主动循环呼吸训练联合讲解-模拟-练习-沟通-支持模式护理对肺癌术后患者心理状态及心肺功能的影响

Effects of active cycle of breathing techniques combined with explain-simulate-practice-communicate-support nursing on psychological state and cardiopulmonary function of patients after lung cancer surgery

目的探讨主动循环呼吸训练(ACBT)联合讲解-模拟-练习-沟通-支持模式(ESPCS)护理对肺癌术后患者心理状态及心肺功能的影响。方法将2017年9月—2020年9月接受常规护理干预的80例肺癌术后患者设为对照组,将2020年10月—2023年9月接受ACBT联合ESPCS护理的80例肺癌术后患者设为联合组,2组患者均持续干预2个月。比较2组患者心理状态、心脏功能指标、肺功能指标、生活质量以及并发症发生情况。结果干预后,联合组心理状态优于对照组,差异有统计学意义(P<0.05)。干预后,联合组左室射血分数(LVEF)、第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)与FVC比值(FEV_(1)/FVC)、肺活量(VC)、每分钟最大通气量(MMV)、生活质量和6 min步行试验(6MWT)结果高于对照组,二尖瓣口舒张期早期和收缩早期最大血流速度比值(E/A)、左室舒张末期内径(LVEDD)、呼吸频率和Borg量表评分低于对照组,差异有统计学意义(P<0.05)。联合组并发症发生率为8.75%,低于对照组的21.25%,差异有统计学意义(P<0.05)。结论ACBT联合ESPCS护理可以改善肺癌术后患者心理状态,提高心肺功能和生活质量,降低并发症发生率。

Objective To explore the effects of active cycle of breathing techniques(ACBT)combined with explain-simulate-practice-communicate-support(ESPCS)nursing on the psychological state and cardiopulmonary function of patients after lung cancer surgery.Methods Eighty patients with routine nursing intervention after lung cancer surgery from September 2017 to September 2020 were selected as control group,and eighty patients with ACBT combined with ESPCS nursing from October 2020 to September 2023 were selected as combined group.Both groups were continuously intervened for 2 months.The psychological state,cardiac function indicators,lung function indicators,quality of life,and complications were compared between the two groups.Results After the intervention,the psychological state of the combined group was significantly better than that of the control group(P<0.05).After the intervention,the left ventricular ejection fraction(LVEF),forced expiratory volume in the first second(FEV_(1)),forced vital capacity(FVC),FEV_(1)-to-FVC ratio(FEV_(1)/FVC),vital capacity(VC),maximum minute ventilation(MMV),quality of life,and 6-minute walk test(6MWT)results in the combined group were significantly higher than those in the control group,while the early diastolic to early systolic maximum flow velocity ratio of the mitral valve(E/A),left ventricular end-diastolic diameter(LVEDD),respiratory rate and Borgscale score were significantly lower than those in the control group(P<0.05).The incidence of complications was 8.75%in the combined group,which was significantly lower than 21.25%in the control group(P<0.05).Conclusion ACBT combined with ESPCS nursing can improve the psychological state,cardiopulmonary function,and quality of life of patients after lung cancer surgery,and reduce the incidence of complications.