细节护理在单操作孔全胸腔镜下肺癌手术患者中的效果  

Effect of Detailed Nursing in Patients Undergoing Single Operation Hole and Total Thoracoscopic Lung Cancer Surgery

作　　者：马林林 宁文霞 于平 Ma Linlin;Ning Wenxia;Yu Ping(The Affiliated Hospital of Binzhou Medical College,Binzhou 256600,Shandong Province,China)

机构地区：[1]滨州医学院附属医院,山东滨州256600

出　　处：《中外医药研究》2024年第20期121-123,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析细节护理在单操作孔全胸腔镜下肺癌手术患者中的效果。方法:选取2021年11月—2022年11月滨州医学院附属医院收治的拟行单操作孔全胸腔镜手术的肺癌患者100例为研究对象,根据随机数表法分为对照组和观察组,各50例。对照组采取一般护理,观察组在对照组的基础上采取细节护理。比较两组恢复指标、护理满意度、术后并发症发生率、生活质量评分。结果:观察组术后下床活动时间、拔管时间、术后首次排气时间、住院时间短于对照组,差异有统计学意义(P<0.001)。观察组护理满意度高于对照组,差异有统计学意义(P=0.021)。观察组术后并发症发生率低于对照组,差异有统计学意义(P=0.035)。护理前,两组躯体功能、情感功能、角色功能、物质生活评分比较,差异无统计学意义(P>0.05);护理后,两组躯体功能、情感功能、角色功能、物质生活评分高于干预前,观察组高于对照组,差异有统计学意义(P<0.05)。结论:细节护理可促进单操作孔全胸腔镜下肺癌手术患者尽快恢复,缩短术后恢复时间,提高护理满意度与生活质量,减少并发症。Objective:To analyze the effect of detailed nursing in patients undergoing single operation hole and total thoracoscopic lung cancer surgery.Methods:A total of one hundred lung cancer patients who were expected to undergo total thoracoscopic surgery with single operation hole and were treated in the Affiliated Hospital of Binzhou Medical College from November 2021 to November 2022 were selected as the study objects,and were divided into control group and observation group according to random number table method,with fifty cases in each group.The control group took general nursing,and the observation group took detailed nursing on the basis of the control group.The recovery index,nursing satisfaction,postoperative complication rate and quality of life score were compared between the two groups.Results:The time of getting out of bed,extubation time,first postoperative exhaust time and hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.001).The nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P=0.021).The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P=0.035).Before nursing,there was no significant difference in physical function,emotional function,role function and material life scores between the two groups(P>0.05);after nursing,the scores of physical function,emotional function,role function and material life in the two groups were higher than before intervention,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion:Detailed nursing can promote patients undergoing thoracoscopic lung cancer surgery to recover as soon as possible,shorten postoperative recovery time,improve nursing satisfaction and quality of life,and reduce complications.

关 键 词：肺癌 单操作孔全胸腔镜手术 细节护理 并发症 

分 类 号：R473.73[医药卫生—护理学]