呼吸道集束化管理对肺癌切除术患者术后康复的影响分析

Analysis the Impact of Cluster Bundled Nursing of Respiratory Tract on Patients with Lung Cancer Resection

目的:探讨呼吸道集束化管理对肺癌切除术患者术后康复的影响。方法:选取2015年1月-2017年1月本院收治肺原位癌患者60例,以入院时间先后顺序分为观察组和对照组,每组30例。观察组给予呼吸道集束化管理,对照组给予常规护理。采用Borg评分量表评价管理效果,观察两组并发症发生情况,胸管留置时间、术后氧疗时间、术后住院时间,并统计分析。结果:术后4、8 d,观察组Borg得分均显著低于对照组,差异均有统计学意义(P<0.05),观察组6MWT距离显著长于对照组,差异有统计学意义(P<0.05)。结论:呼吸道集束化管理作为一项具备循证基础的护理模式,在肺癌根治术围术期呼吸道护理中发挥了重要作用,提高了护理质量,改善了患者术后康复效果。

Objective： To discuss the impact analysis of cluster bundled nursing of respiratory tract on patients with lung cancer resection.Method ： A total of 60 cases with pregnant lung carcinoma in situ were selected from January 2015 to January 2017 in our hospital, according to the admission time sequenee they were divided into the observation group and the control group, 30 eases in each group.The observation group received cluster bundled nursing of respiratory tract, the control group received routine nursing.Borg rating scale was used to evaluate nursing impact, changes in occurrence of complications, chest tube leave time, postoperative oxygen therapy time, postoperative hospitalization of two groups were statistieally analysed.Result： After surgery 4 and 8 d, Borg score of the observation group were significantly higher than those of the control group, the differences were statistically significant （ P〈0.05 ） ;distanee of 6MWT of the observation group was significantly longer than that of the control group, the difference was statistically significant （P〈0.05） .Conclusion： Cluster bundled nursing as a matter of the basics of evidence-based nursing mode played an important role in the respiratory tract nursing of perioperative period of lung caneer resection, it can improve the quality of nursing and the patients postoperative rehabilitation effect.