摘要
目的:观察快速康复外科理念护理在胸腔镜肺癌手术患者围术期中的应用效果。方法:选取2019年3月至2021年5月在该院行胸腔镜肺癌手术的82例患者进行前瞻性研究,按照随机数字表法分为对照组和观察组各41例。对照组围术期接受常规护理,观察组围术期接受快速康复外科理念护理,比较两组手术相关指标水平、术后疼痛程度[视觉模拟评分法(VAS)]评分、并发症发生率和护理满意度。结果:观察组术后下床时间、导尿管拔除时间、胸腔引流管拔除时间和住院时间均短于对照组,差异有统计学意义(P<0.05);术后1、2、3 d,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为7.32%,低于对照组的24.39%,差异有统计学意义(P<0.05);观察组护理满意度为95.12%,高于对照组的80.49%,差异有统计学意义(P<0.05)。结论:快速康复外科理念护理应用于胸腔镜肺癌手术围术期患者,可缩短手术相关指标水平,降低术后VAS评分和并发症发生率,提高护理满意度,效果优于常规护理。
Objective: To observe application effects of fast track surgery concept nursing in perioperative period of patients undergoing thoracoscopic lung cancer surgeries. Methods: A prospective study was conducted on 82 patients who underwent thoracoscopic lung cancer surgeries in the hospital from March 2019 to May 2021. They were divided into control group and observation group according to the random number table method, 41 cases in each. The control group received routine nursing during the perioperative period, while the observation group was given the fast track surgery concept nursing. The levels of surgery-related indicators, the postoperative pain [visual analogue scale(VAS)] score, the incidence of complications, and the nursing satisfaction were compared between the two groups. Results: The postoperative ambulation time, the catheter removal time, the chest drainage tube removal time and the hospitalization time in the observation group were shorter than those in the control group, and the differences were statistically significant(P<0.05). 1, 2 and 3 days after the surgery, the VAS scores of the observation group were lower than those of the control group, and the differences were statistically significant(P<0.05). The incidence of complications of the observation group was 7.32%, which was lower than 24.39% in the control group, and the difference was statistically significant(P<0.05). Further, the nursing satisfaction of the observation group was 95.12%, which was higher than 80.49% of the control group, and the difference was statistically significant(P<0.05).Conclusions: The fast track surgery concept nursing in the perioperative period of the patients undergoing thoracoscopic lung cancer surgeries can shorten the levels of surgery-related indicators, reduce the postoperative VAS score and the incidence of complications, and improve the nursing satisfaction. Moreover, it is superior to the routine nursing.
作者
杨林
YANG Lin(Department of Thoracic Surgery of the First Affiliated Hospital of Nanyang Medical College,Henan 473058 Nanyang,China)
出处
《中国民康医学》
2022年第19期171-174,共4页
Medical Journal of Chinese People’s Health
关键词
肺癌
胸腔镜
肺叶切除术
快速康复外科理念
住院时间
疼痛程度
并发症
Lung cancer
Thoracoscope
Pulmonary lobectomy
Fast track surgery concept
Hospitalization time
Pain level
Complication
作者简介
杨林(1988.02-),女,汉族,河南南阳人,本科,护师,研究方向为胸外科护理。
