出院准备服务在单孔胸腔镜肺癌根治术患者中的应用  

Application of discharge preparation services in patients undergoing uniportal video-assisted thoracoscopic surgery for lung cancer

作　　者：宋倩倩[1] 潘爱红[1] 张青[2] 徐佩丽[1] 罗珊珊[1] Song Qianqian;Pan Aihong;Zhang Qing;Xu Peili;Luo Shanshan(Department of Cardiothoracic Surgery,Hefei First People's Hospital,Hefei 230001,China;School of Nursing,Wuhan University,Wuhan 430072,China)

机构地区：[1]合肥市第一人民医院心胸外科,合肥230001 [2]武汉大学护理学院,武汉430072

出　　处：《中华现代护理杂志》2024年第31期4270-4275,共6页Chinese Journal of Modern Nursing

基　　金：合肥市第七周期临床重点(培育)专科建设(编号:合卫医秘[2023]72号)。

摘　　要：目的探讨出院准备服务在单孔胸腔镜肺癌根治术患者中的应用效果。方法采用便利抽样法,选取2021年4月—2023年5月行单孔胸腔镜肺癌根治术的192例肺癌患者为研究对象。将2021年4月—2022年4月收治的97例患者作为对照组,行常规护理;2022年5月—2023年5月收治的95例患者作为观察组,行出院准备服务模式。采用患者术后恢复指标(如进食时间、术后第1次下床时间等)、出院准备度量表(RHDS)、中文版肺癌治疗功能评定量表(FACT-L)、护理服务满意度问卷评估干预的效果。结果观察组患者术后进食时间、术后第1次下床时间、引流管拔出时间及并发症发生率均低于对照组,差异有统计学的意义(P<0.05)。干预后观察组患者RHDS、FACT-L及护理服务满意度问卷得分均高于对照组,差异有统计学意义(P<0.05)。结论出院准备服务的应用改善了肺癌手术患者术后恢复情况、出院准备度水平、生活质量及对护理服务的满意度。ObjectiveTo explore the effect of discharge preparation services in patients undergoing uniportal video-assisted thoracoscopic surgery for lung cancer.MethodsA total of 192 lung cancer patients who underwent uniportal video-assisted thoracoscopic surgery between April 2021 and May 2023 were selected using a convenience sampling method.The 97 patients admitted from April 2021 to April 2022 were designated as the control group and received routine care,while the 95 patients admitted from May 2022 to May 2023 were designated as the observation group and received discharge preparation services.Postoperative recovery indicators(e.g.,time to first meal,time to first ambulation),the Readiness for Hospital Discharge Scale(RHDS),the Chinese version of the Functional Assessment of Cancer Therapy-Lung(FACT-L),and the nursing service satisfaction questionnaire were used to evaluate the intervention's effects.ResultsThe observation group had significantly shorter times to first meal,first ambulation,and drain removal,as well as lower complication rates compared to the control group,with statistically significant differences(P<0.05).After the intervention,the RHDS,FACT-L,and nursing service satisfaction questionnaire scores were significantly higher in the observation group compared to the control group,with statistically significant differences(P<0.05).ConclusionsThe application of discharge preparation services improves postoperative recovery,discharge readiness,quality of life,and satisfaction with nursing services in patients undergoing lung cancer surgery.

关 键 词：肺癌 出院准备服务 出院准备度 生活质量 

分 类 号：R473.73[医药卫生—护理学]