快速康复外科理念对胸腔镜肺癌患者生活质量与下床活动的影响

Effect of Rapid Rehabilitation Surgery on Quality of Life and Getting out of Bed in Patients with Thoracic Lung Cancer

目的分析快速康复外科理念对胸腔镜肺癌患者生活质量与下床活动的影响。方法方便选取2016年10月—2017年10月在该院行胸腔镜手术治疗的66例肺癌患者纳入该次实验,采取随机数字表法将其分为干预组与对照组,各33例,对照组实行常规护理,干预组按照快速康复外科理念进行护理,对比两组患者的护理效果。结果干预组患者下床活动时间、拔管时间、排气时间、住院时间均明显短于对照组(P<0.05),术后2 d和术后3 d的NRS评分均显著低于对照组(P<0.05),并发症发生率(12.1%)明显低于对照组(33.3%),差异有统计学意义(X^2=4.228,P=0.040),术后各项生活质量评分明显高于对照组,组间差异有统计学意义(P<0.05)。结论将快速康复外科理念应用于胸腔镜肺癌手术患者围术期护理中可加快其术后康复进程,减轻其术后疼痛症状,并减少并发症的发生,提升其生活质量。

Objective To analyze the effect of rapid rehabilitation surgery on the quality of life and get out of bed in patients with thoracoscopic lung cancer. Methods 66 patients with lung cancer who underwent thoracoscopic surgery in the hospital from October 2016 to October 2017 were convenient selected and enrolled in this study. They were randomly divided into intervention group and control group, 33 cases each. The control group performed routine nursing, and the intervention group was treated according to the concept of rapid rehabilitation surgery, and the nursing effects of the two groups were compared. Results The time of getting out of bed, extubation time, exhaust time, and hospital stay were significantly shorter in the intervention group than in the control group（P〈0.05）. The NRS scores at 2 d and 3 d after surgery were significantly lower than those in the control group（P〈0.05）, the incidence of complications（12.1%） was significantly lower than that of the control group（33.3%）,the different was statistically significant（X^2=4.228, P=0.040）. The postoperative quality of life scores were significantly higher than the control group, and the differences between the groups were statistically significant（P〈0.05）. Conclusion Applying the concept of rapid rehabilitation surgery to the perioperative nursing of patients with thoracoscopic lung cancer surgery can speed up the postoperative rehabilitation process, reduce the postoperative pain symptoms, reduce the occurrence of complications and improve their quality of life.