目的 探究肺癌术后实行系统化早期康复训练护理的效果.方法 方便选取2022年3月—2023年9月赤峰市肿瘤医院收治的82例行肺癌手术的患者为研究对象,采用随机数表法分成两组,每组41例,对照组用常规护理,研究组用系统化早期康复训练护理,比对两组肺功能、并发症发生率、改良版英国的呼吸问卷(Modified Medical Research Council,mMRC)评分、生活质量评定表(Generic Quality of Life Inventory-74,GQOLI-74)评分.结果 研究组肺癌患者并发症率(2.44%)低于对照组(14.63%),差异有统计学意义(χ2= 3.905,P=0.048).研究组干预后肺功能指标优于对照组,差异有统计学意义(P<0.05).干预前,两组肺癌术后患者mMRC评分比较,差异无统计学意义(P>0.05);干预后,研究组手术患者mMRC问卷表中各项评分均低于对照组,差异有统计学意义(P<0.05).干预前,两组生活质量评分比较,差异无统计学意义(P>0.05);干预后,研究组生活质量评分高于对照组,差异有统计学意义(P<0.05).结论 系统化早期康复训练护理用于肺癌术后,可以缩短患者住院时间,降低并发症发生率,优化患者肺功能,改善患者预后.
Application Effect of Systematic Early Rehabilitation Training in Nursing Care of Patients with Lung Cancer after Surgery
Objective To explore the effect of systematic early rehabilitation training and nursing after lung cancer sur-gery.Methods A total of 82 patients undergoing lung cancer surgery admitted to Chifeng Cancer Hospital from March 2022 to September 2023 were conveniently selected as the study objects.They were divided into two groups by ran-dom number table method,with 41 cases in each group.The control group received routine nursing and the study group received systematic early rehabilitation training and nursing,and the lung function,the incidence of complica-tions,the scores of the Modified Medical Research Council(mMRC),and the Generic Quality of Life Inventory-74(GQOLI-74)score were compared between two groups.Results The complication rate of lung cancer patients in the study group(2.44%)was lower than that in the control group(14.63%),and the difference was statistically significant(χ2=3.905,P=0.048).After intervention,the lung function index of the study group was better than that of the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no statistically signifi-cant difference in the scores of Modified Medical Research Council(mMRC)of lung cancer patients between the two groups(P>0.05).After intervention,the scores of mMRC in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no statistically significant dif-ference in the score of GQOLI-74 between the two groups(P>0.05).After intervention,the GQOLI-74 Score in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclu-sion Systematic early rehabilitation training nursing after lung cancer surgery can shorten the hospital stay of patients,reduce the incidence of complications,optimize the lung function of patients,and improve the prognosis of patients.
Lung cancer after surgerySystematic early rehabilitation trainingNursing effectLung functionIncidence of complicationsQuality of life score
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