快速康复护理在肺癌全肺切除术围术期护理中的应用

The Application of Rapid Rehabilitation Nursing in Perioperative Nursing of Lung Cancer

目的探讨快速康复护理在肺癌全肺切除术围术期护理中的应用效果。方法 80例肺癌行全肺切除术患者,随机分为观察组、对照组(各40例)。对照组给予常规护理,观察组给予快速康复护理,比较术后肺不张、胸腔积液、肺部感染、呼吸衰竭等术后并发症,术后引流时间、术后下床时间、使用抗生素、住院时间及生活质量问卷(QLQ-30)评分。结果观察组并发症发生率低于对照组(P<0.05)。观察组术后引流时间、术后下床时间、使用抗生素、住院时间均少于对照组(P<0.05)。观察组躯体功能、角色功能、社会功能、认知能力、情绪能力、整体生活质量均高于对照组(P<0.05)。结论快速康复护理在肺癌全肺切除术围术期护理中,促进术后恢复,提高生活质量。

Objective To explore the effect of rapid rehabilitation nursing in perioperative nursing of lung cancer. Methods Eighty patients with lung cancer were randomly divided into observation group and control group（40 cases）. The control group was given conventional nursing, the observation group was given the rapid rehabilitation nursing, the postoperative atelectasis, pleural effusion, pulmonary infection, respiratory failure, such as postoperative complications, postoperative drainage time, postoperative bed time, use of antibiotics, length of hospital stay, and the quality of life questionnaire（QLQ-30） score was compared. Results The complications of observation group were significantly lower than that in the control group（P〈0.05）. The postoperative drainage time, lower bed time, antibiotics and hospitalization were significantly less than the control group（P〈0.05）. The body function, role function, social function, cognitive ability, emotional ability and overall quality of life were significantly higher in the observation group was higher than in the control group（P〈0.05）. Conclusion Rapid rehabilitation nursing in lung cancer total lung resection perioperative nursing, promotes postoperative recovery, improves the quality of life.