基于时间护理的呼吸训练与排痰管理对肺癌手术患者治疗依从性 肺功能及预后的影响

Influence of breathing training and expectoration management based on time nursing on treatment compliance,lung function and prognosis of patients undergoing lung cancer surgery

目的探讨基于时间护理的呼吸训练与排痰管理对肺癌手术患者治疗依从性、肺功能及预后的影响。方法将86例肺癌手术患者按照随机数字表法分为研究组与对照组,各43例。两组均给予常规护理,研究组在此基础上给予基于时间护理的呼吸训练与排痰管理,观察住院全程。比较两组治疗依从性、术后拔管时间、术后住院时间和术后步行时间,术前及干预后比较两组第1秒用力呼气量、用力肺活量及血氧饱和度,比较两组并发症发生率及护理满意度。结果研究组治疗总依从率显著高于对照组(P<0.05),术后拔管时间显著早于对照组(P<0.01),术后住院时间显著短于对照组(P<0.01),术后步行时间显著长于对照组(P<0.01)。干预后两组第1秒用力呼气量及用力肺活量均较术前显著降低(P<0.05或0.01),血氧饱和度均较术前显著升高(P<0.01),研究组均显著高于对照组(P<0.01)。研究组并发症总发生率显著低于对照组(P<0.05),护理总满意率显著高于对照组(P<0.05)。结论基于时间护理的呼吸训练与排痰管理可有效提高肺癌手术患者治疗依从性,降低术后并发症发生率,改善肺功能,促进患者术后康复,提高护理满意度。

Objective To investigate the influence of breathing training and expectoration management based on time nursing on treatment compliance,lung function and prognosis of patients undergoing lung cancer surgery.Methods A total of 86 patients with lung cancer surgery were divided into study group and control group according to random number table method,with 43 cases in each group.Both groups were given routine nursing.On this basis,the study group was given breathing training and expectoration management based on time nursing.The whole process of hospitalization was observed.The treatment compliance,postoperative extubation time,postoperative hospital stay and postoperative walking time were compared between the two groups.Before operation and after intervention,the forced expiratory volume in the first second(FEV1) and forced vital capacity(FVC) were compared between the two groups,and the complication rate and nursing satisfaction of the two groups were compared.Results The total treatment compliance rate of the study group was significantly higher than that of the control group(P<0.05),the postoperative extubation time was significantly earlier than that of the control group(P<0.01),the postoperative hospital stay was significantly shorter than that of the control group(P<0.01),and the postoperative walking time was significantly longer than that of the control group(P<0.01).After the intervertion,the FEV1 and FVC of the two groups were significantly lower than those before operation(P<0.05 or 0.01),and the blood oxygen saturationwas significantly higher than that before operation(P<0.01).The study group was significantly higher than the control group(P<0.01).The total complication rate in the study group was significantly lower than that in the control group(P<0.05),and the total satisfaction rate of nursing was significantly higher than that in the control group(P <0.05).Conclusions Breathing training and expectoration management based on time nursing can effectively improve the treatment compliance of patients with lung cancer surgery,reduce the incidence of postoperative complications,improve lung function,promote patients’ rehabilitation,and improve nursing satisfaction.