整体护理干预在胸腔镜治疗孤立性良性肺结节患者中的应用观察

Application observation of holistic nursing intervention in thoracoscopic treatment of solitary benign pulmonary nodules

目的比较对经胸腔镜手术治疗(TS)的孤立性良性肺结节患者施行不同护理措施干预的临床效果。方法2017年7月—2018年12月在杭州市第一人民医院胸外科共纳入经胸腔镜手术治疗的孤立性良性肺结节患者130例进行观察。按不同护理方法分成对照组和观察组,每组65例。对照组施行常规的护理措施,包括:加强术前护理、做好呼吸道准备、监测术后生命体征、进行呼吸道管理等。观察组在常规护理基础上施行整体护理干预措施,着重对围术期患者进行情绪疏导和心理护理。比较2组焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分、并发症发生率、平均住院时间、患者满意度。结果干预后,观察组SAS评分、SDS评分与对照组比较,差异均有统计学意义(均P<0.05)。观察组平均住院时间为(7.13±2.05)d,对照组为(14.05±2.23)d,2组比较差异有统计学意义(t=18.418,P<0.05)。观察组并发症总发生率为4.62%(3/65),对照组为16.92%(11/65),2组比较差异有统计学意义(χ^2=4.000,P<0.05)。观察组患者满意度[(95.77±2.69)分]高于对照组[(80.45±2.10)分,t=36.193,P<0.05]。结论整体护理可改善经胸腔镜手术治疗的孤立性肺结节患者的负性情绪,缩短住院时间、降低术后并发症发生率,故获得了较高的患者满意度。

Objective To compare the clinical effect of thoracoscopic surgery(TS)on benign pulmonary nodules.Methods From July 2017 to December 2018,130 patients with solitary benign pulmonary nodules who underwent TS were enrolled in the thoracic surgery of Hangzhou first people’s Hospital for clinical observation.According to different nursing methods,they were divided into control group and observation group,65 cases in each group.The control group received routine nursing measures,including strengthening preoperative nursing,preparing respiratory tract,observing vital signs after operation,and managing respiratory tract.The observation group was given holistic nursing intervention,focusing on emotional counseling and psychological nursing of patients in perioperative period.After the intervention,the scores of self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS),incidence of complications,average length of stay and patient satisfaction were compared between the two groups.Results After the intervention,the SAS and SDS scores of the observation group were significantly different from those of the control group(all P<0.05).The average hospitalization time of the observation group was(7.13±2.05)days,and that of the control group was(14.05±2.23)days.The difference between the two groups was statistically significant(t=18.418,P<0.05).The total complication rate of the observation group was 4.62%(3/65)and that of the control group was 16.92%(11/65).The difference between the two groups was statistically significant(χ^2=4.000,P<0.05).The satisfaction score of observation group(95.77±2.69)was higher than that of control group(80.45±2.10),t=36.193,P<0.05.Conclusion Holistic nursing can improve the negative emotions of patients with solitary pulmonary nodules treated by thoracoscopic surgery,shorten the length of hospital stay,reduce the incidence of postoperative complications,so the level of patient satisfaction is improved.