纽曼系统干预在胸腔镜肺癌根治术患者中的应用效果

Application effect of Neuman system intervention in patients undergoing thoracoscopic radical resection for lung cancer

目的探讨纽曼系统干预在胸腔镜肺癌根治术患者中的应用效果。方法根据干预方式的不同将100例胸腔镜肺癌根治术患者分为观察组(n=52,纽曼系统干预)和对照组(n=48,常规干预)。比较两组患者的手术相关指标、心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、生活质量[诺丁汉健康量表(NHP)]及满意度。结果观察组患者首次排便时间、首次下床时间、引流管留置时间及住院时间均明显短于对照组,差异均有统计学意义(P<0.01)。干预后,两组患者SDS、SAS评分均低于本组干预前,观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,两组患者NHP各维度评分均高于本组干预前,观察组患者NHP各维度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组患者的总满意度高于对照组,差异有统计学意义(P<0.05)。结论纽曼系统干预可改善胸腔镜肺癌根治术患者的心理状态,促进患者术后恢复,提高患者的生活质量及满意度。

Objective To explore the application effect of Neuman system intervention in patients undergoing thor-coscopic radical resection for lung cancer.Method According to different intervention methods,100 patients with thoracoscopic radical resection for lung cancer were divided into observation group(n=52,Neuman system intervention)and control group(n=48,routine intervention).The surgery-related indexes,psychological state[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],quality of life[Nottingham health profile(NHP)]and satisfaction were compared between the two groups.Result The first defecation time,first getting out of bed time,drainage tube retention time and hospitalization time in observation group were significantly shorter than those in control group,and the differences were statistically significant(P<0.01).After intervention,the SDS and SAS scores in both groups were lower than those before intervention,and the SDS and SAS scores in observation group were lower than those in control group,and the differenc-es were statistically significant(P<0.05).After intervention,the scores of all dimensions of NHP in both groups were higher than those before intervention,and the scores of all dimensions of NHP in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).The total satisfaction rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Neuman system intervention can improve the psychological state of patients undergoing thoracoscopic radical resection for lung cancer,promote postoperative recovery,and improve the quality of life and satisfaction of patients.