优化干预模式在肺癌手术患者中的应用效果  

Application effect of optimized intervention model in patients with lung cancer undergoing surgery

作　　者：周昌红 高培钦 王婵 ZHOU Changhong;GAO Peiqin;WANG Chan(Department of Central Surgery(2),the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China;Department of Emergency,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院中心手术部(2),郑州450000 [2]郑州大学第一附属医院急诊部,郑州450000

出　　处：《癌症进展》2025年第8期977-980,共4页Oncology Progress

摘　　要：目的目的探讨优化干预模式在肺癌手术患者中的应用效果。方法方法根据干预方法的不同将150例肺癌手术患者分为对照组(n=74,常规干预)和观察组(n=76,在对照组的基础上采取优化干预模式)。比较两组患者的术后恢复指标、心理状况[抑郁自评量表(SDS)、焦虑自评量表(SAS)]及并发症发生情况。结果结果观察组患者首次下床时间、首次排气时间、引流管拔除时间及住院时间均明显短于对照组,镇痛药物用量明显少于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者SDS、SAS评分均低于本组干预前,观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率为3.95%,低于对照组患者的16.22%,差异有统计学意义(P﹤0.05)。结论结论优化干预模式可改善肺癌手术患者的心理状况,降低并发症发生率,促进患者术后恢复。Objective To explore the application effect of optimized intervention model in patients with lung cancer undergoing surgery.Method According to the different intervention methods,150 patients with lung cancer who under-went surgery were divided into control group(n=74,received conventional intervention)and observation group(n=76,re-ceived optimized intervention model on the basis of the control group).The postoperative recovery indexes,psychologi-cal status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)]and complications were compared between the two groups.Result The first getting out of bed time,first exhaust time,drainage tube removal time and length of hos-pital stay in observation group were significantly shorter than those in control group,and the dosage of analgesic drugs was significantly less than that in control group,the differences were statistically significant(P<0.01).After intervention,the SDS and SAS scores in both groups were lower than those before intervention,and the SDS and SAS scores in obser-vation group were lower than those in control group,the differences were statistically significant(P<0.05).The total inci-dence of complications in the observation group was 3.95%,lower than 16.22%in the control group,and the difference was statistically significant(P<0.05).Conclusion Optimized intervention model can improve the psychological status of patients with lung cancer undergoing surgery,reduce the incidence of complications,and promote the postoperative recov-ery of patients.

关 键 词：肺癌 手术 优化干预模式 心理状况 并发症 

分 类 号：R734.2[医药卫生—肿瘤]