时间护理联合5A模式肺康复训练在行肺癌手术患者术后肺康复中的应用

Application of time nursing combined with 5A mode pulmonary rehabilitation training in postoperative pulmonary rehabilitation of patients undergoing lung cancer surgery

目的探讨时间护理联合5A模式肺康复训练在行肺癌手术患者术后肺康复中的应用效果。方法选取80例在上海交通大学医学院附属仁济医院行肺癌手术的患者为研究对象,将其按照随机数字表法分为2组。对照组采用常规护理模式,观察组采用时间护理联合5A模式肺康复训练护理,对比2组的应用效果。结果出院时及出院6个月后,观察组患者的第1秒用力呼气容积(FEV1)和用力肺活量(FVC)均大于同期对照组,6 min步行距离均长于同期对照组(P均<0.05);2组的FEV1和FVC均大于护理前,6分钟步行距离均长于护理前(P均<0.05)。出院6个月后,观察组的行为疲乏、情感疲乏、感觉疲乏及认知疲乏评分均较对照组更低(P均<0.05),且2组的以上评分均较护理前降低(P均<0.05)。观察组的术后并发症总发生率为5.00%,低于对照组的22.50%(P<0.05)。结论时间护理联合5A模式肺康复训练能够提高行肺癌手术患者的运动耐量,减少其肺功能损伤,减轻其癌因性疲乏程度,降低术后并发症发生率。

Objective To explore the application effect of time nursing combined with 5A mode pulmonary rehabilitation training in postoperative pulmonary rehabilitation of patients undergoing lung cancer surgery.Methods Eighty patients who underwent lung cancer surgery at Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine were selected as the research subjects and divided into two groups using a random number table method.The control group received routine nursing mode,while the observation group received time nursing combined with 5A mode pulmonary rehabilitation training nursing.The application effect was compared between the two groups.Results At discharge and 6 months after discharge,the forced expiratory volume in one second(FEV1)and forced vital capacity(FVC)of the observation group were both greater than those of the control group,and the 6-min walking distance of the observation group was longer than that of the control group during the same period(all P<0.05).The FEV1 and FVC of both groups were higher than those before nursing,and the 6-min walking distance of both groups was longer than that before nursing(all P<0.05).Six months after discharge,the scores of behavioral fatigue,emotional fatigue,sensory fatigue and cognitive fatigue in the observation group were lower than those in the control group(all P<0.05),and the above scores in both groups were lower than those before nursing(all P<0.05).The total incidence of postoperative complications in the observation group was 5.00%,lower than 22.50%in the control group(P<0.05).Conclusion Time nursing combined with 5A mode pulmonary rehabilitation training can improve exercise tolerance,reduce lung function injury,reduce the degree of cancer-related fatigue,and reduce the incidence of postoperative complications in patients undergoing lung cancer surgery.