Effects of stepped nursing mode on home care and lung function in patients undergoing thoracoscopic radical resection for lung cancer
Objective To explore the effects of stepped nursing mode on home care and lung function in patients undergoing thoracoscopic radical resection for lung cancer.Methods A total of 100 patients undergoing thoracoscopic radical resection for lung cancer admitted to the Thoracic Surgery of Lianyungang Hospital of Traditional Chinese Medicine and the Thoracic Surgery of the Second People's Hospital of Lianyungang from November 2020 to November 2023 were selected as the study objects,and the patients were divided into a control group(50 cases)and an intervention group(50 cases)by the random number table method.In the control group,there were 31 males and 19 females,aged(68.42±7.67)years,including 32 cases of TNM stage Ⅱand 18 cases of TNM stage Ⅲ.In the intervention group,there were 29 males and 21 females,aged(68.56±8.46)years,including 28 cases of TNM stage Ⅱ and 22 cases of TNM stage Ⅲ.The control group adopted routine rehabilitation nursing mode,and the intervention group adopted stepped nursing mode on the basis of the control group.The nursing observation time was 4 weeks in both groups.The home care level[Family Resilience Assessment Scale(FRAS)],pulmonary function indicators[forced vital capacity(FVC),vital capacity(VC),maximum ventilation volume(MVV),and total lung volume(TLC)],and postoperative complications(respiratory failure,pulmonary infection,arrhythmia,and pulmonary atelectasis)were compared between the two groups.Independent sample t test,paired t test,and x2 test were used.Results After intervention,the scores of 6 dimensions of the FRAS in the intervention group were higher than those in the control group(all P＜0.05);the levels of FVC[(85.47±5.53)％],VC[(2.47±0.50)L],MVV[(89.46±5.47)％],and TLC[(6.45±1.32)L]in the intervention group were higher than those in the control group[(80.53±3.66)％,(1.85±0.42)L,(83.58±4.63)％,and(5.62±1.41)L](all P＜0.05).The total incidence of postoperative complications in the intervention group[2.00％(1/50)]was lower than that in the control group[16.00％(8/50)](P＜0.05).Conclusion The stepped nursing mode can improve the home care and lung function in patients undergoing thoracoscopic radical resection for lung cancer,and reduce the postoperative complications.
Thoracoscopic radical resection for lung cancerStepped nursing modeHome careLung functionComplications
万方数据
维普
