FTS理念的护理干预对老年肺癌患者电视胸腔镜手术术后康复及肺部感染发生率的影响
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摘要
目的:研究快速康复外科(FTS)理念的护理干预对老年肺癌患者电视胸腔镜手术术后康复及肺部感染发生率的影响。方法:选取我院收治的老年肺癌患者86例,均行电视胸腔镜手术治疗,根据入院顺序分为研究组和对照组,各43例。给予对照组常规护理干预,给予研究组FTS理念的护理干预。对比两组胸管保留时间、下床时间、住院时长及肺部感染发生率。结果:两组胸管保留时间、下床时间、住院时长对比,研究组短于对照组,差异有统计学意义(P<0.05);两组肺部感染发生率对比,研究组4.65%(2/43)低于对照组18.60%(8/43),差异有统计学意义(P<0.05)。结论:FTS理念的护理干预能显著降低老年肺癌患者电视胸腔镜手术术后肺部感染发生率,有效促进患者康复,有利于改善患者预后。
Objective:To explore the effect of nursing intervention with fast track surgery(FTS) concept on rehabilitation and incidence of pulmonary infection after video-assisted thoracoscopic surgery in elderly patients with lung cancer. Methods: 86 elderly patients with lung cancer in our hospital were selected and all treated by video-assisted thoracoscopic surgery. According to the order of admission, they were divided into study group and control group, 43 cases in each group. The control group received routine nursing intervention, and the study group was given the nursing intervention with FTS concept. The thoracic duct retention time, the time of getting out of bed, the length of hospital stay and the incidence of pulmonary infection were compared between the two groups. Results: The thoracic duct retention time, the time of getting out of bed and the length of stay in the study group were shorter than those in the control group, and the differences were statistically significant(P<0.05). The incidence of pulmonary infection in the study group was 4.65 %(2/43), which was lower than that in the control group(18.60 %, 8/43), and the difference was statistically significant(P<0.05). Conclusion: The nursing intervention of FTS concept can significantly reduce the incidence of pulmonary infection, effectively promote the recovery of the patients and improve the prognosis after video-assisted thoracoscopic surgery in elderly patients with lung cancer.
Objective:To explore the effect of nursing intervention with fast track surgery(FTS) concept on rehabilitation and incidence of pulmonary infection after video-assisted thoracoscopic surgery in elderly patients with lung cancer. Methods: 86 elderly patients with lung cancer in our hospital were selected and all treated by video-assisted thoracoscopic surgery. According to the order of admission, they were divided into study group and control group, 43 cases in each group. The control group received routine nursing intervention, and the study group was given the nursing intervention with FTS concept. The thoracic duct retention time, the time of getting out of bed, the length of hospital stay and the incidence of pulmonary infection were compared between the two groups. Results: The thoracic duct retention time, the time of getting out of bed and the length of stay in the study group were shorter than those in the control group, and the differences were statistically significant(P<0.05). The incidence of pulmonary infection in the study group was 4.65 %(2/43), which was lower than that in the control group(18.60 %, 8/43), and the difference was statistically significant(P<0.05). Conclusion: The nursing intervention of FTS concept can significantly reduce the incidence of pulmonary infection, effectively promote the recovery of the patients and improve the prognosis after video-assisted thoracoscopic surgery in elderly patients with lung cancer.
引文
[1] 黄朝琼,吴凤碟,侯芳.肺癌术后肺部并发症的预防及护理[J].检验医学与临床,2015,12(2):199-200.
[2] 徐月亮,王孝彬,韩勇.早期非小细胞肺癌经电视胸腔镜和开胸手术治疗疗效的Meta分析[J].肿瘤学杂志,2016,22(7):583-588.
[3] 吴芸芸,黄雪辉,刘品乾,等.早期护理干预在预防老年非小细胞肺癌患者术后肺部感染及呼吸衰竭中的应用[J].齐齐哈尔医学院学报,2017,38(15):1824-1826.
[4] 方忠民,蓝斌,杨彦龙,等.快速康复外科理念在胸腔镜肺癌手术中的应用[J].广东医学,2015,36(8):1226-1229.
[5] 林峰,蔡绍汉,蔡恒,等.快速康复外科在开胸肺部手术围术期应用的可行性[J].临床肺科杂志,2015,20(4):636-638.
[2] 徐月亮,王孝彬,韩勇.早期非小细胞肺癌经电视胸腔镜和开胸手术治疗疗效的Meta分析[J].肿瘤学杂志,2016,22(7):583-588.
[3] 吴芸芸,黄雪辉,刘品乾,等.早期护理干预在预防老年非小细胞肺癌患者术后肺部感染及呼吸衰竭中的应用[J].齐齐哈尔医学院学报,2017,38(15):1824-1826.
[4] 方忠民,蓝斌,杨彦龙,等.快速康复外科理念在胸腔镜肺癌手术中的应用[J].广东医学,2015,36(8):1226-1229.
[5] 林峰,蔡绍汉,蔡恒,等.快速康复外科在开胸肺部手术围术期应用的可行性[J].临床肺科杂志,2015,20(4):636-638.