背景:肺癌是癌症中发病率和死亡率高的恶性肿瘤。手术是目前治疗肺癌的主要方法之一。虽然它可以通过去除病变来减缓疾病的进展,这种侵入性手术不可避免地损害了患者胸部的完整性。此外,患者的肺功能在手术后可能有较低的代偿能力,引起各种呼吸系统疾病,如肺不张,呼吸功能下降,甚至严重的心血管疾病。所有这些都对手术效果和患者的预后有很大的负面影响。随着护理的不断探索和发展,延续护理和呼吸运动护理逐渐应用于肺癌术后患者的护理中,并取得了良好的护理效果。
目的:探讨延续护理联合呼吸运动护理对肺癌术后患者肺功能的影响。
方法:选取2021年1月至2021年12月在我院接受手术治疗的80例肺癌患者作为研究对象。将所有受试者随机分为对照组(n=40例)和实验组(n=40例)。对照组肺癌患者在手术后给予常规护理,实验组在常规护理的基础上给予延续性护理联合呼吸运动护理。观察两组干预前后3个月肺功能和呼吸道症状恢复情况。肺功能参数,血气分析,MD安德森症状清单-肺癌模块(MDASI-LC)评分,肺部并发症的发生率,比较两组干预前后3个月的Morisky依从性评分。
结果:干预前两组肺功能、血气分析比较差异无统计学意义(P>0.05)。干预后3个月,实验组肺功能参数(SpO2、VC、MVV,FEV1,FEV1%pred,和FEV1/FVC)高于对照组,差异均有统计学意义(P<0.05)。干预前两组血气分析比较差异无统计学意义(P>0.05)。实验组PaO2明显高于对照组,干预后3个月,PaCO2明显低于对照组。差异有统计学意义(P<0.05)。干预后3个月,实验组呼吸症状的MDASI评分明显低于对照组(P<0.05),观察组肺部并发症发生率低于对照组(P<0.05)。此外,实验组患者的治疗依从性和护理满意度均高于对照组,差异均有统计学意义(P<0.05)。
结论:延续性护理联合呼吸运动护理可明显加快肺癌术后患者呼吸功能的恢复。降低肺癌术后并发症的发生率,提高患者治疗依从性。
BACKGROUND: Lung cancer is a malignant tumor with high morbidity and mortality among cancers. Surgery is currently one of the primary methods of treating lung cancer. Although it can slow down the progression of the disease by removing the lesion, this invasive surgery inevitably damages the integrity of the patient\'s chest. Moreover, the patient\'s pulmonary function may have a low compensatory capacity after surgery, causing various respiratory diseases such as atelectasis, respiratory function decline, and even serious cardiovascular disease. All of these have great negative impacts on the surgical effect and the prognosis of patients. With the continuous exploration and development of nursing, continuous nursing and respiratory exercise nursing have been gradually applied in the nursing of patients after lung cancer surgery, and have achieved good nursing results.
OBJECTIVE: To investigate the effect of continuous nursing combined with respiratory exercise nursing on the pulmonary function of postoperative patients with lung cancer.
METHODS: A total of 80 patients with lung cancer who underwent surgery in our hospital from January 2021 to December 2021 were selected as the study subjects. All subjects were randomly divided into the control group (n = 40 cases) and the experimental group (n = 40 cases). Patients with lung cancer in the control group were given conventional nursing after surgery, while the experimental group was given continuous nursing combined with respiratory exercise nursing based on conventional nursing. The recovery of pulmonary function and respiratory symptoms was observed before and after 3 mo of intervention in both groups. The pulmonary function parameters, blood gas analysis, MD Anderson Symptom Inventory-lung cancer module (MDASI-LC) scores, incidence of pulmonary complications, and Morisky compliance scores were compared between the two groups before and after 3 mo of intervention.
RESULTS: There was no significant difference in pulmonary function and blood gas analysis between the two groups before intervention (P > 0.05). 3 mo after the intervention, the pulmonary function parameters in the experimental group (SpO2, VC, MVV, FEV1, FEV1% pred, and FEV1/FVC) were higher than those in the control group, and the differences were statistically significant (P < 0.05). There was no significant difference in blood gas analysis between the two groups before intervention (P > 0.05). PaO2 in the experimental group was significantly higher than that in the control group, and PaCO2 was significantly lower than that in the control group 3 mo after the intervention. The difference had statistical significance (P < 0.05). 3 mo after the intervention, the MDASI score of respiratory symptoms in the experimental group was significantly lower than that in the control group (P < 0.05), and the incidence of pulmonary complications was lower than that in the control group (P < 0.05). In addition, the treatment compliance and nursing satisfaction of patients in the experimental group were higher than those in the control group, and the differences were statistically significant (P < 0.05).
CONCLUSIONS: Continuous nursing combined with respiratory exercise nursing can significantly accelerate the recovery of respiratory function in postoperative lung cancer patients, reduce the incidence of postoperative complications of lung cancer as well as improve the treatment compliance of patients.