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早期护理干预在预防老年非小细胞肺癌患者术后肺部感染及呼吸衰竭中的应用效果评价 被引量:4

Evaluation of early nursing intervention in preventing postoperative pulmonary infection and respiratory failure in elderly patients with non-small cell lung cancer
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摘要 目的研究分析早期护理干预在预防老年非小细胞肺癌患者术后肺部感染及呼吸衰竭中的应用效果。方法选择2017年3月~2018年3月期间我院收治的的老年非小细胞肺癌患者60例,根据红蓝球分组的方式分为对照组和观察组,每组各30例。对照组接受常规护理,观察组联合早期护理干预,对两组患者的护理效果进行比较。结果观察组患者肺部感染发生率与呼吸衰竭发生率均显著低于对照组,差异有统计学意义(P<0.05);两组患者护理前ALB、TCH、TG以及TLC比较,差异无统计学意义(P>0.05);护理后两组患者的各项指标均较护理前改善,且观察组改善幅度最为明显,差异有统计学意义(P<0.05);观察组患者住院时间明显较对照组少,护理满意度评分则明显较对照组高,差异有统计学意义(P<0.05)。结论早期护理干预在预防老年非小细胞肺癌患者术后肺部感染及呼吸衰竭中效果显著。 Objective To analyze the effect of early nursing intervention in preventing postoperative pulmonary infection and respiratory failure in elderly patients with non-small cell lung cancer. Methods 60 elderly patients with non-small cell lung cancer admitted to our hospital from March 2017 to March 2018 were divided into control group and observation group according to the method of red and blue ball grouping, with 30 cases in each group. The control group was given routine nursing and the observation group was combined with early stage nursing interventions. The nursing effects were compared. Results The incidence of pulmonary infection and the incidence of respiratory failure in the observation group were significantly lower than those in the control group(P<0.05). There was no difference in the pre-treatment ALB, TCH, TG and TLC between the two groups(P>0.05);after treatment, the indexes of the two groups were improved compared with those before the treatment, and the improvement of the observation group was more obvious, and the difference was statistically significant (P<0.05);the hospitalization stay was significantly shorter in the observation group, and the satisfaction was significantly higher in the observation group(P<0.05). Conclusion Early nursing intervention is effective in preventing postoperative pulmonary infection and respiratory failure in elderly patients with non-small cell lung cancer.
作者 沈玉美 章喜林 邢晓燕 SHEN Yumei;ZHANG Xilin;XING Xiaoyan(Department of Cardiothoracic Surgery, the First Affiliated Hospital of Huzhou Normal College, Huzhou 313000,China)
出处 《中国现代医生》 2019年第22期139-142,共4页 China Modern Doctor
基金 浙江省基础公益研究项目计划(LGF18H160019)
关键词 早期护理干预 老年非小细胞肺癌 肺部感染 呼吸衰竭 Early care intervention Elderly non-small cell lung cancer Pulmonary infection Respiratory failure
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