Efficacy of time-care respiratory training combined with sputum evacuation management for patients with lung cancer after surgery
Objective To analyze the efficacy of time-care respiratory training and sputum evacuation management for patients with lung cancer after surgery.Methods One hundred and twenty patients with lung cancer surgically treated at Xianyang Central Hospital from January 2020 to January 2023 were selected as the observation objects.The 60 patients who took routine care from January 2020 to June 2022 were set as a control group,and the 60 patients who took time-care respiratory training and sputum expectoration management from February 2022 to January 2023 were set as an observation group.In the control group,there were 45 males and 15 females;they were(65.39±6.25)years old;their body mass index(BMI)was(23.54±2.15)kg/m2.In the observation group,there were 43 males and 17 females;they were(65.85±5.48)years old;their BMI was(23.68±2.24)kg/m2.The 6-minute walking test(6MWT)and Quality of Life Scale for Lung Cancer Patients(QLQ-C30)were used to evaluate their walking ability and quality of life.The pulmonary function indicators and sputum evacuation abilities were compared between the two groups by t and x2 tests.Results After the intervention,the 6MWT and sputum evacuation volume in the observation group were higher than those in the control group[(5.38±0.59)m vs.(4.96±0.85)m and(52.69±5.12)ml vs.(50.26±5.36)ml];the cough time in the observation group was shorter than that in the control group[(2.96±0.45)d vs.(3.21±0.56)d];there were statistical differences(t=3.14,2.54,and 2.70;all P＜0.05).The tidal volume,vital capacity,functional residual capacity,and total lung capacity in the observation group were higher than those in the control group[(0.52±0.08)L vs.(0.48±0.11)L,(3.38±0.31)L vs.(3.21±0.21)L,(2.26±0.26)L vs.(2.15±0.28)L,and(5.21±0.56)L vs.(4.86±0.57)L],with statistical differences(t=2.28,3.55,2.23,and 3.39;all P＜0.05).The scores of lung cancer questions,body function,emotion function,contact/social function,and functional status in the observation group were higher than those in the control group[(72.59±3.48)vs.(70.48±3.59),(72.58±3.59)vs.(70.58±3.56),(75.63±5.45)vs.(73.58±5.48),(72.59±3.59)vs.(70.59±3.57),and(73.69±2.57)vs.(72.48±2.48)],with statistical differences(t=3.27,3.06,2.06,3.06,and 2.62;all P＜0.05).Conclusion Time-care respiratory training combined with sputum evacuation management for patients with lung cancer after surgery can improve their lung function,walking,sputum evacuation ability,and quality of life.
Lung cancerTime-careRespiratory trainingSputum evacuation care
万方数据
维普
