Application of three-level quality control led by navigation nurses in accelerated rehabilitation of patients undergoing thoracoscopic resection of lung cancer
Application of three-level quality control led by navigation nurses in accelerated rehabilitation of patients undergoing thoracoscopic resection of lung cancer
Objective To explore the application effect of three-level quality control led by navigation nurses in accelerating rehabilitation of patients undergoing thoracoscopic lung cancer resection.Methods A total of 106 lung cancer patients admitted to our hospital from June 2020 to June 2023 were selected and randomly divided into an observation group(n=53)and a control group(n=53)using a random number table method.All patients were treated with thoracoscopic lung cancer resection,while the control group received routine preoperative,intraoperative and postoperative perioperative care,the observation group received a three-level quality control nursing led by navigation nurses in addition to routine perioperative care.The length of hospitalization,postoperative complications,WHOQOL-100 and PFS before and after care,and the nursing satisfaction of the two groups were compared.Results The observation group had significantly shorter first exhaust time,first time out of bed,postoperative visual analogue scale(VAS)score and postoperative hospital stay compared to the control group(P＜0.05).The incidence of complications in the observation group was lower than that in the control group(P＜0.05).After intervention,the WHOQOL-100 scores of both groups increased,and the observation group was higher than the control group.The PFS score decreased,and the observation group was lower than the control group(P＜0.05).The nursing satisfaction of the observation group was significantly higher than that of the control group(P＜0.05).Conclusions Adopting a three-level quality control management led by navigation nurses to accelerate rehabilitation care for patients undergoing thoracoscopic lung cancer resection can promote postoperative recovery of gastrointestinal function,reduce hospitalization time,reduce postoperative pain and complications,improve cancer related symptoms,improve their quality of life and increase patients nursing satisfaction.
关键词
导航护士主导/三级质控/胸腔镜肺癌切除术/加速康复/肺癌/并发症
Key words
navigation-nurses-led/three-level quality control/thoracoscopic resection of lung cancer/accelerated rehabilitation/lung cancer/complications
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