胸腔镜下实行肺癌根治术的精细化护理价值  

Value of Refined Nursing for Thoracoscopic Radical Resection of Lung Cancer

作　　者：高艳香[1] GAO Yanxiang(Department of Cardiothoracic Surgery,Changyi City People's Hospital,Changyi,Shandong 261300)

机构地区：[1]昌邑市人民医院胸心外科,山东昌邑261300

出　　处：《智慧健康》2024年第11期147-149,共3页Smart Healthcare

摘　　要：目的探究精细化护理干预在胸腔镜下肺癌根治术患者中的应用效果。方法将本院2019年1月—2023年8月收治的110例拟行胸腔镜下肺癌根治手术的患者,按照数字表法分为对照组和观察组,每组55例。其中,对照组采用常规护理干预,观察组采用精细化护理干预;对两组患者术中失血量、拔管时间、住院时间、负性心理[应用焦虑自评量表(SAS)和抑郁自评量表(SDS)]及并发症发生情况进行分析。结果干预前,两组SAS、SDS评分对比,差异无统计学意义(P>0.05);干预后,试验组的SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。观察组的失血量、拔管时间、住院时间低于对照组,差异有统计学意义(P<0.05)。观察组的并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论在胸腔镜下肺癌根治术患者中实施精细化护理干预,可以减少患者手术中的失血量,缩短住院天数,减轻患者的负面情绪,减轻患者的不良反应,从而提高患者的预后。Objective To explore application effect of refined nursing intervention for lung cancer patients with thoracoscopic radical resection Methods The paper chose 110 lung cancer patients with thoracoscopic radical surgery in thoracic surgery department of our hospital from January 2019 to August 2023,and randomly divided them into groups according to numerical table method.55 cases in control group were treated with routine nursing intervention,and 55 cases in observation group with refined nursing intervention.Intraoperative blood loss,extubation time,hospital stay,negative psychology with Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS),and incidence of complications was compared between two groups.Results There was no difference in SAS and SDS scores between the two groups before intervention(P>0.05).After intervention,the SAS and SDS scores of the experimental group were lower than those of the control group,and the difference was statistically significant(P<0.05).The blood loss,extubation time,and hospital stay in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Implementing refined nursing interventions in patients undergoing thoracoscopic radical surgery for lung cancer can reduce blood loss during surgery,shorten hospital stay,alleviate negative emotions,alleviate adverse reactions,and improve patient prognosis.

关 键 词：精细化护理 胸腔镜 肺癌根治术 负性心理 并发症 

分 类 号：R473.73[医药卫生—护理学]