呼吸功能锻炼护理干预对肺癌手术患者自护能力、生活质量与肺功能的影响研究

Study on the Effect of Respiratory Function Exercise Nursing Intervention on Self-care Ability,Quality of Life and Lung Function of Patients with Lung Cancer Surgery

目的探讨呼吸功能锻炼结合护理干预对肺癌手术患者自护能力、生活质量及肺功能的影响。方法选取该院2016年1月—2018年1月收治的80例肺癌患者,根据不同护理方法分为两组,对照组(n=40)接受常规护理,观察组(n=40)在对照组基础上接受呼吸功能锻炼,对比两组患者自护能力和护理前后肺功能以及生活质量。结果观察组自我概念、疾病知识了解、自我护理能力、自我责任、总分分别为(37.48±3.51)分、(33.68±5.36)分、(36.83±6.65)分、(47.94±4.16)分、(130.38±12.27)分,均明显高于对照组(27.49±3.62)分、(26.95±3.76)分、(23.45±2.74)分、(39.83±3.58)分、(101.24±11.36)分,差异有统计学意义(t=12.530、6.501、11.766、9.346、10.984,P<0.05)。护理后两组患者FEV1、VCmax均明显提高,观察组改善更为明显,差异有统计学意义(t=3.681、4.600,P<0.05)。护理后两组患者疼痛、恶心呕吐、疲乏、社会功能、认知功能、情绪功能、角色功能、躯体功能评分均明显提高,观察组改善更为明显,差异有统计学意义(t=15.506、14.826、20.181、24.110、18.099、30.165、20.651、26.223,P<0.05)。结论呼吸功能锻炼结合护理干预对肺癌手术患者可提高患者自护能力,改善患者肺功能并能促进患者生活质量改善。

Objective To explore the effect of breathing exercise combined with nursing intervention on the self-care ability,quality of life and lung function of patients undergoing lung cancer surgery.Methods Select 80 lung cancer patients admitted to the hospital from January 2016 to January 2018 and divide them into two groups according to different nursing methods.The control group(n=40)receives routine care and the observation group(n=40)on the basis of the control group,they received breathing exercises,and compared the two groups of patients'self-care ability,lung function before and after nursing and quality of life.Results The observation group's self-concept,disease knowledge,self-care ability,self-responsibility,and total scores were(37.48±3.51)points,(33.68±5.36)points,(36.83±6.65)points,(47.94±4.16)points,(130.38±12.27)points,which were significantly higher than those of the control group at(27.49±3.62)points,(26.95±3.76)points,(23.45±2.74)points,(39.83±3.58)points,(101.24±11.36)points,the difference was statistically significant(t=12.530,6.501,11.766,9.346,10.984,P<0.05).After nursing,the FEV1 and VCmax of the two groups of patients were significantly improved,and the improvement in the observation group was more obvious,and the difference was statistically significant(t=3.681,4.600,P<0.05).After nursing,the pain,nausea and vomiting,fatigue,social function,cognitive function,emotional function,role function,and physical function scores of the two groups of patients were significantly improved,and the observation group improved more significantly,and the difference was statistically significant(t=15.506,14.826,20.181,24.110,18.099,30.165,20.651,26.223,P<0.05).Conclusion Respiratory function exercise combined with nursing intervention can improve the self-care ability of patients with lung cancer surgery,improve the lung function of patients,and promote the improvement of patients'quality of life.