多模式呼吸功能训练在肺结节术后患者康复护理中的应用效果  

Effect of multimodal respiratory function training on the recovery of patients after pulmonary nodule surgery

作　　者：辛星 王瑾 吕馨妮 朱小兰 刘慧 XIN Xing;WANG Jin;LYU Xinni;ZHU Xiaolan;LIU Hui(Department of Cardiothoracic Surgery,Nanchang First Hospital,Jiangxi Province,Nanchang330000,China;Department of Cardiovascular Medicine,Nanchang First Hospital,Jiangxi Province,Nanchang330000,China)

机构地区：[1]南昌市第一医院心胸外科,江西南昌330000 [2]南昌市第一医院心血管内科,江西南昌330000

出　　处：《中国当代医药》2025年第10期162-166,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202211587)。

摘　　要：目的评估多模式呼吸功能训练应用在肺结节术后患者康复护理中的效果。方法选取2023年4月至2024年4月南昌市第一医院收治的100例肺结节术后患者为研究对象,按照随机数字表法分为对照组和观察组,每组50例。对照组采用常规康复护理,观察组加用多模式呼吸功能训练。比较两组的术后时间指标(胸腔引流管留置时间、首次离床时间、住院时间)、肺通气功能[一秒率(FEV_(1)/FVC)、第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)]、呼吸频率(RR)、圣乔治呼吸问卷(SGRQ)、满意度。结果观察组的胸腔引流管留置时间、首次离床时间、住院时间均短于对照组,差异有统计学意义(P<0.05);护理后,观察组的FEV_(1)/FVC、FEV_(1)、FVC高于对照组,RR低于对照组,差异有统计学意义(P<0.05);观察组的SGRQ评分低于对照组,总满意度高于对照组,差异有统计学意义(P<0.05)。结论在肺结节术后患者康复护理中采用多模式呼吸功能训练,可以缩短胸腔引流管留置时间等术后恢复时间,改善肺通气功能、生活质量,提高满意度。Objective To evaluate the effect of multimodal respiratory function training applied in the rehabilitation care of patients after pulmonary nodule surgery.Methods A total of 100 patients with pulmonary nodule surgery admitted to Nanchang First Hospital from April 2023 to April 2024 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 50 cases in each group.The control group received conventional rehabilitation care,while the observation group received multimodal respiratory function training in addition to conventional care.The postoperative time(duration of chest drainage tube placement,time to first ambulation,and hospital stay),pulmonary ventilation function(forced expiratory volume in one second[FEV_(1)/FVC],forced expiratory volume in one second[FEV_(1)],and forced vital capacity[FVC]),respiratory rate(RR),St.George's hospital respiratory questionnaire(SGRQ)and satisfaction were compared between the two groups.Results The retention time of thoracic drainage tube,the first time out of bed and the length of hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After nursing,FEV_(1)/FVC,FEV_(1) and FVC in the observation group were higher than those in the control group,and RR was lower than that in the control group,and the differences were statistically significant(P<0.05).The SGRQ score of the observation group was lower than that of the control group,and total satisfaction was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion The use of multimodal respiratory function training in the rehabilitation nursing of patients with pulmonary nodule surgery can shorten the postoperative recovery time such as the retention time of thoracic drainage tube,improve lung ventilation function,quality of life,and increase satisfaction.

关 键 词：多模式呼吸功能训练 肺结节 康复护理 胸腔引流管留置时间 

分 类 号：R563[医药卫生—呼吸系统]