系统化呼吸道护理对肺癌手术患者肺功能和生活质量的影响

The effect of systemic respiratory nursing on pulmonary function and quality of life in patients undergoing lung cancer surgery

目的探讨肺癌手术患者采用系统化呼吸道护理对肺功能改善和生活质量的影响。方法选取2020年1月-2020年5月于华中科技大学同济医学院附属同济医院就诊的行肺癌手术的患者118例,将其随机分入对照组(n=59)和观察组(n=59)。对照组患者给予常规护理,观察组患者在对照组基础上给予系统化呼吸道护理干预。记录两组术后住院时间,以及拔出胸腔引流管时间,测定护理前后第1秒用力呼吸容积(FEV1)和用力肺活量(FVC),并评估两组护理后生活质量。结果观察组术后住院时间和拔除胸腔引流管时间均显著短于对照组(P值均<0.05);两组FEV1、FVC测定值均较同组护理前显著升高(P值均<0.05),且护理后观察组均显著高于对照组(P值均<0.05);观察组生命质量测定量表(EORTC QLQ-C30)各项得分均显著高于对照组(Р值均<0.05)。结论将系统化呼吸道护理应用于肺癌手术患者,可有效缩短住院时间,明显改善肺功能,显著提高生活质量。

Objective To explore the effect of systemic respiratory nursing on pulmonaryfunction and quality of life in patients undergoing lung cancer surgery.Methods 118 patientswho underwent lung cancer surgery in Tongii Hospital Affiliated to Tongji Medical College fromJanuary to May 2020 were selected and randomly divided into a control group and an observationgroup,with 59 cases each.The control group received routine nursing,and the observation groupreceived systematic respiratory nursing on the basis of routine nursing.The drainage time of chesttube and hospital stay were recorded in the two groups.The forced expiratory volume in 1 second(FEV1)and forced vital capacity(FVC)were measured before and after nursing.The quality oflife after nursing was evaluated by European Organization for Research and Treatment of CancerQuality of Life Questionnaire-Core 30(EORTC QLQ-C30).Results The drainage time of chesttube and postoperative hospital stay in the observation group were significantly shorter than thoseof the control group(both P<0.05).The FEV1 and FVC values in the two groups were significantly higher than those of the same group before nursing(all p<0.05),and after nursing,those of the observation group were significantly higher than those of the control group(all P<0.05).The scores of EORTC QLQ-C30 in the observation group were significantly higher thanthose in the control group(P<0.05).Conclusion The systematic respiratory nursing for patients undergoing lung cancer surgery can effectively shorten the hospital stay,improve the pulmonary function and improve the quality of life.