全程护理干预在胸腔镜下肺癌手术患者护理中的应用效果

Effectiveness of whole course nursing intervention in patients receiving thoracoscopic lung cancer surgery

目的探讨全程护理干预在胸腔镜下肺癌手术患者护理中的应用效果。方法选取2020年4月—2021年4月辽阳市某医院收治的80例肺癌患者为研究对象。采用随机数字表法将患者分为研究组与对照组,每组40例。对照组患者进行常规护理,研究组患者在对照组基础上进行全程护理。比较2组患者手术时间、术中出血量及住院时间;比较2组患者护理前及出院时生活质量评估量表评分;比较2组患者出院时护理满意度。结果研究组患者术中出血量少于对照组,手术时间及住院时间短于对照组,差异均有统计学意义(P<0.05)。护理前,2组患者生活质量评估量表中社会功能、躯体功能、心理功能、物质生活评分比较,差异无统计学意义(P>0.05)。出院时,2组患者生活质量评估量表中社会功能、躯体功能、心理功能、物质生活评分均高于护理前,且研究组高于对照组,差异均有统计学意义(P<0.05)。研究组患者总满意度为97.50%,高于对照组的70.00%,差异有统计学意义(P<0.05)。结论全程护理干预应用于胸腔镜下肺癌手术患者护理中的效果显著,能缩短患者手术时间及住院时间,减少术中出血量,同时提高患者护理满意度,值得临床推广应用。

Objective To explore the effectiveness of whole course nursing intervention in the nursing of patients receiving thoracoscopic lung cancer surgery.Methods A total of 80 lung cancer patients admitted to a hospital in Liaoyang City from April 2020 to April 2021 were selected as subjects and assigned to a study group and a control group by random number table method,with 40 cases in each group.The patients in the control group received conventional nursing,and the patients in the study group received whole course nursing on the basis of conventional nursing.The operation time,intraoperative bleeding and length of stay of the two groups were compared;the scores of the quality of life assessment scale before nursing and at discharge were compared between the two groups;the nursing satisfaction at discharge was compared between the two groups.Results Patients in the study group had less intraoperative bleeding than the control group and shorter operation time and length of stay than the control group,and the differences were statistically significant(P<0.05).Before nursing,there was no statistically significant difference in the scores of social function,physical function,psychological function and material life in the quality of life assessment scale of patients between the 2 groups(P>0.05).At the time of discharge,the scores of social function,physical function,psychological function,and material life in the quality of life assessment scale of patients in the 2 groups were higher than those before nursing,with the study group having higher scores than the control group,and the differences were statistically significant(P<0.05).The patients satisfaction in the study group was 97.50%,which was higher than that in the control group(70.00%),the difference was statistically significant(P<0.05).Conclusion The application of total nursing intervention in patients receiving thoracoscopic lung cancer surgery is effective in shortening the operation time and length of stay,reducing intraoperative bleeding,and improving patients satisfaction,which is worthy of clinical promotion.