快速康复护理干预对胸腔镜下肺结节切除术后患者的影响  

Effect of rapid rehabilitation nursing intervention on lung function,psychological adjustment ability and prognostic quality of life of patients after thoracoscopic pulmonary nodule resection

作　　者：杨苗娟 李冰[1] 孙颖颖 石路 YANG Miaojuan;LI Bing;SUN Yingying;SHI Lu(Thoracic and Pulmonary Ward of Nanyang Central Hospital,Nnanyang,Henan,473000,China)

机构地区：[1]南阳市中心医院胸外科肺部病区,河南南阳473000

出　　处：《社区医学杂志》2024年第16期565-570,共6页Journal Of Community Medicine

摘　　要：目的 调查我院对胸腔镜下肺结节切除术后患者的护理情况,并对比常规护理干预与快速康复护理干预对此类患者的术后干预效果,旨在明确快速康复护理干预在胸腔镜下肺结节切除术后的临床应用价值,为进一步提升此类患者术后恢复效果及干预效果做参考。方法 选取2020-03-01-2022-10-31南阳市中心医院胸外科肺部病区胸腔镜下肺结节切除术后患者103例作为调查对象,根据随机数字表法对所选样本进行随机分组,对照组(n=51)和观察组(n=52)。对照组给予常规护理干预;观察组给予快康复护理干预。干预7 d后,应用肺功能检测仪检测并记录患者的肺功能指标,应用情绪调节自我效能(RESE)评估情绪调节能力,应用匹兹堡睡眠质量指数(PSQI)评估预后睡眠质量,应用圣乔治医院呼吸问题调查问卷(SGRQ)评估预后生活质量,并统计对比2组患者的并发症发生率,所有数据结果采用SPSS软件进行检验分析。结果 根据基线数据调整后,观察组患者第1秒用力呼气容积(FEV1)水平(2.75±0.49) L高于对照组FEV1水平(2.32±0.45) L,差异有统计学意义,F=0.447,P=0.002;用力肺活量(FVC)水平(3.52±0.51) L高于对照组FVC水平(3.17±0.47) L,差异有统计学意义,F=0.950,P=0.012;每分钟最大通气量(MVV)水平(81.55±3.22) L高于对照组MVV水平(73.32±3.85) L,差异有统计学意义,F=4.054,P=0.047;积极情绪效能(15.14±2.42)分高于对照组积极情绪效能(12.52±2.39)分,差异有统计学意义,F=0.009,P=0.004;狂躁情绪效能(16.51±2.16)分高于对照组狂躁情绪效能(13.29±2.24)分,差异有统计学意义,F=7.562,P=0.007;匹兹堡睡眠质量指数(PSQI)评分(5.76±1.27)分低于对照组PSQI评分(10.23±1.32)分,差异有统计学意义,F=5.415,P=0.022;2组患者术后并发症总发生率比较,差异无统计学意义χ2=2.655,P=0.103。结论 快速康复护理干预可以提高胸腔镜下肺结节切除术后患者术后肺功能水平,增强患者Objective To investigate the nursing situation of patients after thoracoscopic pulmonary nodule resection in our hospital,and compare the postoperative intervention effect of conventional nursing intervention and rapid rehabilitation nursing intervention on such patients,aiming to clarify the clinical application value of rapid rehabilitation nursing intervention after thoracoscopic pulmonary nodule resection,and provide a reference for further improving the postoperative recovery effect and intervention effect of such patients.Methods A total of 103 patients with thoracoscopic pulmonary nodule resection were selected from the pulmonary ward of Thoracic Surgery Department,Nanyang Central Hospital from March 1,2020,to October 31,2022.The selected samples were randomly grouped according to random number table method(control group and observation group).Fifty-one cases in the control group received routine nursing intervention;and 52 cases in the observation group were given rapid rehabilitation nursing intervention.After 7 days of intervention,pulmonary function indicators were detected and recorded by pulmonary function detector,emotional regulation self-efficacy(RESE)was used to assess emotional regulation ability,prognostic sleep quality was assessed by Pittsburgh Sleep Quality Index(PSQI),prognostic quality of life was assessed by St.George's Hospital Respiratory Problems Questionnaire(SGRQ).The incidence of complications was statistically compared between the two groups.Results After adjusting the baseline data,the level of forced expiratory volume(FEV1)in the first second in the observation group was(2.75±0.49)L higher than that in the control group(2.32±0.45)L,the difference was statistically significant,F=0.447,P=0.002;The level of forced vital capacity(FVC)in observation group(3.52±0.51)L was higher than that in control group(3.17±0.47)L,the difference was statistically significant,F=0.950,P=0.012;The maximum minute ventilation(MVV)level of observation group(81.55±3.22)L was higher than that of contro

关 键 词：快速康复护理干预 胸腔镜下肺结节切除术 肺功能 心理调节能力 生活质量 

分 类 号：R473.6[医药卫生—护理学]