快速康复外科在肺癌肺叶切除术围手术期护理中的应用

Application of Fast Track Surgery in Perioperative Nursing Care for Lung Cancer Patients with Pulmonary Lobectomy

目的探讨快速康复外科在肺癌肺叶切除术围手术期的护理中应用的效果。方法对2009年5月—2010年5月86例经病理证实为肺癌行肺叶切除的患者随机分为实验组及对照组,实验组用快速康复外科的理念给予护理,对照组采用传统护理方法护理,由专人收集数据,比较两组患者饥饿感、口渴感、发生呛咳、误吸、肺不张、胸腔积液、尿潴留及患者住院时间、住院费用。结果采用快速康复护理患者术后口渴感和饥饿感较对照组有改善,肺不张和胸腔积液的并发症少于对照组(均P<0.05);住院天数2组分别为(8.05±1.70)和(11.37±2.43)d,差异有统计学意义(P<0.01)。结论快速康复外科护理在肺癌肺叶切除患者的围手术期护理中应用安全可行,能提高患者的舒适度,减少患者并发症,缩短住院时间,减少住院费用。

[Objective] To study the effect of fast track surgery in perioperative nursing care for lung cancer patients with pulmonary lobectomy.[Methods]The 86 lung cancer patients who were confirmed by pathology and treated by pulmonary lobectomy from May 2009 to May 2010 were randomly divided into the experimental group and the control group.The experimental group was given fast tract surgery nursing care,and the control group was given the traditional nursing care,and the data were collected by designated staff.The effects of two groups were compared,which included hunger sensation and thirst sensation of patients,incidence of cough,aspiration,atelectasis,pleural effusion and urinary retention,as well as hospitalization days and hospitalization expenses.[Results]The postoperative hunger sensation and thirst sensation of the experimental group has improved compared with the control group,and the incidence rates of atelectasis and pleural effusion of the experimental group were lower than that of the control group （P0.05 all）.The hospitalization days of the experimental group and the control group were （8.05±1.70） d and （11.37±2.43） d respectively,and the difference was significant （P0.01）.[Conclusion]The fast track surgery is safe and feasible in perioperative nursing care for lung cancer patients with pulmonary lobectomy,it can improve the comfort of patients,reduce complications,shorten hospitalization days and educe hospitalization expenses.