Effect of preoperative video education combined with psychological nursing on postoperative patients with lung cancer during perioperative period
Objective To analyze the impact of preoperative video education combined with psychological care on postoperative patients with lung cancer during the perioperative period.Methods One hundred and fifty-five patients who underwent lung surgery at Department of Thoracic Surgery,First Hospital,Guangzhou Medical University from July 2022 to July 2023 were selected for the randomized controlled trial,and were divided into a control group(78 cases)and an observation group(77 cases)by computer lottery.There were 35 males and 43 females in the control group;they were(52.37±4.61)years old.There were 32 males and 45 females in the control group;they were(53.24±5.32)years old.The control group took routine care,including preoperative preparation,condition observation,etc.The observation group took preoperative video education and psychological care.The scores of Activity of Daily Living(ADL),Visual Analogue Scale(VAS),and pressure sore 24 h after the surgery,catheter-indwelled times,chest tube indwelled times,hospitalization times after the surgery,total hospitalization costs,and chest X-ray examination on the second day after surgery were compared between the two groups.t and x2 tests were applied.Results The VAS score,catheter indwelled time,chest tube indwelled time,postoperative hospitalization time,and total hospitalization cost in the observation group were lower than those in the control group[(2.15±0.23)vs.(2.47±0.35),(10.27±1.62)h vs.(13.82±2.14)h,(2.03±0.24)d vs.(2.15±0.17)d,(2.15±0.23)d vs.(2.47±0.35)d,and(63 148.68±2 041.31)yuan vs.(65 362.51±1 869.87)yuan];the scores of pressure sore and ADL in the observation group were higher than those in the control group[(18.67±1.35)vs.(17.54±1.22)and(30.65±2.14)vs.(27.87±3.26)];there were statistical differences(t=6.72,11.63,3.60,6.72,7.04,5.47,and 6.27;all P＜0.05).Conclusions Preoperative video education combined with psychological care can significantly improve the perioperative state of lung cancer surgery,increase the patients'awareness of surgery,pain,and other related knowledge,strengthen their cooperation and compliance,alleviate their anxiety and tension,and reduce their pain,analgesics dosage,and postoperative hospital stay.Under the concept of rapid recovery surgery,the combination of preoperative video education and psychological care in thoracic surgery has advantages for the patients'perioperative recovery,so it is worthy of clinical promotion and application.
Lung cancerPsychological carePreoperative video educationRapid lung rehabilitation
万方数据
维普
