Analysis of Perioperative Respiratory Care Methods and their Application Value in Children with Congenital Heart Disease

Objective:To analyze the perioperative respiratory care methods and application value in children with congenital heart disease.Methods:60 children with congenital heart disease(treated from January 2021 to October 2023)were screened and divided into two groups randomly.Each group consisted of 30 cases.The perioperative routine was used in the control group.The observation group underwent the perioperative routine along with better respiratory care.Oxygenation indicators,surgical complications,and family satisfaction levels of the groups were compared.Results:There was no significant difference in the oxygenation index between the two groups of children at admission(P>0.05).At discharge,the oxygenation indicators in the observation group were better than those of the control group,and the incidence of surgical complications was lower than that of the control group.The total satisfaction of family members in the observation group was higher than that of the control group(P<0.05).Conclusion:During the perioperative period for children with congenital heart disease,the implementation of respiratory care,which mainly involves symptomatic care,catheter care,sputum suction care,etc.,can actively improve the oxygenation indicators,reduce surgical complications,and promote faster and better recovery,of children with congenital heart disease.

Application of Flipped Classroom Combined with PBL Teaching Method in the Teaching of Respiratory Intensive Care Unit Nursing

Objective:The aim is to investigate the application effect of flipped classroom combined with problem-based learning(PBL)teaching method in the teaching of respiratory intensive care unit nursing.Methods:100 fresh nursing students who were interned in the respiratory intensive care unit of our hospital from June 2020 to May 2022 were selected and randomly divided into 50 students in the control group and 50 students in the experimental group.The students in the control group were taught by PBL teaching method,and the students in the experimental group were taught by flipped classroom combined with PBL teaching method.After the completion of the teaching,the teachers combined the performance of the two groups of students,and scored them comprehensively in terms of their professional theoretical knowledge,clinical operation skills,independent learning ability,and teamwork ability,and carried out a survey of the experimental group’s students in terms of their satisfaction with the understanding of theoretical knowledge,clinical operation,independent learning ability,teamwork ability,and other dimensions.Results:There was no statistical significance in the specialized theoretical knowledge scores of the two groups of students(P>0.05).The scores of clinical operation,independent learning ability,and teamwork ability of the two groups of students were statistically significant(P<0.05),and all the scores of the students in the experimental group were higher than that of the control group.More than 90%of the students believed that the flipped classroom combined with PBL teaching method could assist in the comprehension of theoretical knowledge,improve the clinical operation skills,enhance the ability of independent learning and teamwork;there were 92%of the students supported the use of flipped classroom combined with PBL teaching in respiratory intensive care unit nursing teaching.Conclusion:In the teaching of respiratory intensive care unit nursing,the use of flipped classroom combined with PBL teaching method can improve the learning effect of students,and has certain value in teaching.

Intraoperative care of elderly patients with COVID-19 undergoing double lung transplantation:Two case reports

BACKGROUND Lung transplantation is considered an effective method for treating patients with end-stage coronavirus disease 2019(COVID-19).The nurses play a pivotal role in lung transplantation for COVID-19 patients.CASE SUMMARY Two elderly patients were admitted to the emergency department due to cough,and the nucleic acid test was positive.The patients were preliminarily diagnosed with COVID-19.The chest computed tomography scan revealed massive lung consolidation,and the patients did not improve after treatment with antiviral drugs,glucocorticoids,antibiotics,and other drugs.Under the support of pure oxygen in extracorporeal membrane oxygenation,the patients’oxygen levels were still poor,indicating that they were in the terminal stage of viral pneumonia.The patients underwent double-lung transplantation and received intraoperative care.The extracorporeal membrane oxygenation device was removed within a week of the surgical procedure,and the respiratory circulation of the patients were stabilized.CONCLUSION High-quality care for COVID-19 patients undergoing lung transplantation ensures patient safety during operation while protecting the safety of the medical staff.

Assessment of platelet function: Laboratory and point-of-care methods

In the event of blood vessel damage, human platelets are promptly recruited on the site of injury and, after their adhesion, activation and aggregation, prevent blood loss with the formation of a clot. The consequence of abnormal regulation can be either hemorrhage or the development of thrombosis. Qualitative and/or quantitative defects in platelets promote bleeding, whereas the residual reactivity of platelets, despite antiplatelet therapies, play an important role in promoting arterial thrombotic complications. Platelet function is traditionally assessed to investigate the origin of a bleeding syndrome, to predict the risk of bleeding prior surgery or during pregnancy or to monitor the efficacy of antiplatelet therapy in thrombotic syndromes that, now, can be considered a new discipline. "Old" platelet function laboratory tests such as the evaluation of bleeding time and the platelet aggregation analysis inplatelet-rich plasma are traditionally utilized to aid in the diagnosis and management of patients with platelet and hemostatic disorders and used as diagnostic tools both in bleeding and thrombotic diathesis in specialized laboratories. Now, new and renewed automated systems have been introduced to provide a simple, rapid assessment of platelet function including point of care methods. These new methodologies are also suitable for being used in non-specialized laboratories and in critical area for assessing platelet function in whole blood without the requirement of sample processing. Some of these methods are also beginning to be incorporated into routine clinical use and can be utilized as not only as first panel for the diagnosis of platelet dysfunction, but also for monitoring anti-platelet therapy and to potentially assess risk of both bleeding and/or thrombosis.

Investigating the Suitability of Agile Methods for Requirements Development of Home Care Systems

The ageing population in developed countries brings many benefits but also many challenges, particularly in terms of the development of appropriate technology to support their ability to remain in their own home environment. One particular challenge reported for such Home Care Systems (HCS) is the identification of an appropriate requirements development technique for dealing with the typical diverse stakeholders involved. Agile Methods (AMs) recognize this challenge and propose techniques that could be useful. This paper examines the desirable characteristics identified for requirements development in HCS and investigates the extent to which agile practices conform to these. It also sets out future work to improve the situation for the non compliant points found.

Intraoperative Care of the Conscious Patient from the Perspective of the Operating Theatre Nurse:A Grounded Theory

Introduction: Intraoperative care includes a unique knowledge of how to perform a safe and effective surgery procedure. Surgery performed under regional or local anaesthesia allows the patient to remain conscious during the procedure and is rather common in Swedish healthcare today. Aim: The aim was to obtain a deeper understanding of the main concerns of operating theatre nurses (OTN) when caring for conscious patients during the intraoperative phase. Methods: Interviews were conducted with 23 OTNs from five different hospitals in Sweden and analysed according to grounded theory. Findings: The main concern among the OTNs was to take the patient in consideration. The core category “achieve and maintain ethical treatment of patients” in the operating theatre (OT) was a strategy used throughout the intraoperative process. Ethical treatment was described as moral behaviour at different levels and included the team’s behaviour, respectful and individualised patientcare, and the working-morale of the professionals. Being vigilant and being flexible were the categories related to the core category. The OTNs constantly assessed where to pay most attention as they balanced between the needs of the patient, the team, and the surgery procedure. Conclusion: It is important that every patient is taken into consideration and that ethical principles are held to the highest standards in the OT. A familiar team can facilitate that. The complex skills that operating theatre nurses develop can be added to explain important competencies within the profession.

Health-Related Internet Information Both Strengthens and Weakens Parents’ Potential for Self-Care—A Mixed-Methods Study on Parents’ Search Patterns

Background: Today’s parents belong to the digital generation and regularly use the Internet as a source of information. Parents’ quests for health-related online information comprise an effort to manage symptoms of illness or address questions about child development which may be an expression of self-management or self-care. Purpose: This study aims to describe health and child development related Internet search patterns used by parents of children ages zero to six, and further, how the obtained information was used in contacts with Child Health Care. Design and Methods: A two-step mixed- method approach is used in this study, comprising both a quantitative and a qualitative approach. First, a questionnaire was distributed to parents (n = 800) at 13 health centers in a medium sized county in Sweden. Second, one narrative interview with two parents total was conducted. Descriptive and non-parametric statistics were calculated, and qualitative manifest content analyses were performed. Results: A total of 687 completed the questionnaire, which corresponds to a response rate of 86%. The results show that 97% used the Internet for health-related and developmental child issues. The results show that parents often look at basic tips and the Internet is seen as a fast and accessible forum to obtain information. Parents often initiated their Internet searches using Google search for the specific subject, but the most common and most used website (used by 95% of parents), was the Swedish health site 1177.se. 98.4% of parents evaluated the general information searches they made on the Internet as reliable despite only 31% of the parents checking to see if the websites they used were scientifically based. Parents (81.7%) stated that they wanted their Child Health Nurses (CHN) to give them recommendations for valid websites. Conclusions: The results in this study show that, on the one hand, the Internet could strengthen parental knowledge (support self-care capacity), but, on the other hand, the found information could worry them and increase their anxiety—negatively affected self-care capacity. The parents suggested that the information should be double-checked to establish trust and develop self-care knowledge. Having a good resource to rely on, such as personal contact with a CHN, or using reliable websites seems to strengthen and reassure parents.

Determination of Level of Knowledge on Modern Methods of Family Planning among Women of Reproductive Age (18 - 49 Years) at Mathare North Health Center in Nairobi County, Kenya

Introduction: Modern family planning methods (MFPM) prevent unwanted pregnancies, reduce fertility rate, and increase the interval between pregnancies. They prevent pregnancy by preventing fertilization or implantation of the fertilized ovum. MFPM include tubal ligation (TL), vasectomy, oral contraceptive pills, the intrauterine contraceptive device (IUCD), depot injections, sub-dermal implants, and male and female condoms. Objective: To determine the level of knowledge of modern family planning methods (MFPM) among women of reproductive age (18 - 49 years) at the Mathari North Health Center in Nairobi County, Kenya. Methods: The study conducted among women of reproductive age at Mathare North Health Center in Nairobi was a cross-sectional descriptive survey between March 2016 and November 2018. It provided both qualitative and quantitative data. The sample size comprised of 274 women of reproductive age, i.e. (18 - 49 years) attending antenatal and postnatal clinics at the facility. Those excluded were women below 18 years of age, as they could not give consent according to Kenyan Laws. The data were collected using an interviewer-administered structured questionnaire, which consisted of socio-demographic and characteristics, knowledge of modern family planning methods and distance from the facility. Likert scale was used to ensure that data was tabulated on daily basis and subjected to statistical manipulation using Statistical Package for Social Sciences (SPSS). Results: The four leading MFPM in use in order of acceptability were injectables, implants, intrauterine contraceptive device and pills in that order. 91% of respondents were aware or had heard about modern family planning methods. Level of education of mother and father were the two variables that influenced the uptake of MFPM with p-values of 0.0260 and 0.025, respectively. The study further found that knowledge of MFPM had a significant influence on their assimilation and utilization. All secondary variables considered in the research exhibit a substantial relationship concerning the use of MFPM. Conclusion: Communities around Mathari North Health Center need to be given information;education and counselling on MFPM to enable them make an informed decision and choice on their preferred method of family planning.

Evaluation of a Plasma hCG Method for Point of Care Testing with the Aim of Shortening Test-Turnaround-Times

Objective: To examine the correlation between plasma hCG results obtained with the new i-STAT&reg hCG point of care test with those concomitantly obtained from the central hospital laboratory utilizing the same patient samples. Methods: Prospective cross-sectional laboratory test evaluation. We compared plasma hCG results obtained with the i-STAT&reg hCG test (Abbott Point of Care, Princeton, NJ, USA) with Architect Ci8200 (Abbott Laboratories, Abbott Park, IL, USA). We also calculated the total coefficient of variation (CV) for the i-STAT&reg method. Results: The two methods showed a good linear correlation (R2 = 0.994;slope 1.03) and CV for the i-STAT&reg method was 2.1% - 5.2%. Conclusion: We suggest that the i-STAT&reg hCG blood assay could be used as a complement to urine hCG assays in clinical situations when rapid test results are needed and urine is not available.

创伤性伤口患者居家带伤洗浴方案的构建与初步验证研究

背景创伤是一种发生率高、耗费大的全球性健康问题,预防和控制感染是创伤性伤口处理的一大挑战,而创伤后长时间不进行皮肤清洗在影响舒适度的同时也增加伤口感染的发生率。尽管很多患者创伤后有洗浴的意愿,然而何时洗浴、如何洗浴尚不明确,因此,构建适宜的带伤洗浴方案对保持皮肤和伤口清洁十分必要。目的构建适合我国创伤性伤口患者使用的居家带伤洗浴方案,为保持创伤患者的皮肤清洁、改善伤口愈合结局提供可行的护理方案。方法检索国内外数据库获取原始文献,通过循证分析、归纳、小组讨论,形成创伤性伤口患者居家带伤洗浴方案的条目初稿。纳入15名副高职称以上的伤口护理专家,采用德尔菲专家函询法修改和完善带伤洗浴方案,每轮函询间隔1周,采用专家积极系数和权威系数评价函询结果的可靠性,采用变异系数评价函询结果的一致性,当变异系数<0.25时表示专家意见趋于一致,停止函询,形成修改稿。纳入门诊创伤性伤口患者30例进行预试验,采用Likert 5级评分验证带伤洗浴方案的便利性、安全性和患者依从性,讨论修改后形成最终方案。结果纳入23篇相关文献,循证分析、讨论后形成了“洗浴前准备”“洗浴操作”“洗浴后处理”3个一级条目、7个二级条目、9个三级条目和4个四级条目的创伤性伤口患者居家带伤洗浴方案初稿。15位专家进行2轮函询后意见趋于一致,两轮问卷回收率分别为93.75%和100.00%,权威系数分别为0.947和0.957。第一轮各条目重要性和可操作性变异系数分别为0~0.25、0~0.23,第二轮各条目重要性和可操作性变异系数分别为0.09~0.18、0.07~0.14,共删除条目2个,修改条目5个,新增条目2个,形成了修改稿。预试验验证结果:30例创伤性伤口患者依从洗浴方案每周洗浴(2.70±0.47)次,每次洗浴时间10~15 min,便利性评分(4.67±0.48)分,依从性评分(4.70±0.47)分,未发生与洗浴有关的不良事件及洗浴有关的伤口感染。预试验证明洗浴方案安全可靠、简单便利,患者依从性好,最终形成包括3个一级条目、8个二级条目、9个三级条目和3个四级条目的创伤性伤口患者居家带伤洗浴方案终稿。结论本研究构建创伤性伤口患者居家带伤洗浴方案过程中,专家积极系数和权威系数高,获得了函询专家的一致认可。预试验中30例创伤性伤口患者的依从性高,带伤洗浴方案安全、便利,可用于我国创伤性伤口患者居家带伤洗浴。

基于政策工具的河南省医养结合政策文本分析

目的:选取2016~2023年河南省医养结合政策文本为研究对象,研究分析政策文本内容的特征及不足,提出合理化建议,为完善河南省医养结合政策体系提供参考。方法:以政策工具为视角,结合参与主体维度构建二维分析框架,采用内容分析法对27个政策文本进行分析,得到有效编码172条。结果:政策工具结构不平衡,供给型政策工具占29%,需求型政策工具占8%,环境型政策工具占63%;参与主体分布不均衡,政府参与占61%,养老机构参与占8%,医疗卫生机构参与占16%,社会组织参与占12%,健康产业参与占3%。结论:河南省医养结合政策内容丰富、层次鲜明、目标清晰,但政策工具结构不平衡、参与主体分布不均衡,要优化政策工具间结构、协调各参与主体在政策工具中分布、加强各参与主体在各个政策工具中的交互协作,促进河南省医养结合政策发展。

江西省养老机构空间分布格局及可达性研究

目的:评估江西省养老机构空间可达性,为江西省养老机构优化配置提供建议。方法:基于改进两步移动搜索法测度江西省养老机构空间可达性,并采用局部空间自相关分析法、基尼系数评价其适老化及公平性,运用空间误差模型对养老机构可达性进行机制分析。结果:江西省养老机构可达性整体上呈现中部向边缘降低、西高东低的空间格局;南昌市中部区域、赣州市章贡区中部呈现低供给、高需求的特征;在公平性上,江西省养老机构空间分布整体上处于相对合理的水平;老年人口、人均GDP、空气质量指数、路网密度与平均海拔对养老机构可达性具有显著正向影响。结论:江西省养老机构可达性空间差异较为明显,适老化发展水平有待进一步提高,南部与北部区域的养老机构空间分配差距较大,应加强区域之间的合作,促进地区间养老资源配置的协同发展。

家庭养老能力评价指标体系构建与实证分析

家庭养老能力事关社会养老服务需求与发展,亟需构建科学有效的家庭养老能力评价指标体系。文章利用CHARLS2018年调查数据,构建出由自我养老能力、配偶养老能力和子女养老能力组成的3个准则指标,共有9个子准则指标和17个观测指标构成的家庭养老能力综合评价指标体系。采用熵权法和复相关系数法确定指标权重,并运用U检验、H检验和空间相关性分析家庭养老能力及其分维度的分布特征。结果显示:子女养老能力、自我养老能力和配偶养老能力权重系数分别为0.555、0.288和0.157。家庭养老能力的得分为0.433±0.091,子女养老能力、自我养老能力和配偶养老能力分维度得分分别为0.121±0.056、0.066±0.019和0.245±0.069,均呈现右偏分布,子女养老能力维度失分最多,自我养老能力维度差异性最大。女性、农村和西部地区老人的家庭养老能力显著弱于男性、城市和东部地区老人。低龄老人自我养老能力和配偶养老能力显著较高,但子女养老能力也显著低于高龄老人。中国家庭养老能力居前三位的是上海市、北京市和新疆维吾尔自治区,云南省、甘肃省和安徽省居后三位。研究发现中国家庭养老能力总体得分不高,自我养老能力与子女养老能力之间呈现“互补”态势。家庭养老能力分布呈现性别、城乡和区域差异性。养老服务体系需基于当前家庭养老能力及其分维度的地区差异性,因地制宜发展。

手术室口诀式项目管理预防原位肝移植患者术中获得性压力性损伤的效果

目的探讨手术室口诀式项目管理预防原位肝移植患者术中获得性压力性损伤(intraoperative acquired pressure injury,IAPI)的效果。方法选取2022年1月-2023年10月于笔者所在医院行肝移植手术的64例患者为研究对象。按照入院先后顺序,将2022年1月-12月的32例患者设为对照组,将2023年1月-10月的32例患者设为观察组。对照组实施术中IAPI风险常规管理,观察组采用“一看、二定、三查、四准、五巡”的口诀式项目管理,比较2组IAPI预防措施落实情况及IAPI发生率。结果观察组IAPI预防措施落实得分高于对照组(t=6.920,P<0.001),IAPI发生率低于对照组(χ2=6.093,P=0.014)。结论手术室口诀式项目管理可以促进肝移植患者IAPI预防措施的落实,降低术中获得性压力性损伤发生率,值得临床推广应用。

根因分析法3C护理对消毒供应中心护理质控成效的影响

目的探讨消毒供应中心在开展护理管理过程中运用根因分析法3C护理模式对降低护理缺陷事件发生率以及质控成效的影响。方法福建省立医院消毒供应中心2022年6月1日开始运用根因分析法进行3C护理,分析实施前后各1年(2021年6月—2023年6月)消毒供应中心护理管理工作质量。结果评估实施前后各护理管理质量,实施后环境管理(93.01±3.11)分、安全管理(94.15±1.86)分、物品管理(92.11±1.86)分、检查管理(93.46±1.58)分,均明显高于管理前的(82.14±2.34)分、(81.45±1.86)分、(83.45±1.45)分、(80.05±2.34)分(P<0.05)。随机抽选两观察时间段患者500例,实施后护理缺陷事件发生率为0.20%,低于实施前的5.00%(P<0.05)。实施后院内感染率为1.00%,低于实施前的9.40%(P<0.05)。实施后对消毒供应中心护理工作满意度为98.00%,高于实施前的92.00%(P<0.05)。结论消毒供应中心在开展日常护理管理过程中将根因分析法3C护理进行运用,可以降低护理缺陷事件发生率,提升质量控制效果,对于提升消毒供应中心护理工作质量有重要作用。

长江经济带养老服务均等化建设水平及收敛性研究

为准确把握长江经济带养老服务均等化建设现状,确保区域养老服务协调发展,构建养老服务均等化建设评价指标体系,以长江经济带11个省市最新面板数据为样本,运用熵值法、泰尔指数对长江经济带养老服务均等化建设水平进行测评,并基于σ收敛、绝对β收敛和条件β收敛模型实证检验其收敛效应。研究发现:样本考察期内,长江经济带养老服务均等化建设差距逐渐缩小,且区域间差异小于区域内差异。长江经济带上下游地区养老服务均等化建设水平存在显著的σ收敛特征,下游地区绝对β收敛程度最高,且在上述模型下,存在上下游地区对中游地区的“追赶”效应;不同驱动因素的条件β收敛情况各不相同:65岁以上的人口数量显著促进了长江经济带上下游地区养老服务均等化建设呈条件β收敛,卫生机构数量显著促进了中游地区呈条件β收敛,城乡居民基本养老保险基金支出显著促进了长江经济带整体及各地区养老服务均等化建设呈条件β收敛。实证分析结论为应对人口老龄化和提升养老服务均等化建设水平提供了重要政策启示。

我国安宁疗护通识创新教育思考

随着中国人口老龄化进程加剧,安宁疗护作为提高临终患者生命质量的重要保障越来越受到社会关注,需求不断增加。安宁疗护需要复合型人才,通识教育可提升人们对安宁疗护的认知和理解,使更多的人了解、接纳并参与安宁疗护。随着安宁疗护知识和技术的进步,传统的灌输式教育模式已无法满足实际需求,因此,急需创新安宁疗护教育策略。通过分析目前中国安宁疗护通识教育存在的问题,并从建立安宁疗护通识创新教育体系和评价体系、多元化的教育内容和方法、加强医务人员培训、促进学员群体多元化、加强社会公众安宁疗护知识普及等方面提出安宁疗护通识创新教育的思考和建议。

老年髋部骨折病人出院过渡期护理质量评价体系的构建

目的:构建老年髋部骨折病人出院过渡期护理质量评价体系。方法:以Donabedian提出的结构-过程-结果三维质量模型为理论框架,采用文献分析法、德尔菲法构建老年髋部骨折病人出院过渡期护理质量评价体系。结果:2轮专家函询问卷有效回收率均为100%,专家权威系数分别为0.930和0.935,指标变异系数分别为0.000~0.218和0.000~0.168,肯德尔和谐系数分别为0.331和0.259(均P<0.001)。最终构建的老年髋部骨折病人出院过渡期护理质量评价体系包括3个一级指标、15个二级指标、52个三级指标。结论:构建的老年髋部骨折病人出院过渡期护理质量评价体系具有较高的科学性、可靠性和实用性,可为老年髋部骨折病人出院过渡期护理实践提供参考。

LPCBL联合Seminar教学法在产科护理带教中的应用

目的 探讨应用以授课、问题、案例为基础的教学法(lecture,problem,case-based learning,LPCBL)联合Seminar教学法对于产科护理的带教价值。方法 选取2021年5月—2022年1月南京市妇幼保健院产科接收的106名护理实习生作为研究对象,按照随机数字表法的原则,分成观察组与对照组2组,每组学生均为53名。对照组应用以教师为主体教学方式(lecture-based learning,LBL),观察组采取LPCBL联合Seminar教学法。对比2组实习生在经2个月实习的理论与实践操作考核成绩,实习生对于带教工作满意度。结果 在实习生的考核中,观察组的理论知识考核成绩(92.02±4.28)分、实践操作考核成绩(89.25±4.15)分均要比对照组更高,差异有统计学意义(P <0.001);调查实习生对于教学工作满意度情况,观察组的各个方面满意度得分高于对照组,差异有统计学意义(P <0.001)。结论 在对产科的护理带教工作中,采取LPCBL联合Seminar教学法的教学手段,能够取得良好教学成效,有助于提高实习生对理论知识掌握,并且也对实习生操作水平以及满意度提高有利。

分阶段护理在达芬奇机器人辅助肺癌根治术患者中的应用

目的分析基于德尔菲法的分阶段护理在达芬奇机器人辅助肺癌根治术患者中的应用效果。方法选取医院2021年5月至2022年10月收治的87例肺癌患者,均在全麻下接受达芬奇机器人辅助肺癌根治术治疗,依照随机数字表法分为两组,对照组(43例)接受常规护理干预,观察组(44例)在对照组基础上接受基于德尔菲法指导的分阶段护理,比较两组干预前后心理应激反应、生理应激反应、癌因性疲乏程度、生活质量。结果术前30 min,两组14项汉密尔顿焦虑量表(HAMA)、17项汉密尔顿抑郁量表(HAMD)评分均降低,且观察组低于对照组(P<0.05);术前30 min,两组心率、收缩压、舒张压水平均升高,但观察组较对照组低(P<0.05);干预后,观察组Piper疲乏量表(PFS)评分低于对照组,肺癌患者生存质量测定量表(FACT-L)评分高于对照组(P<0.05)。结论基于德尔菲法指导的分阶段护理应用于全麻下达芬奇机器人辅助肺癌根治术患者,能有效减少心理、生理应激,缓解癌因性疲乏程度,提高生活质量。