综合护理在老年肺癌合并冠心病患者围手术期中的应用

Application of comprehensive nursing in perioperative period of elderly patients with lung cancer complicated with coronary heart disease

目的探讨综合护理在老年肺癌合并冠心病患者围手术期的应用效果。方法选取2014年3月至2015年3月间南方医科大学第五附属医院收治的60例老年肺癌合并冠心病患者,按照随机数字表法,分为观察组和对照组,每组30例。观察组患者在常规护理基础上采用综合护理法,对照组患者采用常规护理法。观察两组患者术后各种并发症的发生以及患者对护理的满意度。结果观察组患者便秘、感染、肺炎的发生率为13.3%(4/30),低于对照组的50.0%(15/30),组间比较差异有统计学意义(P<0.05)。观察组患者心律失常、心绞痛、急性心肌梗死、肺动脉栓塞、急性左心衰的心血管并发症为10.0%(3/30),明显低于对照组的70.0%(21/30),组间比较差异有统计学意义(P<0.05)。观察组患者的护理满意度为83.3%(25/30)。明显高于对照组的46.7%(14/30),组间比较差异有统计学意义(P<0.05)。结论综合护理对老年肺癌合并冠心病患者围手术期中的应用效果良好,可减低并发症的发生,值得临床推广。

Objective To explore the efficacy of comprehensive nursing in the perioperative period of elderly patients with lung cancer and coronary heart disease. Methods From March 2014 to March 2015 in The Fifth Affiliated Hospital of Southern Medical University, 60 elderly lung cancer patients with coronary heart disease were enrolled in the study and divided into the observation group and the control group randomly, with 30 cases in each group. The patients in the observation group adopted comprehensive nursing and those in the control group accepted conventional nursing method. The occurrence of postoperative complications and the satisfaction of the two groups were compared. Results The incidence of constipation, infection and pneumonia in the observation group 13.3% （4/30） was lower than that in control group 50. 0% （ 15/30）, with significant difference （ P 〈 0. 05 ）. The cardiovascular complications （ arrhythmia, angina pectoris, acute myocardial infarction, pulmonary embolism, acute left heart failure ） in the observation group 10. 0% （3/30） was significantly lower than that of the control group 70. 0% （21/30）, with significant difference （P 〈0. 05）. After nursing, the satisfaction of the observation group 83.3% （25/30） was significantly higher than that of the control group 46.7% （ 14/30）, with significant difference （P 〈 0.05 ）. Conclusion The application of comprehensive nursing in the perioperative period of elderly patients with lung cancer and coronary heart disease is excellent, and it can reduce the occurrence of complications. So it is worthy to be popularized in clinical application.