术前短期综合肺康复训练在云南高海拔地区肺癌康复护理中的应用

Application of Preoperative Short-term Comprehensive Pulmonary Rehabilitation Training in Rehabilitation Nursing of Lung Cancer in High Altitude Area of Yunnan Province

目的:探讨术前短期综合肺康复训练在云南高海拔地区肺癌患者康复护理中的应用效果。方法:选取2017年6月-2019年6月入住本院行肺癌手术的云南高海拔地区的患者106例。采用随机数字表法分为对照组和观察组,各53例。对照组行常规干预,观察组行1周短期综合肺康复训练干预。比较两组干预前后6分钟步行试验(6-MWT)、动脉血气分析指标、肺功能及术后第一次下床活动时间、术后平均住院时间、术后并发症发生情况、平均住院费用等指标。结果:训练后,观察组的6-MWT距离长于对照组,差异有统计学意义(P<0.05);观察组的术后住院时间、术后首次下床活动时间均短与于对照组,差异均有统计学意义(P<0.05);两组的并发症发生率、平均住院费用、肺功能检查指标、动脉血气分析指标比较,差异均无统计学意义(P>0.05)。观察组训练前后的肺功能各项指标比较,差异均无统计学意义(P>0.05);观察组训练后的血气分析各项指标及6-MWD均高于训练前,差异均有统计学意义(P<0.05)。结论:术前短期综合肺康复训练可提高云南高海拔地区肺癌手术患者心肺耐力,缩短术后第一次下床活动时间及术后住院时间,有利于患者术后恢复。

Objective:To investigate the effect of preoperative short-term comprehensive pulmonary rehabilitation training in rehabilitation nursing of lung cancer patients in high altitude area of Yunnan province.Method:A total of 106 patients admitted to our hospital from June 2017 to June 2019 for lung cancer surgery in high altitude areas of Yunnan province were selected.The patients were divided into control group and observation group by random number table method,53 cases in each group.The control group received routine intervention,and the observation group received 1-week short-term comprehensive pulmonary rehabilitation training intervention.The 6-minute walking test (6-MWT),arterial blood gas analysis indexes,lung function,first postoperative ambulation time,average postoperative hospital stay,postoperative complications,average hospitalization cost and other indexes before and after intervention were compared between the two groups.Result:After training,the 6-MWT distance in the observation group was longer than that in the control group,the difference was statistically significant (P<0.05).The postoperative hospital stay and first postoperative ambulation time in the observation group were shorter than those in the control group,the differences were statistically significant (P<0.05).There were no statistically significant differences between the two groups in the incidence of complications,average hospitalization expenses,pulmonary function test indicators,and arterial blood gas analysis indicators (P>0.05).Comparison of lung function indexes before and after training in the observation group,the differences were not statistically significant (P>0.05).The blood gas analysis indexes and 6-MWT of the observation group after training were all higher than those before training,the differences were statistically significant (P<0.05).Conclusion:Preoperative short-term comprehensive pulmonary rehabilitation training can improve the cardiopulmonary endurance of patients undergoing lung cancer surgery in high-altitude areas of Yunnan,shorten the time of first postoperative ambulation and postoperative hospital stay,and is conducive to postoperative recovery of patients.