PDF(Pubmed)
Abstract：
UNASSIGNED: To examine the application effect of precision nursing strategies based on multidisciplinary collaboration model in older patients undergoing thoracoscopic surgery for lung cancer.
UNASSIGNED: A total of 100 patients who were admitted to our hospital for thoracoscopic surgery for lung cancer between July 2022 and March 2023 were prospectively enrolled for the study. They were assigned, with a random number table, to two groups, a control group receiving routine nursing care and an experimental group receiving nursing care based on multidisciplinary collaborative precision nursing strategies. Their lung function, anxiety and depression scores, and quality of life were assessed at three points of time, including upon admission, one week after surgery, and one month after surgery, and comparison was made between the two groups.
UNASSIGNED: There were significant differences in forced expiratory volume in one second (FEV1) at the three time points ( F=156.787, P<0.001) and the ratio of FEV1 to forced vital capacity (FVC) (FEV1/FVC%) at the three time points ( F=25.587, P<0.001) between two groups. There were significant difference between the findings for FEV1, FEV1/FVC%, FVC, and maximum voluntary ventilation (MVV) indexes at 1 week and those at 1 month after surgery in the experimental group ( P<0.05). After the surgery, the pulmonary function of the experimental group was better than that of the control group. The anxiety and depression scores of the experimental group were lower than those of the control group, with the difference being statistically significant ( P<0.05), which suggested that the experimental group showed improvement in anxiety and depression in comparison with the control group. Regarding the quality of life, there were significant differences between the two groups in the scores for the functional dimension ( F=109.798, P<0.001), the symptom dimension ( F=106.936, P<0.001), other items ( F=78.798, P<0.001), and overall health dimensions ( F=174.307, P<0.001). At 1 week and 1 month after surgery, the experimental group had higher scores for the functional dimension and lower scores for the symptom dimension than the control group did, with the differences being statistically significant ( P<0.05). The overall health status of the experimental group was better than that of the control group.
UNASSIGNED: Precision nursing strategies based on multidisciplinary collaboration model can effectively help improve the lung function, the mood, and the quality of life of patients in the short term, showing considerable promise for wide clinical application.
UNASSIGNED: A total of 100 patients who were admitted to our hospital for thoracoscopic surgery for lung cancer between July 2022 and March 2023 were prospectively enrolled for the study. They were assigned, with a random number table, to two groups, a control group receiving routine nursing care and an experimental group receiving nursing care based on multidisciplinary collaborative precision nursing strategies. Their lung function, anxiety and depression scores, and quality of life were assessed at three points of time, including upon admission, one week after surgery, and one month after surgery, and comparison was made between the two groups.
UNASSIGNED: There were significant differences in forced expiratory volume in one second (FEV1) at the three time points ( F=156.787, P<0.001) and the ratio of FEV1 to forced vital capacity (FVC) (FEV1/FVC%) at the three time points ( F=25.587, P<0.001) between two groups. There were significant difference between the findings for FEV1, FEV1/FVC%, FVC, and maximum voluntary ventilation (MVV) indexes at 1 week and those at 1 month after surgery in the experimental group ( P<0.05). After the surgery, the pulmonary function of the experimental group was better than that of the control group. The anxiety and depression scores of the experimental group were lower than those of the control group, with the difference being statistically significant ( P<0.05), which suggested that the experimental group showed improvement in anxiety and depression in comparison with the control group. Regarding the quality of life, there were significant differences between the two groups in the scores for the functional dimension ( F=109.798, P<0.001), the symptom dimension ( F=106.936, P<0.001), other items ( F=78.798, P<0.001), and overall health dimensions ( F=174.307, P<0.001). At 1 week and 1 month after surgery, the experimental group had higher scores for the functional dimension and lower scores for the symptom dimension than the control group did, with the differences being statistically significant ( P<0.05). The overall health status of the experimental group was better than that of the control group.
UNASSIGNED: Precision nursing strategies based on multidisciplinary collaboration model can effectively help improve the lung function, the mood, and the quality of life of patients in the short term, showing considerable promise for wide clinical application.
摘要：
■探讨基于多学科协作模式的精准护理策略在老年肺癌胸腔镜手术患者中的应用效果。
在2022年7月至2023年3月期间，共有100名因肺癌胸腔镜手术入院的患者被前瞻性纳入研究。他们被分配，使用随机数表，两组，对照组接受常规护理，实验组接受基于多学科协同精准护理策略的护理。他们的肺功能，焦虑和抑郁评分，在三个时间点评估生活质量，包括在入场时，手术后一周,手术后一个月，并对两组进行比较。
■两组在三个时间点的一秒用力呼气量（FEV1）和FEV1与用力肺活量（FVC）的比值（FEV1/FVC％）在三个时间点（F=25.587，P<0.001）之间存在显着差异。FEV1、FEV1/FVC%的研究结果之间存在显著差异，FVC,实验组术后1周及术后1个月的最大自主通气(MVV)指标(P<0.05)。手术后,实验组肺功能优于对照组。实验组的焦虑和抑郁评分低于对照组,差异有统计学意义(P<0.05),这表明实验组与对照组相比，焦虑和抑郁有所改善。关于生活质量，两组在功能维度评分方面存在显著差异(F=109.798,P<0.001),症状维度(F=106.936,P<0.001),其他项目(F=78.798，P<0.001)，总体健康维度(F=174.307,P<0.001)。手术后1周和1个月，实验组的功能维度得分高于对照组，症状维度得分低于对照组，差异有统计学意义(P<0.05)。实验组的整体健康状况优于对照组。
■基于多学科协作模式的精准护理策略可以有效帮助改善肺功能，心情,以及短期内患者的生活质量，显示出广阔的临床应用前景。
在2022年7月至2023年3月期间，共有100名因肺癌胸腔镜手术入院的患者被前瞻性纳入研究。他们被分配，使用随机数表，两组，对照组接受常规护理，实验组接受基于多学科协同精准护理策略的护理。他们的肺功能，焦虑和抑郁评分，在三个时间点评估生活质量，包括在入场时，手术后一周,手术后一个月，并对两组进行比较。
■两组在三个时间点的一秒用力呼气量（FEV1）和FEV1与用力肺活量（FVC）的比值（FEV1/FVC％）在三个时间点（F=25.587，P<0.001）之间存在显着差异。FEV1、FEV1/FVC%的研究结果之间存在显著差异，FVC,实验组术后1周及术后1个月的最大自主通气(MVV)指标(P<0.05)。手术后,实验组肺功能优于对照组。实验组的焦虑和抑郁评分低于对照组,差异有统计学意义(P<0.05),这表明实验组与对照组相比，焦虑和抑郁有所改善。关于生活质量，两组在功能维度评分方面存在显著差异(F=109.798,P<0.001),症状维度(F=106.936,P<0.001),其他项目(F=78.798，P<0.001)，总体健康维度(F=174.307,P<0.001)。手术后1周和1个月，实验组的功能维度得分高于对照组，症状维度得分低于对照组，差异有统计学意义(P<0.05)。实验组的整体健康状况优于对照组。
■基于多学科协作模式的精准护理策略可以有效帮助改善肺功能，心情,以及短期内患者的生活质量，显示出广阔的临床应用前景。
