呼吸专科护理对肺癌胸腔镜术后患者的影响

Effects of respiratory special nursing on patients undergone thoracoscopic surgeries for lung cancer

目的:观察呼吸专科护理对肺癌胸腔术后患者的影响。方法:选取86例胸腔镜手术患者为研究对象,根据入院先后顺序分为对照组和研究组各43例。对照组患者实施临床常规护理,研究组在对照组基础上结合呼吸专科护理。将护理前后肺功能指标、术后并发症发生率及患者卡氏功能状态(KPS)评分作为观察指标进行比较。结果:护理后,研究组FEV1、FVC、FEV1/FVC等指标显著高于对照组,差异均有统计学意义(P<0.05);研究组护理后并发症发生率为2.33%,明显低于对照组的18.60%,差异有统计学意义(P<0.05);术前两组KPS评分比较,差异无统计学意义(P>0.05);术后研究组KPS评分高于对照组,差异有统计学意义(P<0.05)。结论:运用呼吸专科护理能有效改善患者肺功能,减少术后并发症,提高生命质量。

Objective:To explore effects of respiratory special care on patients undergone thoracoscopic surgeries for lung cancer.Methods:86 patients,who underwent thoracoscopic surgeries,were selected and randomly divided into control group and study group with 43 cases in each.The control group underwent clinical routine nursing,while the study group was given the respiratory special care based on that of the control group.The pre-and post-nursing lung function indicators,postoperative complication rate and patient's Karnofsky performance status(KPS)score were used as the observation indicators and compared between the two groups.Results:After the nursing,the levels of FEV1,FVC,FEV1/FVC and other indexes of the study group were significantly higher than those of the control group,and the differences were statistically significant(P<0.05).The complication rate of the study group after the nursing was 2.33%,which was significantly lower than that of the control group of 18.60%,and the difference was statistically significant(P<0.05).There was no significant difference in the KPS score between the two groups before the surgery(P>0.05);however,after the surgery,the KPS score of the study group was higher than that of the control group(P<0.05).Conclusions:For the patients undergone thoracoscopic surgeries for lung cancer,the respiratory special care can effectively improve the lung function,reduce the postoperative complications and improve the quality of life.