精细化护理在胸腔镜下肺癌根治手术中的应用效果分析

Application Effect Analysis of Fine Nursing in Thoracoscopic Radical Resection of Lung Cancer

目的:分析精细化护理在胸腔镜下肺癌根治手术中的应用效果。方法:选取2022年1月—2023年6月拟于滨州医学院附属医院行胸腔镜下肺癌根治手术的肺癌患者72例作为研究对象,采用随机数字表法分为对照组与观察组,各36例。对照组采用手术室常规护理,观察组采用精细化护理。比较两组围术期指标、术后并发症发生情况及心理状态。结果:观察组手术时间、引流管留置时间、卧床时间、住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组术后并发症总发生率低于对照组,差异有统计学意义(P=0.047)。护理前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);护理后,两组SAS、SDS评分低于护理前,观察组低于对照组,差异有统计学意义(P<0.05)。结论:精细化护理在胸腔镜下肺癌根治手术中的应用效果较好,有助于促进手术顺利完成,加快术后康复速度,减少术后并发症,改善患者心理状态。

Objective:To analyze the effect of fine nursing in thoracoscopic radical resection of lung cancer.Methods:A total of 72 lung cancer patients scheduled to undergo thoracoscopic radical resection of lung cancer were selected as the study objects in the Affiliated Hospital of Binzhou Medical College from January 2022 to June 2023,and were divided into control group and observation group by random number table method,with 36 cases in each group.The control group received routine nursing in operating room,and the observation group received fine nursing.The perioperative indexes,postoperative complications and psychological state of the two groups were compared.Results:The operation time,drainage tube retention time,bed time and hospital stay in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.047).Before nursing,there was no significant difference in self-rating anxiety Scale(SAS)and self-rating Depression Scale(SDS)scores between the two groups(P>0.05);after nursing,SAS and SDS scores of the two groups were lower than before nursing,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion:The application of fine nursing in thoracoscopic radical resection of lung cancer has a good effect,which is helpful to promote the successful completion of surgery,speed up postoperative rehabilitation,reduce postoperative complications,and improve the psychological state of patients.