首页|五位一体护理在肺癌根治术围手术期中的应用效果

五位一体护理在肺癌根治术围手术期中的应用效果

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目的 探讨五位一体护理在肺癌根治术围手术期的干预效果.方法 选取医院2021年1月至2022年12月于胸腔镜下接受肺癌根治术的患者80例,根据护理方法分为研究组(40例)和对照组(40例).对照组接受常规护理干预,研究组在对照组基础上接受五位一体护理干预.比较两组康复进程、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、遵医行为、自护能力[自我护理能力测定表(ESCA)]、并发症发生率.结果 干预后研究组首次排气、排便、下床活动及出院时间较对照组短(P<0.05),ESCA各维度评分及总分高于对照组,SAS、SDS评分低于对照组(P<0.05),总遵医率高于对照组,并发症发生率低于对照组(P<0.05).结论 五位一体护理干预可促进肺癌根治术患者术后康复进程,缓解负性情绪,提升遵医行为、自护能力,降低并发症发生率.
Effectiveness of Five-In-One Nursing Intervention in the Perioperative Period of Radical Lung Cancer Surgery
Objective To explore the effect of five-in-one nursing intervention in the perioperative period of radical resection of lung cancer.Methods A total of 80 patients who underwent thoracoscopic radical resection of lung cancer in hospital from January 2021 to December 2022 were selected and divided into study group(40 cases)and control group(40 cases)according to different nursing methods.The control group was given routine nursing intervention,and the research group was given five-in-one nursing intervention on the basis of the control group.The recovery process,mental state[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],compliance behavior,self-care ability[self-care ability scale(ESC A)]and complication rate of the two groups were compared.Results After intervention,the time of first exhaust,defecation,getting out of bed and discharge in the study group was shorter than that in the control group(P<0.05).After intervention,ESCA scores and total scores of the study group were higher than those of the control group,while SAS and SDS scores were lower than those of the control group(P<0.05).The total compliance rate of the study group was higher than that of the control group,and the complication rate was lower than that of the control group(P<0.05).Conclusion Five-in-one nursing intervention can accelerate the postoperative rehabilitation process of patients with radical resection of lung cancer,relieve negative emotions,improve compliance behavior,self-care ability,and reduce the incidence of complications.

radical resection of lung cancerfive in onerehabilitation processcomplicationsmedical compliance behavior

李琳、赵宇、王湘萍

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平煤神马医疗集团总医院麻醉与围手术期医学科,河南平顶山 467000

肺癌根治术 五位一体 康复进程 并发症 遵医行为

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(13)
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