围术期系统护理对肺癌胸腔镜手术患者疗效及不良反应的影响研究

Study on the effect of perioperative systematic nursing on the curative effect and adverse reactions of lung cancer patients undergoing thoracoscopic surgery

目的探析肺癌胸腔镜手术患者采用围术期系统护理的有效性及安全性。方法随机抽取河南科技大学第一附属医院于2017年5月—2019年4月收治的肺癌胸腔镜手术患者共计68例,并按照一般资料可比的原则将其分为两组,研究组34例和常规组34例。常规组患者选择实施基础护理,研究组则在常规组基础上采取围术期系统护理。密切观察两组患者的护理情况,并比较不良反应情况。结果两组术中出血量、拔管时间以及住院时间比较,差异具有统计学意义(P<0.05);研究组不良反应发生情况少于常规组(P<0.05)。结论将围术期系统护理干预运用于肺癌胸腔镜手术患者的临床干预中,既有助于提升临床疗效,又能减少不良反应,提高临床安全性,值得广泛应用和推荐。

Objective To explore the effectiveness and safety of perioperative systematic nursing for patients with lung cancer undergoing thoracoscopic surgery.Methods A total of 68 patients with lung cancer treated by thoracoscopy in the First Affiliated Hospital of Henan University of Science and Technology from May 2017 to April 2019 were randomly selected,and they were divided into two groups according to the principle of comparable general data,the study group with 34 cases and the routine group with 34 cases.Patients in the conventional group chose to implement basic nursing,while the research group took perioperative systematic nursing on the basis of the conventional group.Closely observe the nursing situation of two groups of patients,and compare the adverse reactions.Results There were significant differences in blood loss,extubation time and hospitalization time between the two groups(P<0.05).Adverse reactions in the study group were less than those in the routine group(P<0.05).Conclusion Applying perioperative systematic nursing intervention to the clinical intervention of patients with lung cancer undergoing thoracoscopic surgery can not only improve the clinical curative effect,but also reduce the adverse reactions and improve the clinical safety,which is worthy of wide application and recommendation.