基于KANO模型的护理干预在早期肺癌患者术后的应用效果观察

Observation on the Effect of Nursing Intervention Based on the KANO Model in Patients with Early Lung Cancer after Surgery

目的探究早期肺癌患者术后护理中采用基于KANO模型护理干预的临床效果。方法选取2022年1月至2022年12月漯河医学高等专科学校第二附属医院收治的68例肺癌术后患者为研究基础病例,采用病历号随机抽签模式分为研究组(n=34)、对照组(n=34)。对照组患者采用一般性术后护理干预,研究组患者采用基于KANO模型的护理干预,比较两组患者并发症发生率、营养状况指标、生活质量。结果研究组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。两组护理干预后前白蛋白(PA)、转铁蛋白(TFN)、血清白蛋白(ALB)、体质量指数(BMI)水平均高于护理前,且研究组患者营养状况指标高于对照组,差异有统计学意义(P<0.05)。两组护理干预后生活质量评分均高于护理前,且研究组患者生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论早期肺癌患者术后采用基于KANO模型的护理干预可降低并发症发生率,改善机体营养状况,提高生活质量,值得应用。

Objective To explore the clinical effect of nursing intervention based on the KANO model in postoperative nursing of patients with early lung cancer.Methods A total of 68 patients with lung cancer after surgery admitted to the Second Affiliated Hospital of Luohe Medical College from January 2022 to December 2022 were selected as the basic cases of the study.They were divided into the study group(n=34)and the control group(n=34)by random lottery mode of medical record number.Patients in the control group were treated with general postoperative nursing intervention,and patients in the study group were treated with nursing intervention based on the KANO model.The complication rate,nutritional status index,and quality of life of the two groups were compared.Results The incidence of complications in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).The levels of prealbumin(PA),transferrin(TFN),serum albumin(ALB),and body mass index(BMI)in both groups were higher than before the nursing intervention,and the nutritional status indexes in the study group were higher than those in the control group,with statistical significance(P<0.05).The quality of life score of the two groups after the nursing intervention was higher than that before nursing,and the quality of life score of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Nursing intervention based on the KANO model can reduce the incidence of complications,improve the nutritional status of the body,and improve the quality of life in patients with early lung cancer.