摘要
目的探讨呼吸道护理联合肺康复运动训练对肺癌患者术后康复效果的影响。方法选择2019年2月—2020年10月于该院行手术治疗的90例肺癌患者为研究对象,采用随机数字表法分为两组,每组45例。对照组采用呼吸道护理,观察组采用呼吸道护理联合肺康复运动训练。比较两组患者干预前及干预8周后的用力肺活量(forced vital capacity,FVC)、第1秒用力呼气容积(forced expiratory volume in one second,FEV_(1))、第1秒用力呼气容积占用力肺活量的比值(forced expiratory volume in one second/forced vital capacity,FEV_(1)/FVC)、6 min步行试验(6 minute walking test,6MWT)及术后并发症发生情况。结果干预8周后,两组的FVC、FEV_(1)、FEV_(1)/FVC均高于治疗前,且观察组各指标均高于对照组,组间差异有统计学意义(P<0.05)。干预8周后,两组的6MWT距离长于干预前,且观察组6MWT距离长于对照组,差异有统计学意义(P<0.05)。观察组的并发症发生率为4.44%,低于对照组的17.78%,差异有统计学意义(P<0.05)。结论呼吸道护理联合肺康复运动训练能够有效提升肺癌患者术后肺功能,提高其运动耐力,降低并发症风险。
Objective To explore the influence of respiratory nursing combined with lung rehabilitation exercise training on postoperative rehabilitation of lung cancer patients.Methods A total of 90 patients with lung cancer who underwent surgical treatment in this hospital from February 2019 to October 2020 were selected as the research subjects.They were divided into two groups by random number table method,with 45 patients in each group.The control group received respiratory nursing,and the observation group received respiratory nursing combined with pulmonary rehabilitation exercise training.The forced vital capacity(FVC),forced expiratory volume in one second(FEV_(1)),expiratory volume in one second/forced vital capacity(FEV_(1)/FVC),minute walking test(6MWT)between the two groups before intervention and 8 weeks after intervention and the postoperative complications of the two groups were compared.Results After 8 weeks of intervention,the FVC,FEV_(1)and FEV_(1)/FVC in both groups were higher than before,and all indexes in the observation group were higher than those in the control group,the differences between groups were statistically significant(P<0.05).After 8 weeks of intervention,the 6MWT distance of the two groups was longer than before,and 6MWT distance of the observation group was longer than that of the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 4.44%,lower than 17.78%in the control group,and the difference was statistically significant(P<0.05).Conclusion Respiratory nursing combined with lung rehabilitation exercise training can effectively improve the lung function of lung cancer patients after operation,improve their exercise endurance,reduce the risk of complications.
作者
牛文艳
NIU Wenyan(Department of Thoracic Surgery,Zibo Hospital,Shandong Guoxin Health Care Group,Zibo Shandong,255120,China)
出处
《反射疗法与康复医学》
2021年第9期175-178,共4页
Reflexology And Rehabilitation Medicine
关键词
肺癌
术后
呼吸道护理
肺康复运动训练
肺功能
运动耐力
Lung cancer
Postoperative
Respiratory care
Lung rehabilitation exercise training
Lung function
Sports endurance
作者简介
牛文艳(1979-),女,山东淄博人,本科,主管护师,研究方向:胸外科护理。