ADOPT护理模式联合呼吸训练导航干预在肺癌手术患者中的应用  

ADOPT nursing combined with respiratory training navigation intervention in patients undergoing surgery for lung cancer

作　　者：李勤云 王君慧[1] 潜艳[1] 覃梦霞 LI Qinyun;WANG Junhui;QIAN Yan;QIN Mengxia(Chest Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430000,China)

机构地区：[1]华中科技大学同济医学院附属同济医院胸外科,武汉430000

出　　处：《中国临床护理》2024年第6期341-345,共5页Chinese Clinical Nursing

基　　金：2023年湖北省自然科学基金计划项目(编号:2023AFB1118)。

摘　　要：目的 探讨ADOPT护理模式联合呼吸训练导航干预在肺癌手术患者中的应用效果。方法 选取在笔者所在医院胸外科行手术治疗的96例肺癌患者为研究对象。按照入院先后顺序,将2023年5月-6月收治的48例肺癌患者设为对照组,将2023年7月-8月收治的48例肺癌患者设为观察组。对照组接受肺癌围术期常规护理,观察组接受ADOPT护理模式联合呼吸训练导航干预,比较2组肺功能指标、术后肺部并发症发生率、胸管留置时间及住院时间。结果 干预后,观察组第1秒用力呼气量、用力肺活量和第1秒用力呼气容积与用力肺活量比值均高于对照组(t=5.913,P<0.001;t=2.616,P=0.010;t=3.317,P=0.001),术后肺部并发症发生率低于对照组(χ2=9.095,P=0.003),胸管留置时间及住院天数均短于对照组(t=5.071,P<0.001;t=5.309,P<0.001)。结论 将ADOPT护理模式及呼吸训练导航干预联合应用于肺癌手术患者中,可降低术后肺部并发症的发生率,促进患者术后肺复张,缩短胸管留置时间及住院天数。Objective To explore the effect of ADOPT nursing combined with respiratory training navigation intervention in patients undergoing lung cancer surgery.Methods Ninety-six lung cancer patients undergoing surgery between May and August 2023 were selected as the study objects.According to the order of admission,48 patients admitted in the first two months were selected into a control group,while those treated in the following two months were chosen into an observation group.The control group received routine perioperative nursing,while the observation group underwent ADOPT nursing combined with respiratory training navigation intervention.Then,the pulmonary function indexes,incidence of postoperative pulmonary complications,duration of chest tube indwelling and hospital stay were compared between the two groups.Results After intervention,the forced expiratory volume in the first second,forced lung activity and the ratio of forced expiratory volume in first second to forced lung capacity in the observation group were significantly superior to that of the control group(t=5.913,P<0.001;t=2.616,P=0.010;t=3.317,P=0.001).However,the incidence of postoperative pulmonary complications was significantly lower than the latter group(χ2=9.095,P=0.003),and the retention time of chest tube and hospitalization days were significantly shorter than the latter(t=5.071,P<0.001;t=5.309,P<0.001).Conclusion ADOPT combined with respiratory training navigation intervention can reduce the incidence of postoperative pulmonary complications,promote pulmonary re-expansion,and shorten the time of chest tube indentation and length of hospital stay of patients undergoing lung cancer surgery.

关 键 词：肺癌 手术 ADOPT护理模式 导航护理 呼吸训练 肺功能 肺部并发症 

分 类 号：R473.73[医药卫生—护理学]