术后锻炼与排痰管理因时推送法在肺癌患者康复中的应用价值分析

Analysis of the application value of postoperative exercise and expectoration management time pushing method in the rehabilitation of lung cancer patients

目的探讨术后锻炼与排痰管理因时推送法在肺癌患者康复中的应用价值。方法66例肺癌患者,按照随机数字表法分为对照组和观察组,每组33例。对照组采用常规康复管理,观察组在对照组基础上采用术后锻炼与排痰管理因时推送法。比较两组生活质量、应激指标、并发症发生率。结果观察组生理、躯体、社会、心理评分分别为(94.25±4.62)、(93.55±4.99)、(94.61±4.64)、(91.68±4.92)分,高于对照组的(80.25±4.68)、(80.34±4.66)、(80.34±1.61)、(80.25±4.25)分,差异具有统计学意义(P<0.05)。观察组去甲肾上腺素(181.24±12.68)ng/L、肾上腺素(33.72±4.62)ng/L、皮质醇(158.24±12.59)μg/L均低于对照组的(242.38±16.72)ng/L、(48.68±4.33)ng/L、(169.25±13.54)μg/L,差异具有统计学意义(P<0.05)。观察组并发症发生率为6.06%,低于对照组的24.24%,差异具有统计学意义(P<0.05)。结论术后锻炼与排痰管理因时推送法在肺癌护理中效果确切,可缩短其住院及拔管时间,亦可促进其生活质量恢复,值得借鉴。

Objective To discuss the application value of postoperative exercise and expectoration management time pushing method in the rehabilitation of lung cancer patients.Methods A total of 66 cases of lung cancer patients were divided into control group and observation group according to the random numerical table,with 33 cases in each group.The control group received conventional rehabilitation management,while the observation group received postoperative exercise and expectoration management time pushing method on the basis of the control group.The quality of life,stress indicators,and complication rates were compared between the two groups.Results The physical,somatic,social,and psychological scores of the observation group were(94.25±4.62),(93.55±4.99),(94.61±4.64),and(91.68±4.92)points,which were higher than(80.25±4.68),(80.34±4.66),(80.34±1.61),and(80.25±4.25)points of the control group,and the differences were statistically significant(P<0.05).The norepinephrine(181.24±12.68)ng/L,epinephrine(33.72±4.62)ng/L and cortisol(158.24±12.59)μg/L in the observation group were lower than(242.38±16.72)ng/L,(48.68±4.33)ng/L and(169.25±13.54)μg/L in the control group,and the differences were statistically significant(P<0.05).The complication rate in the observation group was 6.06%,which was lower than 24.24%in the control group,and the difference was statistically significant(P<0.05).Conclusion Postoperative exercise and sputum management timing push method is effective in the nursing of lung cancer.It can shorten the hospitalization and extubation time and promote the recovery of the quality of life.It is worth learning.