前伸后延护理方案对胸腔镜肺癌根治术患者围术期并发症和疾病认知的影响  

Impact of forward-extension and backward-extension nursing protocols on perioperative complications and disease cognition in patients undergoing thoracoscopic radical resection for lung cancer

作　　者：王芳[1] 贾琎蕊 李政 WANG Fang;JIA Jinrui;LI Zheng(Department of Thoracic Surgery,Beijing Chao-Yang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院胸外科,北京100020

出　　处：《中国临床研究》2024年第12期1955-1958,共4页Chinese Journal of Clinical Research

基　　金：国家自然科学基金青年科学基金项目(62306189)。

摘　　要：目的探讨前伸后延护理方案对胸腔镜肺癌根治术患者围术期并发症发生以及对疾病认知水平的影响。方法选取2021年1月至12月于北京朝阳医院胸外科就诊的胸腔镜肺癌根治术患者105例为研究对象,以前伸后延护理在首都医科大学附属北京朝阳医院胸外科推行时间为截点(2021年7月),将推行前(2021年1月至6月)就诊的51例患者纳入对照组,予以常规护理干预;将推行后(2021年7月至12月)就诊的54例患者纳入观察组,在对照组基础上予以前伸后延护理模式干预,比较两组患者总体效果及并发症发生情况(支气管胸膜瘘、低氧血症、脓胸),于干预前及干预7 d后比较两组患者疾病认知水平[疾病认知问卷(B-IPQ)评分]变化。结果观察组并发症发生率显著低于对照组[9.26%(5/54)vs 25.4%(13/51),χ^(2)=4.865,P=0.027]。干预7 d后,观察组B-IPQ评分为(68.17±8.10)分,显著高于对照组的(63.06±8.62)分(t=5.547,P<0.001)。两组患者痊愈出院率差异无统计学意义(P=0.486)。结论前伸后延护理方案可有效提高胸腔镜肺癌根治术患者认知水平,以期改善其行为方式,对其并发症发生情况产生积极影响。Objective To explore the influence of forward-extension and backward-extension nursing protocols on the incidence of perioperative complications and disease awareness levels in patients undergoing thoracoscopic lung cancer radical surgery.Methods A total of 105 patients who underwent thoracoscopic lung cancer radical surgery at Beijing Chao-yang Hospital's Department of Thoracic Surgery from January to December 2021 were selected for the study.The implementation of preoperative and postoperative care protocols at Beijing Chao-yang Hospital,affiliated with Capital Medical University,was set as the cutoff(July 2021).Among these,51 patients treated before implementation(January to June 2021)were included in the control group and received routine nursing interventions.The observation group comprised 54 patients treated after implementation(July to December 2021),who received forward-extension and backward-extension care protocols on the basis of the control group.The overall effects and occurrence of complications(bronchopleural fistula,hypoxemia,empyema)were compared between the two groups.Disease awareness levels of the patients were assessed using the Brief Illness Perception Questionnaire(B-IPQ)before and 7 days after the interventions.Results The incidence of complications in the observation group was significantly lower than that in the control group[9.26%(5/54)vs 25.4%(13/51),χ^(2)=4.865,P=0.027].Seven days after the intervention,the B-IPQ score in the observation group was significantly higher than that in the control group(68.17±8.10 vs 63.06±8.62,t=5.547,P<0.001).There was no statistically significant difference in the discharge recovery rate between the two groups(P=0.486).Conclusion The forward-extension and backward-extension care protocols can effectively enhance the disease awareness levels of patients undergoing thoracoscopic lung cancer radical surgery,potentially improving their behavioral outcomes and positively impacting the occurrence of complications.

关 键 词：前伸后延护理 胸腔镜肺癌根治术 围术期 并发症 疾病认知水平 

分 类 号：R473.6[医药卫生—护理学]