Nursing application of pulmonary rehabilitation training based on the concept of prehabilitation in the perioperative period of lobectomy patients with lung cancer
Objective To explore the nursing effect of pulmonary rehabilitation training based on the concept of pre-rehabilitation in the perioperative period of lung cancer lobectomy patients,aiming to improve the patients'pulmonary function and self-management before the intervention,and to establish a foundation for postoperative rehabilitation.Methods 80 patients who underwent lobectomy for lung cancer in Ji'an Central People's Hospital from May 2022 to August 2023 were selected as the study subjects,they were divided into a control group and an observation group,each with 40 cases,according to the principle of balanced and comparable baseline data between the groups.The control group was given conventional nursing care,and the observation group was given pulmonary rehabilitation training based on the concept of prehabilitation.The perioperative self-levelling ability,pulmonary function indexes[forced rital capacity(FVC),forced expiratory volume in one second(FEV1),FEV1/forceful lung volume(FEV1/FVC)],complications,and 6 min walk distance(6MWD)were compared between the two groups.Results The voluntary cough compliance rate of 87.50%and the early out-of-bed activity compliance rate of 82.50%in the observation group were higher than those of 57.50%and 50.00%in the control group,and the differences were statistically significant(P<0.05).At 1 month after surgery,FVC,FEV1 and FEV1/FVC of patients in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The complication rate of 7.50%in the observation group was lower than that of 27.50%in the control group,the difference was statistically significant(P<0.05).At 1 month after surgery,the 6 min walking distance of the observation group was longer than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The nursing application of pulmonary rehabilitation training based on the concept of prehabilitation in the perioperative period of lobectomy patients with lung cancer improves the level of self-management is conducive to the reduction of complications,promotes postoperative rehabilitation,and improves pulmonary function and exercise endurance.
Prehabilitation conceptPulmonary rehabilitation trainingLung cancer lobectomyPerioperative periodPulmonary functionExercise endurance
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