全程康复管理模式对肺癌根治术患者康复情况的影响  

Effect of the whole-process rehabilitation management model on the recovery in patients undergoing radical resection of lung cancer

作　　者：李先萍 董翠萍 王君慧 蔡纯 潜艳 LI Xianping;DONG Cuiping;WANG Junhui;CAI Chun;QIAN Yan(Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北省武汉市430030

出　　处：《护理实践与研究》2025年第3期317-321,共5页Nursing Practice and Research

基　　金：湖北省科学技术厅自然科学基金计划青年项目(编号:2023AFB1118)。

摘　　要：目的分析全程康复管理模式对肺癌根治术患者术后康复情况的影响。方法选取2023年1月—12月华中科技大学同济医学院附属同济医院收治的80例肺癌根治术患者为研究对象,按照组间基线资料可比的原则将其分为对照组和观察组,各40例。对照组给予常规康复护理,观察组在对照组基础上给予全程康复管理。对两组患者的康复指标情况、疼痛程度评分、生存质量评分及并发症发生情况进行比较。结果观察组术后住院时间、胸管留置时间、术后氧疗时间、首次下床时间、首次排气时间均短于对照组,差异有统计学意义(P<0.05)。干预10 d后,观察组疼痛程度评分低于对照组,差异有统计学意义(P<0.05)。干预后观察组躯体、认知、情绪、角色、社会功能评分均高于对照组,差异有统计学意义(P<0.05)。观察组胸腔积液、肺部感染、肺不张等并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论全程康复管理模式能够缩短肺癌根治术患者的住院时间、改善疼痛管理、提高患者的生存质量,降低其并发症发生率,为肺癌根治术患者的康复提供了更有效的支持和管理方式,具有一定的积极效果。Objective To study the effects of combined application of catheter tracking care and intensive care on psychological status,pain and perioperative urinary tract infection in spinal surgery patients.Methods 97 spinal fracture patients who underwent spinal surgery in the hospital from April 2020 to October 2022 were selected and divided into 48 cases in the control group and 49 cases in the observation group,according to the principle of comparability of basic characteristics between groups,The patients in the control group received perioperative catheter-based routine care,and the patients in the observation group received perioperative intensive care based on the catheter tracking method,and the postoperative recovery,self-assessment of depression,pain,and perioperative urinary tract infection in the patients in the two groups were compared.To compared postoperative recovery,Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS),catheter care,complications and patient satisfaction between the two groups.Results There was no statistically significant difference in the length of hospital stay between the two groups(P>0.05);the time for patients in the observation group to get out of bed for the first time,the time for normal feeding,and the time for anal defecation were shorter than those of the control group,and the VAS score was lower than that of the control group,and the difference between the two groups was statistically significant(P<0.05).After the procedure,the SDS and SAS scores of patients in the observation group were lower than those of the control group,and the difference between the groups was statistically significant(P<0.05).The catheter insertion time of patients in the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05),and the catheter reinsertion rate of patients in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The overall complication rate was low

关 键 词：全程康复管理模式 肺癌根治术 疼痛程度 生活质量 康复情况 

分 类 号：R473.73[医药卫生—护理学]