基于快速康复理论的55A模式干预在老年肺鳞状细胞癌手术患者中的应用效果  

Application effect of 5A model intervention based on rapid rehabilitation theory A in elderly patients undergoing surgery for lung squamous cell carcinoma

作　　者：段兰兰[1] 韩培培[1] 申月月 刘帅[1] DUAN Lanlan;HAN Peipei;SHEN Yueyue;LIU Shuai(Department of Respiratory Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院呼吸内科,郑州450000

出　　处：《癌症进展》2024年第16期1770-1773,1797,共5页Oncology Progress

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20200341)。

摘　　要：目的探讨基于快速康复理论的5A模式干预在老年肺鳞状细胞癌患者中的应用效果。方法根据干预方法的不同将98例老年肺鳞状细胞癌手术患者分为对照组(n=46)和观察组(n=52),对照组患者采取常规干预,观察组患者在对照组的基础上采取基于快速康复理论的5A模式干预。比较两组患者的术后恢复指标、疲乏程度[Piper疲乏量表(PFS)]、自我护理能力[自我护理能力测定量表(ESCA)]、肺功能指标[用力肺活量(FVC)、通气时间、第1秒用力呼气容积(FEV_(1))]及术后并发症发生情况。结果观察组患者肛门排气时间、引流管留置时间、首次下床时间及住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者PFS评分均低于本组干预前,ESCA评分均高于本组干预前,观察组患者PFS评分低于对照组,ESCA评分高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者FVC、FEV_(1)均高于本组干预前,通气时间均短于本组干预前,观察组患者FVC、FEV_(1)均高于对照组,通气时间短于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的术后并发症总发生率低于对照组(P﹤0.05)。结论基于快速康复理论的5A模式干预应用于老年肺鳞状细胞癌手术患者,可促进患者术后康复,降低疲乏程度和术后并发症发生率,提高自我护理能力,改善肺功能。Objective To explore the application effect of 5A model intervention based on rapid rehabilitation theory in elderly patients undergoing surgery for lung squamous cell carcinoma.Method According to different intervention methods,98 elderly patients with lung squamous cell carcinoma who underwent surgery were divided into control group(n=46)and observation group(n=52).The control group received routine intervention,and the observation group received 5A model intervention based on rapid rehabilitation theory on the basis of the control group.The postoperative recovery indexes,fatigue degree[Piper fatigue scale(PFS)],self-care ability[exercise of self-care agency scale(ESCA)],pulmonary function indexes[forced vital capacity(FVC),ventilation time,forced expiratory volume in one second(FEV_(1))]and postoperative complications were compared between the two groups.Result The anal exhaust time,drain-age tube indentation time,first getting out of bed time and hospitalization time in observation group were significantly shorter than those in control group,and the differences were statistically significant(P<0.01).After intervention,the PFS scores in both groups were lower than those before intervention,the ESCA scores were higher than those before intervention,the PFS score in observation group was lower than that in control group,the ESCA score was higher than that in control group,the differences were statistically significant(P<0.05).After intervention,the FVC and FEV_(1)in both groups were higher than those before intervention,and the ventilation time was shorter than those before intervention,the FVC and FEV_(1)in observation group were higher than those in control group,and the ventilation time was shorter than that in control group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in observation group was lower than that in control group(P<0.05).Conclusion 5A model intervention based on rapid rehabilitation theory can promote postoperative rehabilitation,reduce

关 键 词：快速康复理论 5A模式干预 肺鳞状细胞癌 术后康复 疲乏程度 自我护理能力 

分 类 号：R734.2[医药卫生—肿瘤]