针对性护理干预在非小细胞肺癌胸腔镜手术患者中的应用研究

Application of targeted nursing intervention in patients with non-small cell lung cancer undergoing thoracoscopic surgery

目的探讨对非小细胞肺癌胸腔镜手术患者给予针对性护理干预后获得的临床效果。方法选择我院2015年7月～2018年3月收治的94例非小细胞肺癌患者作为研究对象;抽签法分组后明确胸腔镜手术期间各组护理方式,对照组47例给予传统护理,观察组47例给予传统护理+针对性护理;比较两组手术护理结果。结果观察组FEV1、FVC以及FEV1/FVC分别为(1.73±0.45)L、(65.59±13.53)L和(61.06±13.42)%,对照组分别为(1.36±0.29)L、(54.13±12.43)L和(51.39±12.29)%,观察组患者肺功能指标明显高于对照组,差异有统计学意义(P<0.05);观察组的并发症发生率为2.13%,明显低于对照组的25.53%,差异有统计学意义(P<0.05);观察组社会功能、心理功能、躯体功能以及生活状态评分分别为(31.55±0.61)分、(35.55±4.59)分、(47.61±1.53)分以及(19.59±0.76)分,对照组分别为(28.89±0.06)分、(25.69±4.06)分、(40.31±1.29)分以及(15.43±1.51)分,观察组生活质量各项评分均明显高于对照组(P<0.05)。结论临床对非小细胞肺癌患者在实施胸腔镜手术期间,针对性护理干预措施的采用,在肺功能改善、并发症减少以及生活质量提升方面,效果确切,可对患者预后能力提升以及病情快速好转奠定基础,充分表明针对性护理应用的可行性。

Objective To explore the clinical effects of targeted nursing intervention in patients undergoing thoracoscopic surgery for non-small cell lung cancer. Methods 94 patients with non-small cell lung cancer admitted to our hospital from July 2015 to March 2018 were selected as experimental subjects. The control group(47 cases) were given traditional care;the observation group (47 cases) were given traditional care + targeted care. The surgical care results were compared between the two groups. Results The FEV1, FVC and FEV1/FVC of the observation group were (1.73±0.45) L,(65.59±13.53) L and (61.06±13.42)%, respectively, and (1.36±0.29) L,(54.13±12.43) L and (51.39±12.29)% in the control group. The lung function index of the observation group was significantly higher than that of the control group(P<0.05). The complication rate of the observation group was 2.13%, which was significantly lower than that of the control group(25.53%)(P<0.05). The social function, psychological function, physical function and living status scores of the observation group were (31.55±0.61),(35.55±4.59),(47.61±1.53) and (19.59±0.76), respectively, which were (28.89±0.06),(25.69±4.06),(40.31±1.29) and (15.43±1.51) in the control group. The scores of quality of life in the observation group were significantly higher than those in the control group (P<0.05). Conclusion During the implementation of thoracoscopic surgery in patients with non-small cell lung cancer, the use of targeted nursing interventions can clearly improve lung function, reduce complications, improve quality of life, and lay the foundation for improving patients' prognosis and rapid improvement of the conditions, which fully demonstrate the feasibility of targeted nursing intervention.