分阶段护理在达芬奇机器人辅助肺癌根治术患者中的应用

Application of Staged Nursing in Patients Undergoing Da Vinci Robot-Assisted Radical Lung Cancer Surgery

目的分析基于德尔菲法的分阶段护理在达芬奇机器人辅助肺癌根治术患者中的应用效果。方法选取医院2021年5月至2022年10月收治的87例肺癌患者,均在全麻下接受达芬奇机器人辅助肺癌根治术治疗,依照随机数字表法分为两组,对照组(43例)接受常规护理干预,观察组(44例)在对照组基础上接受基于德尔菲法指导的分阶段护理,比较两组干预前后心理应激反应、生理应激反应、癌因性疲乏程度、生活质量。结果术前30 min,两组14项汉密尔顿焦虑量表(HAMA)、17项汉密尔顿抑郁量表(HAMD)评分均降低,且观察组低于对照组(P<0.05);术前30 min,两组心率、收缩压、舒张压水平均升高,但观察组较对照组低(P<0.05);干预后,观察组Piper疲乏量表(PFS)评分低于对照组,肺癌患者生存质量测定量表(FACT-L)评分高于对照组(P<0.05)。结论基于德尔菲法指导的分阶段护理应用于全麻下达芬奇机器人辅助肺癌根治术患者,能有效减少心理、生理应激,缓解癌因性疲乏程度,提高生活质量。

Objective To analyze the application effect of staged nursing based on Delphi method in patients undergoing Da Vinci robot-assisted radical resection of lung cancer.Methods Eighty-seven patients with lung cancer treated in the hospital from May 2021 to October 2022 were selected,all of whom were treated with Da Vinci robot assisted radical resection of lung cancer under general anesthesia,and were divided into two groups according to the random number table method.The control group(43 cases)received routine nursing intervention,and the observation group(44 cases)received phased nursing guidance based on the Delphi method on the basis of the control group,and the psychological stress response,physiological stress response,degree of cancer-related fatigue and quality of life between the two groups before and after intervention were compared.Results Thirty minutes before surgery,the 14 Hamilton anxiety scale(HAMA)and 17 Hamilton depression scale(HAMD)scores of two groups decreased,and the observation group was lower than the control group(P<0.05).Thirty minutes before surgery,the heart rate,systolic blood pressure and diastolic blood pressure in two groups increased,but the observation group was lower than the control group(P<0.05).After the intervention,the Piper fatigue scale(PFS)score was lower in the observation group than that in the control group,and the functional assessment of cancer treatment lung(FACT-L)score was higher than that in the control group(P<0.05).Conclusion The application of phased nursing based on the Delphi method in patients undergoing radical lung cancer surgery assisted by Da Vinci robots under general anesthesia can effectively reduce psychological and physiological stress,alleviate cancer-related fatigue,and improve quality of life.