首页|ERAS护理模式联合病友互助模式在肺癌根治术后老年患者康复中的应用效果

ERAS护理模式联合病友互助模式在肺癌根治术后老年患者康复中的应用效果

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目的 探讨ERAS护理模式联合病友互助模式在肺癌根治术老年患者中的康复效果。方法 选取河南省胸科医院,郑州大学附属胸科医院 2021 年 10 月至 2022 年 10 月收治的 78 例肺癌根治术患者,按随机数字表法分为对照组和观察组,各39例。对照组采用常规护理,观察组采用ERAS护理联合病友互助模式。比较两组干预后的围手术期指标、疼痛评分、肺功能指标、希望水平及病耻感评分。结果 观察组围手术期指标改善优于对照组;观察组术后12 h、后24 h、后 72 h疼痛评分低于对照组;观察组二氧化碳分压(PaCO2)、血氧分压(PaO2)、血氧饱和度(SpO2)水平高于对照组;观察组希望水平评分高于对照组,病耻感评分低于对照组,差异有统计学意义(P<0。05)。结论 ERAS护理模式联合病友互助模式有效改善老年肺癌根治术患者围手术期指标和肺功能,降低疼痛程度,提高希望水平,降低病耻感。
Application Effect of ERAS Nursing Model Combined with Patient Mutual Assistance Model in Rehabilitation of Elderly Patients after Radical Lung Cancer Surgery
Objective To explore the rehabilitation effect of the ERAS nursing model combined with the patient mutual assistance model in elderly patients undergoing radical resection of lung cancer.Methods A total of 78 patients with radical resection of lung cancer admitted to Henan Chest Hospital(Chest Hospital Affiliated to Zhengzhou University)from October 2021 to October 2022 were divided into a control group and an observation group according to the random number table method,with 39 cases in each group.The control group was treated with routine nursing,and the observation group was treated with ERAS nursing combined with patient mutual assistance.Perioperative indexes,pain score,pulmonary function index,hope level,and stigma score were compared between the two groups after intervention.Results The improvement of perioperative indexes in the observation group was better than that in the control group.The pain scores of the observation group at 12 h,24 h,and 72 h were lower than those of the control group.The levels of partial pressure of carbon dioxide(PaCO2),partial pressure of oxygen(PaO2),and blood oxygen saturation(SpO2)in the observation group were higher than those in the control group.The hope level score of the observation group was higher than that of the control group,and the stigma score was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion The ERAS nursing model combined with the patient mutual assistance model can effectively improve perioperative indexes and lung function,reduce pain,raise hope levels,and reduce stigma in elderly patients undergoing radical resection of lung cancer.

radical resection of lung cancerelderly patientsaccelerated rehabilitation surgerypatient mutual assistance modelhope level

曹艳、邱红丽、刘现利

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河南省胸科医院,郑州大学附属胸科医院 胸外五病区,河南 郑州 450000

肺癌根治术 老年患者 加速康复外科 病友互助模式 希望水平

老年肺癌手术患者出院准备服务干预方案的构建与应用项目

LHGJ20220227

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(1)
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