肺癌患者围术期并发症发生相关因素及护理对策分析

Analysis of related factors and nursing strategies of perioperative complications in patients with lung cancer

目的分析肺癌患者围术期并发症相关因素及护理对策。方法选取手术治疗的肺癌患者120例,按照随机化原则分为实验组和对照组,每组60例。实验组围术期采取全面护理模式进行患者的日常护理;对照组围术期采取心胸外科常规护理模式进行护理。比较2组患者并发症发生情况及术后1周肺功能,分析并发症相关因素。结果实验组患者围术期各类并发症发生情况明显低于对照组患者,术后1周FEV1、FVC明显高于对照组,2组比较差异有统计学意义(P<0.05);并发症的发生与患者年龄、基础病情况、肺叶切除范围、吸烟指数等因素有关。结论肺癌患者围术期并发症的发生与多种因素有关,心胸外科采取全面护理模式可以降低患者并发症的发生率,提高护理质量,改善患者预后。

Objective To analyze related factors and nursing strategies of perioperative complications in patients with lung cancer. Methods A total of 120 patients with lung cancer in cardiothoracic surgery admitted to our hospital for surgical treatment were divided into experimental group and control group according to the principles of randomization, with 60 cases in each group. The experimental group received perioperative holistic care model and the control group was given the perioperative routine nursing model. Perioperative complications and lung function after one week were analyzed. Results Perioperative complications in the experimental group during surgery were significantly lower than that in the control group. After 1 week, FEV1, and FVC were significantly higher, the difference was statistically significant（P〈0.05）;complications was related to the patient＇s age, underlying disease, the lung resection, smoking index. Conclusion The complications of lung cancer were correlated with different factors. Holistic nursing model can reduce the incidence of complications, improve quality of care and improve patients＇ prognosis.