循证护理在行胸腔镜肺癌根治术患者中的应用及对其生活质量的影响

Application of evidence-based nursing in patients undergoing thoracoscopic radical resection of lung cancer and its effect on quality of life

目的探究循证护理在行胸腔镜肺癌根治术患者中的应用及对其生活质量的影响。方法将我院收治的150例胸腔镜肺癌根治术后患者按护理方式不同分为观察组和对照组,各75例。对照组采用常规护理,观察组在对照组基础上采用循证护理,均护理1个月。比较2组手术前后应激水平;比较2组手术后与干预后VAS、SAS、SDS评分;比较2组干预前后肺功能及生存质量评分;统计2组术后并发症。结果术后2组COR、ACTH水平较术前均升高,且观察组高于对照组(P<0.05);干预后2组FVC、FEV1、PEF水平较干预前均升高,且观察组高于对照组(P<0.05);干预后2组VAS、SAS、SDS评分较术后均下降,且观察组低于对照组(P<0.05);与干预前比,干预后观察组生存质量各评分均高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论循证护理有利于增强患者肺部呼吸功能,改善不良情绪,降低并发症发生率,提高生活质量。

Objective To explore the application of evidence-based nursing in patients undergoing thoracoscopic radical resection of lung cancer and its effect on quality of life.Methods 150 patients with thoracoscopic radical resection of lung cancer in our hospital were divided into observation group and control group according to different nursing methods,with 75 cases in each group.The control group received routine nursing,and the observation group received evidence-based nursing on the basis of the control group,both for one month.The stress levels before and after operation were compared between the two groups.VAS,SAS and SDS scores were compared after surgery and intervention.The lung function and quality of life scores were compared before and after intervention.The postoperative complications of the two groups were counted.Results The COR and ACTH levels were increased in both groups after surgery,and the levels of the observation group were significantly higher(P<0.05).The levels of FVC,FEV1 and PEF were increased in the two groups after intervention,and the levels of the observation group were significantly higher,too(P<0.05).The VAS,SAS and SDS scores in the two groups were decreased after surgery and intervention,with the scores in the observation group being significantly lower than those in the control group(P<0.05).The quality of life scores of the observation group,after intervention,were significantly higher(P<0.05).The complication rate(6.67%)in the observation group was significantly lower than that in the control group(22.67%)(P<0.05).Conclusion Evidence-based nursing is beneficial for enhancing patients’pulmonary respiratory function,improve the adverse mood,reduce the incidence of complications,and improve the quality of life.