快速康复理念下家庭参与式护理模式在 肺结节围术期患者护理中的应用  

Application of family-involved nursing model under concept of rapid recovery in perioperative nursing for patients with pulmonary nodules

作　　者：殷瑛[1] 高岩[1] 杨晓歆[1] 马雯婧 王伟[2] YIN Ying;GAO Yan;YANG Xiaoxin;MA Wenjing;WANG Wei(Department of Thoracic Surgery,Nanjing Chest Hospital in Jiangsu Province,Nanjing,Jiangsu,210000;Department of Respiratory,Nanjing Chest Hospital in Jiangsu Province,Nanjing,Jiangsu,210000)

机构地区：[1]江苏省南京市胸科医院胸外科,江苏南京210000 [2]江苏省南京市胸科医院呼吸科,江苏南京210000

出　　处：《实用临床医药杂志》2024年第11期129-133,共5页Journal of Clinical Medicine in Practice

基　　金：国家自然科学基金青年科学基金项目(81700068);江苏省南京市卫生科技发展专项资金项目(YKK20092)。

摘　　要：目的观察肺结节围术期护理中实施快速康复理念下家庭参与式护理模式的效果。方法选取行手术治疗的肺结节患者180例,采取随机数字表法分为对照组和观察组,每组90例。对照组患者应用常规护理,观察组实施快速康复理念下家庭参与式护理模式。比较2组患者术后时间结局指标、术前焦虑情况、家庭负担及术后训练积极性。结果观察组患者胸管留置时间及住院总时间均短于对照组,差异有统计学意义(P<0.05);干预后,观察组患者阿姆斯特丹术前焦虑与信息量表(APAIS)及疾病家庭负担量表(FBS)得分低于对照组,差异有统计学意义(P<0.05);观察组患者术后训练积极度水平高于对照组,差异有统计学意义(P<0.05)。结论实施快速康复理念下家庭参与式护理模式有利于促进肺结节手术患者早期康复,缓解患者术前焦虑情况,减轻家庭负担,提高患者术后康复训练积极性。Objective To observe the effect of family-involved nursing model under the concept of rapid recovery in perioperative nursing for patients with pulmonary nodules.Methods A total of 180 patients with surgical treatment for pulmonary nodules were selected and randomly divided into control group and observation group,with 90 cases in each group.The control group was conducted with routine nursing,while the observation group was conducted with family-involved nursing model under the concept of rapid recovery.The time-related outcomes,preoperative anxiety,family burden,and postoperative training enthusiasm were compared between the two groups.Results The duration of chest tube indwelling and total hospital stay in the observation group were significantly shorter than those in the control group(P<0.05).After the intervention,the scores of the Amsterdam Preoperative Anxiety and Information Scale(APAIS)and the Family Burden Scale(FBS)in the observation group were significantly lower than those in the control group(P<0.05).The level of postoperative training enthusiasm in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The implementation of family-involved nursing model under the concept of rapid recovery can promote early recovery of patients with pulmonary nodules after surgery,alleviate preoperative anxiety,reduce family burden,and improve the enthusiasm of patients for postoperative rehabilitation training.

关 键 词：肺结节 围术期 快速康复理念 家庭参与式护理 术前焦虑 训练积极性 

分 类 号：R605[医药卫生—外科学] R563[医药卫生—临床医学] R473.6