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家属参与的肺康复引导模式对肺癌单侧肺叶切除术患者的影响

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目的:探讨家属参与的肺康复引导模式对肺癌单侧肺叶切除术患者的影响.方法:选取 2021 年 5 月—2022 年7月泰安市第一人民医院收治的40例肺癌单侧肺叶切除术患者作为观察组,选取2022年8月—2023年10月本院收治的40例肺癌单侧肺叶切除术患者作为对照组.对照组给予常规干预,观察组在对照组基础上给予家属参与的肺康复引导模式.比较两组术前及术后 7 d肺功能,相关指标,并发症,心理状态.结果:术后 7 d,观察组第 1 秒用力呼气容积(FEV1)/用力肺活量(FVC)%、最大自主通气量(MVV)均显著高于对照组,差异有统计学意义(P<0.001).观察组胸腔闭式引流时间、住院时间均短于对照组,术后 7 d 6 分钟步行距离长于对照组,差异有统计学意义(P<0.001).观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05).观察组干预 2 周后抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分均低于对照组,差异有统计学意义(P<0.001).结论:家属参与的肺康复引导模式能有效改善肺癌单侧肺叶切除术患者的肺功能,减少术后并发症,减轻负面情绪.
Effects of Family Members'Participation in Pulmonary Rehabilitation Guidance Mode on Patients with Unilateral Lobectomy for Lung Cancer
Objective:To investigate the effects of family members'participation in pulmonary rehabilitation guidance mode on patients with unilateral lobectomy for lung cancer.Method:Forty patients with unilateral lobectomy for lung cancer treated in Tai'an City First People's Hospital from May 2021 to July 2022 were selected as the observation group,and 40 patients with unilateral lobectomy for lung cancer treated in our hospital from August 2022 to October 2023 were selected as the control group.The control group was given routine intervention,and the observation group was given the family members'participation in pulmonary rehabilitation guidance mode on the basis of the control group.The pulmonary function before and 7 d after surgery,related indexes,complications and psychological state of the two groups were compared.Result:After 7 d of surgery,forced expiratory volume in one second(FEV1)/forced vital capacity(FVC)%and maximum spontaneous ventilation(MVV)in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.001).The time of closed thoracic drainage and hospital stay in the observation group were shorter than those in the control group,and the walking distance of 6 min after 7 d of surgery was longer than that in the control group,the differences were statistically significant(P<0.001).The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The self-rating depression scale(SDS)score and self-rating anxiety scale(SAS)score of the observation group after 2 weeks of surgery were lower than those of the control group,and the differences were statistically significant(P<0.001).Conclusion:The family members'participation in pulmonary rehabilitation guidance mode can effectively improve lung function,reduce postoperative complications and alleviate negative emotions in patients with unilateral lobectomy for lung cancer.

Family members'participationPulmonary rehabilitation guidance modelSurgeryLobectomyLung functionPsychological state

王焕玲

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泰安市第一人民医院 山东 泰安 271000

家属参与 肺康复引导模式 手术 肺叶切除术 肺功能 心理状态

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(22)
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