加速康复外科护理在胸腔镜肺癌根治术患者中的应用效果

Application effect of enhanced recovery after surgery nursing in patients undergoing thoracoscopic radical resection of lung cancer

目的研究加速康复外科(ERAS)护理在胸腔镜肺癌根治术患者中的应用效果。方法选取2018年5月至2019年10月我院收治的165例胸腔镜肺癌根治术患者,按照随机数字表法将其分为对照组(n=82,胸腔外科围手术期常规护理)与观察组(n=83,胸腔外科围手术期常规护理+ERAS护理)。比较两组的护理效果。结果观察组的首次下床时间、首次进食时间、胸腔引流管留置时间、平均住院日、住院总费用均优于对照组,差异具有统计学意义(P<0.05)。观察组的并发症总发生率及再入院率均低于对照组,差异具有统计学意义(P<0.05)。护理后,两组的癌症患者生命质量测定量表(FACT-G)各维度评分均高于护理前,且观察组明显高于对照组,差异具有统计学意义(P<0.05)。结论ERAS护理应用于胸腔镜肺癌根治术患者中效果显著,可降低并发症发生率,并促进患者术后恢复。

Objective To study the application effect of enhanced recovery after surgery(ERAS)nursing in patients undergoing thoracoscopic radical resection of lung cancer.Methods A total of 165 patients undergoing thoracoscopic radical resection of lung cancer admitted in our hospital from May 2018 to October 2019 were selected and divided into control group(n=82,perioperative routine nursing of thoracic surgery department)and observation group(n=83,perioperative routine nursing of thoracic surgery department+ERAS nursing)according to random number table method.The nursing effects of the two groups were compared.Results The first time to get out of bed,the first time to eat,the indent time of chest catheter,the average hospital stay and the total hospitalization cost in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications and readmission rate of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of all dimensions of Functional Assessment of Cancer Therapy-Generic Scale(FACT-G)in both groups were higher than those before nursing,those in the observation group were significantly higher than the control group,and the differences were statistically significant(P<0.05).Conclusion The ERAS nursing applied in patients undergoing thoracoscopic radical resection of lung cancer has a significant effect,which can reduce the incidence of complications and promote postoperative recovery.