综合护理干预在肺癌围手术期患者中的临床应用效果

Clinical application effect of comprehensive nursing intervention for lung cancer patients in perioperative period

目的观察综合护理干预在肺癌围手术期患者中的临床应用效果。方法 60例肺癌围手术期患者,随机分为试验组和对照组,每组30例。对照组采用常规护理方法 ,试验组在对照组基础上应用综合护理干预方案。观察两组患者围手术期的心率、平均动脉压及焦虑自评量表(SAS)评分变化情况。结果试验组患者术前、术后的心率、平均动脉压及SAS评分均低于对照组,差异均具有统计学意义(t=4.993、6.074、4.165、4.734、8.349、11.265,P<0.05)。结论综合护理干预可明显稳定患者围手术期血流动力学水平变化,稳定心率,平衡平均动脉压波动情况,抑制患者因焦虑情绪而引起生命体征的改变,改善医患沟通,提高患者临床恢复速度及治疗效果,值得广泛推广应用。

Objective To observe the clinical application effect of comprehensive nursing interventionfor lung cancer patients in perioperative period.Methods A total of60lung cancer patients in perioperativeperiod were randomly divided into experimental group and control group,with30cases in each group.Thecontrol group received conventional nursing method,and the experimental group received comprehensive nursingintervention regimen.Observation were made on heart rate,mean arterial pressure and self-rating anxiety scale(SAS)score changes in perioperative period in two groups.Results The experimental group had lower heartrate,mean arterial pressure and SAS score before and after operation than the control group,and their differencehad statistical significance(t=4.993,6.074,4.165,4.734,8.349,11.265,P<0.05).Conclusion Comprehensivenursing intervention can significantly stabilize patients with hemodynamic level changes in perioperative period,stabilize the heart rate,balance the mean arterial pressure fluctuation,inhibit the patient’s mood changes causedby anxiety,improve the communication between doctors and patients,so as to improve the clinical recovery rate and treatment effect.So it is worthy of wide promotion and application.