基于预康复理念的肺康复训练在肺癌肺叶切除患者围术期的护理应用  

Nursing application of pulmonary rehabilitation training based on the concept of prehabilitation in the perioperative period of lobectomy patients with lung cancer

作　　者：肖文琼[1] 李雪娇 张丹 郭文炜 刘娟妹[1] 胡珍 XIAO Wenqiong;LI Xuejiao;ZHANG Dan;GUO Wenwei;LIU Juanmei;HU Zhen(Central People's Hospital of Ji'an,Ji'an 343000,China)

机构地区：[1]江西省吉安市中心人民医院,江西省吉安市343000

出　　处：《护理实践与研究》2024年第8期1164-1170,共7页Nursing Practice and Research

基　　金：吉安市科学技术局指导性科技计划项目(编号:20233-043402)。

摘　　要：目的探讨基于预康复理念的肺康复训练在肺癌肺叶切除患者围术期的护理效果,旨在提高患者干预前的肺功能及自我管理水平,为术后康复奠定基础。方法选择2022年5月—2023年8月吉安市中心人民医院行肺癌肺叶切除患者80例作为研究对象,按照组间基线资料均衡可比原则分为对照组和观察组,各40例。对照组给予常规护理,观察组给予基于预康复理念的肺康复训练。对比两组患者围术期自我水平能力、肺功能指标[用力肺活量(FVC)、第1秒用力呼气量(FEV_(1))、FEV_(1)/用力肺活量(FEV_(1)/FVC)]、并发症、6 min步行试验(6MWD)。结果观察组自主咳嗽依从率87.50%、早期下床活动依从率82.50%,均高于对照组57.50%、50.00%,差异有统计学意义(P<0.05)。术后1个月,观察组患者FVC、FEV_(1)、FEV_(1)/FVC均高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率7.50%低于对照组27.50%,差异有统计学意义(P<0.05)。术后1个月,观察组的6 min步行距离长于对照组,差异有统计学意义(P<0.05)。结论基于预康复理念的肺康复训练在肺癌肺叶切除患者围术期的护理应用,提高自我管理水平,有利于减少并发症,促进术后康复,改善肺功能及运动耐力。Objective To explore the nursing effect of pulmonary rehabilitation training based on the concept of prerehabilitation in the perioperative period of lung cancer lobectomy patients,aiming to improve the patients'pulmonary function and self-management before the intervention,and to establish a foundation for postoperative rehabilitation.Methods 80 patients who underwent lobectomy for lung cancer in Ji'an Central People's Hospital from May 2022 to August 2023 were selected as the study subjects,they were divided into a control group and an observation group,each with 40 cases,according to the principle of balanced and comparable baseline data between the groups.The control group was given conventional nursing care,and the observation group was given pulmonary rehabilitation training based on the concept of prehabilitation.The perioperative self-levelling ability,pulmonary function indexes[forced rital capacity(FVC),forced expiratory volume in one second(FEV_(1)),FEV_(1)/forceful lung volume(FEV_(1)/FVC)],complications,and 6 min walk distance(6MWD)were compared between the two groups.Results The voluntary cough compliance rate of 87.50%and the early out-of-bed activity compliance rate of 82.50%in the observation group were higher than those of 57.50%and 50.00%in the control group,and the differences were statistically significant(P<0.05).At 1 month after surgery,FVC,FEV_(1) and FEV_(1)/FVC of patients in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The complication rate of 7.50%in the observation group was lower than that of 27.50%in the control group,the difference was statistically significant(P<0.05).At 1 month after surgery,the 6 min walking distance of the observation group was longer than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The nursing application of pulmonary rehabilitation training based on the concept of prehabilitation in the perioperative period of lobectomy patients with

关 键 词：预康复理念 肺康复训练 肺癌肺叶切除 围术期 肺功能 运动耐力 

分 类 号：R473.72[医药卫生—护理学]