肺癌患者术后肺动脉栓塞行溶栓治疗整体护理的效果观察

Efficacy of holistic nursing care in patients with lung cancer undergoing potoperative thrombolytic therapy for pulmonary artery embolism

目的探讨肺癌患者术后发生肺动脉栓塞行溶栓治疗的护理方法以及应用效果。方法选取2019年11月至2021年1月间上海市肺科医院收治的60例肺癌术后发生肺动脉栓塞患者的临床资料,患者均接受溶栓治疗。采用随机数表法分为对照组和试验组,每组30例。对照组采用常规护理,试验组采用溶栓治疗整体护理,对两组患者干预后的护理效果进行评估和比较。结果比较两组静脉溶栓时间以及住院时间,试验组均短于对照组,差异有统计学意义(P<0.05)。比较两组并发症发生率,试验组为6.7%,低于对照组的26.7%,差异有统计学意义(P<0.05)。比较两组生活质量和心理状态,试验组生活质量评分高,焦虑和抑郁评分低,差异有统计学意义(P<0.05)。相较于对照组的80.0%,试验组护理满意度(96.7%)更高,差异有统计学意义(P<0.05)。结论对于肺癌术后发生肺动脉栓塞行溶栓治疗的患者,采用整体护理具有较高的优越性,可提高治疗效果,降低致命性并发症的发生,让患者的生活质量和心理状态得到改善,具有较高的临床应用价值。

Objective To explore nursing approach and application effect in patients with lung cancer undergoing thrombolytic therapy for postoperative pulmonary embolism.Methods The clinical data of 60 patients with pulmonary embolism after lung cancer surgery were retrospectively analyzed from November 2019 to January 2021.All of them received thrombolytic therapy.The patients were divided into an experimental group and a control group using random table method with 30 patients in each group.The experimental group was given holistic nursing care and the control group was given conventional nursing care.The nursing efficacy were evaluated and compared between the two groups.Results The intravenous thrombolysis time and length of hospital stay was significantly shorter in the experimental group than in the control group(all P<0.05).The incidence of complications was 6.7% in the experimental group,which was significantly lower than 26.7% of the control group(P<0.05).In terms of quality of life and mental state,the quality of life scores were higher and self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores were lower in the experimental group than in the control group(all P<0.05).Patient satisfaction with nursing was 96.7%in the experimental group which was significantly higher than 80.0%of the control group(P<0.05).ConclusionHolistic nursing care shows obvious benefits in patients who underwent thrombolytic therapy for pulmonary embolism after surgery for lung cancer.It can improve therapeutic efficacy,reduce the occurrence of fatal complications,and improve quality of life and mental state with high clinical application value.