Effect of rapid rehabilitation nursing intervention on lung function,psychological adjustment ability and prognostic quality of life of patients after thoracoscopic pulmonary nodule resection
Objective To investigate the nursing situation of patients after thoracoscopic pulmonary nodule resection in our hospital,and compare the postoperative intervention effect of conventional nursing intervention and rapid rehabilitation nursing intervention on such patients,aiming to clarify the clinical application value of rapid rehabilitation nursing inter-vention after thoracoscopic pulmonary nodule resection,and provide a reference for further improving the postoperative recovery effect and intervention effect of such patients.Methods A total of 103 patients with thoracoscopic pulmonary nodule resection were selected from the pulmonary ward of Thoracic Surgery Department,Nanyang Central Hospital from March 1,2020,to October 31,2022.The selected samples were randomly grouped according to random number table method(control group and observation group).Fifty-one cases in the control group received routine nursing intervention;and 52 cases in the observation group were given rapid rehabilitation nursing intervention.After 7 days of intervention,pulmonary function indicators were detected and recorded by pulmonary function detector,emotional regulation self-effica-cy(RESE)was used to assess emotional regulation ability,prognostic sleep quality was assessed by Pittsburgh Sleep Quality Index(PSQI),prognostic quality of life was assessed by St.George's Hospital Respiratory Problems Ques-tionnaire(SGRQ).The incidence of complications was statistically compared between the two groups.Results After adjusting the baseline data,the level of forced expiratory volume(FEV1)in the first second in the observation group was(2.75±0.49)L higher than that in the control group(2.32±0.45)L,the difference was statistically significant,F=0.447,P=0.002;The level of forced vital capacity(FVC)in observation group(3.52±0.51)L was higher than that in control group(3.17±0.47)L,the difference was statistically significant,F=0.950,P=0.012;The maximum minute ventilation(MVV)level of observation group(81.55±3.22)L was higher than that of control group(73.32±3.85)L,the difference was statistically significant,F=4.054,P=0.047;The positive emotional efficacy of observation group(15.14±2.42)was higher than that of control group(12.52±2.39),the difference was statistically significant,F=0.009,P=0.004;The manic emotional efficacy of the observation group(16.51±2.16)was higher than that of the con-trol group(13.29±2.24),the difference was statistically significant,F=7.562,P=0.007;The Pittsburgh Sleep Qual-ity index(PSQI)score of observation group(5.76±1.27)was lower than that of control group(10.23±1.32),the difference was statistically significant,F=5.415,P=0.022;There was no significant difference in the total incidence of postoperative complications between the two groups,x2=2.655,P=0.103.Conclusions Rapid rehabilitation nursing in-tervention can improve the postoperative pulmonary function of patients after thoracoscopic pulmonary nodule resection,enhance the psychological adjustment ability of patients,and improve the quality of sleep and quality of life of patients.
rapid rehabilitation nursing interventionthoracoscopic resection of pulmonary noduleslung functionpsycho-logical adjustment abilityquality of life
NETL
NSTL
万方数据
