首页|术前呼吸道管理在新辅助化疗肺癌患者护理门诊中的应用研究

术前呼吸道管理在新辅助化疗肺癌患者护理门诊中的应用研究

扫码查看
目的 探讨基于护理门诊的术前呼吸道管理在新辅助化疗肺癌患者中的应用效果。方法 采用非同期对照研究设计的类实验研究法,将我院肺外科2021年6月-2022年5月收治的57例患者作为对照组,接受常规护理;并将2022年6月-2023年6月收治的57例患者作为观察组,实施基于护理门诊的术前呼吸道管理方案,比较2组患者在基线和术前1 d的肺功能水平、术后肺部并发症发生率及术后住院天数。结果 观察组干预后P(O2)及SpO2水平高于对照组(P<0。05),P(CO2)水平低于对照组(P<0。05)。观察组术后肺部并发症发生率为7。02%,显著低于对照组的26。3%(P<0。05),2组患者术后住院天数差异无统计学意义(P>0。05)。结论 实施基于护理门诊的术前呼吸道管理可改善接受新辅助化疗肺癌患者术前肺功能水平,降低肺部并发症的发生,促进患者肺康复。
Application study of preoperative respiratory tract management in the nursing outpatient of lung cancer patients receiving neoadjuvant chemotherapy
Objective To explore the application effect of preoperative respiratory management based on nursing outpatient care in lung cancer patients with neoadjuvant chemotherapy.Method Using the quasi-experimental research method of non-contemporaneous controlled study design,57 patients admitted to the department of pulmonary sur-gery at a Class Ⅲ Grade A hospital in Tianjin from June 2021 to May 2022 were selected as the control group and re-ceived routine care,while 57 patients admitted from June 2022 to June 2023 were selected as the observation group and underwent a preoperative respiratory management program based on nursing outpatient clinic.The level of lung function at baseline and 1 day before surgery,postoperative pulmonary complication rate,and postoperative hospital stay were compared between the two groups.Results The arterial partial pressure of oxygen and the level of oxygen saturation in the observation group exhibited higher values compared to those in the control group(P<0.05).Addi-tionally,the partial pressure of arterial carbon dioxide in the observation group was lower than that in the control group(P<0.05).The prevalence of pulmonary complications in the observation group was 7.02%,a significantly lower rate compared to 26.3%in the control group(P<0.05).Additionally,there was no statistically significant difference in the duration of postoperative hospitalization between the two groups(P>0.05).Conclusion The appli-cation of preoperative respiratory management based on nursing outpatient care can improve the preoperative lung function in lung cancer patients undergoing neoadjuvant chemotherapy,decrease the incidence of pulmonary compli-cations,and facilitate the pulmonary rehabilitation of patients.

lung cancerrespiratory managementneoadjuvant chemotherapynursing clinicpreoperative

厉见连、刘丽峰、张方圆、孙潇楠

展开 >

天津医科大学肿瘤医院 国家恶性肿瘤临床医学研究中心 天津市肿瘤防治重点实验室 天津市恶性肿瘤临床医学研究中心,天津 300060

肺癌 呼吸道管理 新辅助化疗 护理门诊 术前

天津市医学重点学科(专科)建设项目天津医科大学肿瘤医院护理创新人才项目

TJYXZDXK-011AHL2021-21

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(9)
  • 18