肺功能指标与QLICP-LU量表指标评分水平差异无统计学意义(P值均>0.05),术后7 d,观察组FVC、FEV1以及FEV1/FVC吸气量(47.24±4.79、42.77±3.86、49.12±4.47)均高于对照组(43.99±4.25、40.83±4.54、47.32±2.33),且该组患者的呼吸困难症状缓解时间、术后卧床时间以及切口愈合时间(2.67±1.47 d、16.66±1.02 h、6.77±1.05 d)均低于对照组(3.41±1.36 d、17.42±1.31 h、7.27±1.12 d)(P值均<0.05);术后30 d,观察组QLICP-LU量表评分中的正性条目指标评分(29.71±3.54分、52.96±4.02分、24.31±3.50分)高于对照组(27.96±3.63分、51.20±3.71分、22.49±3.67分),负性条目评分(18.76±2.17分)低于对照组(20.19±2.40分)(P值均<0.05)。结论早期呼吸功能训练的应用,能够明显改善肺癌根治术患者的肺功能水平,加快恢复速度,大幅度提高患者的生活质量,效果显著。Objective To analyze the impact of early respiratory function training on their lung function and quality of life in the process of nursing of radical lung cancer patients.Methods A total of 80 patients with radical lung cancer in this hospital from January 2020 to January 2022 as the research object,they were divided into control group and observation group by random number table.The control group conducted routine respiratory function training,and the observation group gave early respiratory function training,with 40 cases in each group.At 1 d and 7 d after surgery,Compare the forced vital capacity in the two groups(Forced vital capacity,FVC),first second(Forced expiratory volume in one second,FEV1)and the first second forced expiratory volume occupancy vital capacity ratio(FEV1/FVC)level.The duration of dyspnea relief,postoperative bed time and incision healing time of the two groups were compared.In addition,the lung cancer scale in the system(Quality of life instruments for cancer patients-lung,QLICP-LU),the quality of life level at 1 d and 30 d were evaluated in the two groups.Results At 1 d postoperatively,there was no statistically significant difference in the scoring levels of pulmonary function indexes and QLICP-LU scale indexes between the two groups of patients(P>0.05),and at 7 d postoperatively,the observation group′s FVC,FEV1,and FEV1/FVC inspiratory volume(47.24±4.79,42.77±3.86,49.12±4.47)were higher than those of the control group(43.99±4.25,40.83±4.54,47.32±2.33),and the time to relief of dyspnea symptoms,postoperative bed rest time,and incision healing time in this group(2.67±1.47 d,16.66±1.02 h,6.77±1.05 d)were lower than those of the control group(3.41±1.36 d,17.42±1.31 h,7.27±1.12 d)(P<0.05);at 30 d postoperatively,the positive entry index scores in the QLICP-LU scale scores of the observation group(29.71±3.54 points,52.96±4.02 points,24.31±3.50 points)were higher than those of the control group(27.96±3.63 points,51.20±3.71 points,22.49±3.67 points),and negative entry sco

关 键 词：肺癌根治术 早期呼吸功能训练 肺功能 术后恢复 生活质量 

分 类 号：R473.73[医药卫生—护理学]