采用围术期护理干预对高龄肺癌手术患者围术期并发症发生情况的影响

Perioperative complications in elderly patients with lung cancer

目的探讨采用围术期护理干预对高龄肺癌手术患者围术期并发症发生情况的影响。方法选取2016年1月至2018年1月间陕西省安康市中医医院收治的行手术根治术的66例高龄肺癌患者,采用随机数表法分为观察组和对照组,每组33例。观察组患者采用围术期护理,对照组患者采用常规护理,比较两组患者并发症发生率、住院时间、护理满意度、焦虑抑郁情绪、基本生活能力及生活质量。结果观察组并发症总发生率为6.1%,低于对照组的24.2%.两组比较,差异有统计学意义(P<0.05)。观察组患者住院时间低于对照组患者,护理满意度高于对照组患者,两组比较,差异均有统计学意义(均P<0.05)。术前,两组患者的汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、基本生活能力评分和生活质量评分比较,差异无统计学意义(P>0.05)。术后,两组患者的HAMA评分和HAMD评分均降低,基本生活能力评分和生活质量评分均提高,且观察组患者各项评分均优于对照组,差异均有统计学意义(均P<0.05)。术后,观察组患者心率、二氧化碳分压、平均动脉压、血肌酐、心排血量和左室射血分数等指标均优于对照组,差异均有统计学意义(均P<0.05)。结论采用有效的围术期护理干预护理高龄肺癌手术患者围术期,可降低并发症发生率,提高生活质量,值得临床推广。

Objective To analyze the effect of perioperative nursing intervention on the occurrence of heart failure in elderly patients with lung cancer. Methods Sixty-six patients with advanced lung cancer undergoing radical surgery were enrolled at Ankang Hospital of Traditional Chinese Medicine from January 2016 to January 2018. They were randomly divided into an observation group and a control group, with 33 patients in each group. The observation group was given perioperative nursing and the control group was giv- en conventional nursing. Incidence of complications, length of hospital stay, satisfaction with care, Hamil- ton anxiety scale （HAMA） , Hamilton depression rating scale （HAMD） score, basic life ability score, and quality of life score were compared. Results After operation, the overall incidence of comphcation was 6. 1% for the observation group and 24. 2% for the control group （ P 〈 0. 05 ）. Length of hospital stay was lower in the observation group than in the control group and satisfaction with care was higher in the observa- tion group than in the control group （ all P 〈 0. 05）. Before surgery, there was no significant difference in HAMA and HAMA scores, basic viability and quality of life between the two groups （ P 〉 O. 05 ）. After the surgery, HAMA and HAMA scores decreased and basic viability and quality of life increased in both groups with the observation group better than the control group （P 〈 0. 05 ）. After the surgery, indicators including carbon dioxide partial pressure, mean arterial pressure, serum creatinine, cardiac output and left ventricular ejection fraction were significantly better in the the observation group than in the control group （ all P 〈 O. 05 ）. Conehlsion Perioperative effective nursing intervention can reduce the incidence of complications and improve the quality of life in elderly patients with lung cancer. It is worthy of clinical application.