肺癌手术患者个体化全链式护理管理研究

Individualized full-chain nursing management for lung cancer surgical patients

目的帮助肺癌患者顺利完成手术,加快康复进程。方法将120例肺癌拟行胸腔镜手术患者按入院时间分为对照组与干预组各60例。对照组行常规围术期护理;干预组构建和实施以患者为中心的“就诊-预住院(居家)-住院-居家康复(社区)”的个体化全链式护理管理方案;干预至患者出院后3个月评价效果。结果对照组48例、干预组47例完成全程研究。干预组住院时间,术后肺炎、下肢静脉血栓发生率显著低于对照组(均P<0.05);干预组出院时护理满意度显著高于对照组,出院3个月期间返院就诊率及频次显著少于对照组、生活质量评分显著高于对照组(均P<0.05)。结论个体化全链式护理管理方案的实施有利于患者院前充分做好术前准备、及时手术及术后持续康复支持,促进患者康复和提高生活质量。

Objective To facilitate lung cancer patients successfully complete surgery and to enhance postoperative recovery.Methods Totally,120 patients undergoing thoracoscopic surgery for lung cancer were divided into a control group and an intervention group chronologically,with 60 patients in each group.The control group received routine perioperative nursing care,while the intervention group received patient-centered full-chain nursing care,involving"outpatient clinic attendance,pre-admission(home),hospitalization,and home rehabilitation(community)".The intervention lasted until 3 months post discharge.Results A total of 48 cases in the control group and 47 in the intervention group completed the study.The length of hospital stay,incidence of postoperative pneumonia and lower extremity venous thrombosis in the intervention group were significantly lower than those in the control group(all P<0.05).Satisfaction with nursing service at discharge and quality of life were significantly higher,whereas the rate and frequency of readmissions within 3 months of discharge were significantly lower in the intervention group compared with the control group(all P<0.05).Conclusion The implementation of individualized full-chain nursing management is conducive to patient preparedness for surgery,timely access to surgery and postoperative rehabilitation,thus to enhance patients′recovery and quality of life.