分析综合护理干预对肺癌患者术后恢复的影响

Effect of comprehensive nursing intervention for postoperative recovery in lung cancer patients

目的探讨综合护理干预对肺癌患者术后恢复的影响。方法 83例肺癌患者,按照收治时间先后顺序分为常规护理组(40例)和综合护理组(43例)。常规护理组患者实施常规护理,综合护理组患者实施综合护理。比较两组患者术后肺不张和肺感染的发生率、卧床时间、留置胸管时间、6 min步行距离、住院费用和住院时间。结果综合护理组肺不张和肺感染发生率(2.33%、4.65%)明显低于常规护理组(15.00%、25.00%),差异均具有统计学意义(P<0.05)。综合护理组的卧床时间(45.60±2.59)h、留置胸管时间(2.40±0.89)d、6 min步行距离(258.10±5.35)m、住院费用(5.02±0.25)万元和住院时间(9.50±1.30)d显著优于常规护理组(55.89±3.45)h、(3.97±1.30)d、(215.10±6.30)m、(5.55±0.20)万元、(12.30±1.25)d,差异均具有统计学意义(P<0.05)。结论综合护理干预可促进肺癌患者术后恢复,值得推广。

Objective To explore effect of comprehensive nursing intervention for postoperative recovery in lung cancer patients. Methods A total of 83 lung cancer patients were divided by admission order into conventional nursing group（40 cases） and comprehensive nursing group（43 cases）. The conventional nursing group received conventional nursing, and comprehensive nursing group received comprehensive nursing. Comparison were made on postoperative atelectasis and the incidence of pulmonary infection, time in bed, indwelling thoracic duct time, 6 min walking distance, hospitalization expenses and hospitalization time in two groups. Results The comprehensive nursing group had lower incidence of atelectasis and pulmonary infection（2.33% and 4.65%） than the conventional nursing group（15.00% and 25.00%）, and their differences had statistical significance（P〈0.05）. The comprehensive nursing group had time in bed as（45.60±2.59） h, indwelling thoracic duct time as（2.40±0.89） d, 6 min walking distance as（258.10±5.35） m, hospitalization expenses as（5.02±0.25） ten-thousand-yuan and hospitalization time as（9.50±1.30） d, which were all better than（55.89±3.45） h,（3.97±1.30） d,（215.10±6.30） m,（5.55±0.20） ten-thousand-yuan, and（12.30±1.25） d in the conventional nursing group. Their differences had statistical significance（P〈0.05）. Conclusion Comprehensive nursing intervention can promote postoperative recovery in lung cancer patients, and it is worthy of promotion.