Objective To explore the effect of preoperative health education on postoperative stress response,nega-tive emotions,and pain degree in elderly lung cancer patients.Method A total of 108 elderly lung cancer patients were selected,all of whom underwent radical surgery for lung cancer.They were divided into conventional group and observa-tion group based on different preoperative visit methods,with 54 cases in each group.Patients in the conventional group received routine preoperative visit,while patients in the observation group received preoperative health education on the basis of routine preoperative visit.The stress response indicators[cortisol(Cor),adrenocorticotropic hormone(ACTH),epinephrine,high-sensitive C-reactive protein(hs-CRP),tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)],coping strategies,psychological status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],pain degree[visual analogue scale(VAS)],lung function indicators[forced vital capacity(FVC),forced expiratory volume in one second(FEVi),peak expiratory flow(PEF),maximal voluntary ventilation(MVV),respiratory frequency,tidal volume],postop-erative recovery indicators,and incidence of complications were compared between the two groups.Result At 24 h after surgery,the Cor,ACTH,epinephrine,hs-CRP,IL-6,TNF-α in observation group were lower than those in conventional group,and the differences were statistically significant(P＜0.05).After surgery,the positive coping score in observation group was higher than that in conventional group,while the negative coping,SAS and SDS scores were lower than those in conventional group,and the differences were statistically significant(P＜0.05).At 12,24,and 72 h after surgery,the VAS scores in observation group were significantly lower than those in conventional group,and the differences were sta-tistically significant(P＜0.01).Seven days after surgery,the FVC,FEV1,PEF,MVV,and tidal volume in conventional group were lower than those before surgery and observation group,the respiratory rate were higher than those before sur-gery and observation group,and the differences were statistically significant(P＜0.05).The daily sputum output of the ob-servation group was significantly more than that of the conventional group,and the extubation time,ventilator usage time,mobilization time,intensive care unit stay time,and hospitalization time were all significantly shorter than those of the conventional group,and the differences were statistically significant(P＜0.01).The total incidence of postoperative com-plications in the conventional group was 22.22％,which was higher than 7.41％in the observation group,and the differ-ence was statistically significant(P＜0.05).Conclusion Preoperative health education can alleviate the degree of postop-erative stress response in elderly lung cancer patients,alleviate negative emotions and pain degree,promote postoperative recovery,and reduce the incidence of complications.
elderly lung cancerpreoperative health educationstress responsenegative emotionpain degree
万方数据
维普
