以护士为主导的肺康复训练在肺癌放疗患者护理中的应用

Application of nurse led lung rehabilitation training in nursing of patients with lung cancer undergoing radiotherapy

目的探讨以护士为主导的肺康复训练在肺癌放疗患者护理中的应用价值。方法选取2017年1月~2019年12月在赣南医学院第一附属医院就诊的58例肺癌放疗患者,按随机数字表法分成观察组(n=29)和对照组(n=29)。对照组采用常规护理,观察组在对照组的基础上实施肺康复训练,观察两组的肺功能用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、第1秒用力呼气量占所有呼气量的比例(FEV1/FVC)及生活质量。结果护理后,观察组的FVC、FEV1、FEV1/FVC高于对照组,差异均有统计学意义(P<0.05);护理后,观察组的共性症状与并发症、社会功能、心理功能、躯体功能评分及总分高于对照组,差异均有统计学意义(P<0.05)。结论以护士为主导的肺康复训练应用到肺癌放疗患者中,可增强患者的肺功能,提高生活质量,可推广使用。

Objective To explore the application value of nurse led lung rehabilitation training in nursing of patients with lung cancer undergoing radiotherapy.Methods A total of 58 patients with lung cancer treated in the First Affiliated Hospital of Gannan Medical University from January 2017 to December 2019 were selected and divided into the observation group(n=29)and the control group(n=29)according to randomnumber table method.The control group was given routine nursing,and the observation group was given lung rehabilitation training on the basis of the control group,forced vital capacity(FVC),forced expiratory volume in one second(FEV1),FEV1/FVC,and quality of life were compared between two groups.Results After nursing,FVC,FEV1,FEV1/FVC in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After nursing,the scores of common symptoms and complications,social function,psychological function,physical function and total score of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion The application of nurse led lung rehabilitation training in patients with lung cancer radiotherapy can enhance the lung function of patients,improve the quality of life,and can be widely used.