Application effect of 5A model intervention based on rapid rehabilitation theory in elderly patients undergoing surgery for lung squamous cell carcinoma
Objective To explore the application effect of 5A model intervention based on rapid rehabilitation theory in elderly patients undergoing surgery for lung squamous cell carcinoma.Method According to different intervention methods,98 elderly patients with lung squamous cell carcinoma who underwent surgery were divided into control group(n=46)and observation group(n=52).The control group received routine intervention,and the observation group re-ceived 5A model intervention based on rapid rehabilitation theory on the basis of the control group.The postoperative re-covery indexes,fatigue degree[Piper fatigue scale(PFS)],self-care ability[exercise of self-care agency scale(ESCA)],pulmonary function indexes[forced vital capacity(FVC),ventilation time,forced expiratory volume in one second(FEV1)]and postoperative complications were compared between the two groups.Result The anal exhaust time,drain-age tube indentation time,first getting out of bed time and hospitalization time in observation group were significantly shorter than those in control group,and the differences were statistically significant(P＜0.01).After intervention,the PFS scores in both groups were lower than those before intervention,the ESCA scores were higher than those before interven-tion,the PFS score in observation group was lower than that in control group,the ESCA score was higher than that in con-trol group,the differences were statistically significant(P＜0.05).After intervention,the FVC and FEV1 in both groups were higher than those before intervention,and the ventilation time was shorter than those before intervention,the FVC and FEV1 in observation group were higher than those in control group,and the ventilation time was shorter than that in control group,the differences were statistically significant(P＜0.05).The total incidence of postoperative complications in observation group was lower than that in control group(P＜0.05).Conclusion 5A model intervention based on rapid re-habilitation theory can promote postoperative rehabilitation,reduce fatigue degree and incidence of postoperative compli-cations,improve self-care ability and lung function in elderly patients with lung squamous cell carcinoma undergoing sur-gery.
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