人性化快速康复护理对肺癌患者术后肺功能、Borg评分及并发症的影响-现代医学

人性化快速康复护理对肺癌患者术后肺功能、Borg评分及并发症的影响

单位：1. 遂宁市中心医院胸外科, 四川遂宁 629000;
2. 遂宁市中心医院ICU, 四川遂宁 629000;
3. 遂宁市中心医院护理部, 四川遂宁 629000

分类号：R473.73

出版年·卷·期（页码）：2020·39·第四期（530-535）

摘要：

目的：探究人性化快速康复护理对肺癌患者术后第1秒用力呼气量（FEV₁）、肺部感染率及Borg评分的影响。方法：以2017年1月至2018年6月于我院治疗的150例实施肺叶切除术的肺癌患者为研究对象，将其随机分为对照组和观察组，各75例，分别采用常规护理和人性化快速康复护理，采用Borg量表和SF-36量表评价两组患者护理前以及护理三个月后的呼吸功能和生活质量，比较两组患者护理期间并发症发生率，以及护理前后的肺功能指标，包括肺活量（VC）、用力肺活量（FVC）和FEV₁。结果：护理3个月后，两组患者的Borg评分明显下降（P<0.05），SF-36评分明显升高（P<0.05），其中观察组患者评分明显优于对照组（P<0.05）；此外，两组患者的VC、FVC、FEV₁以及FEV₁/FVC水平明显升高（P<0.05），且观察组比对照组更高（P<0.05）。观察组患者并发症发生率（8.00%）显著低于对照组（34.67%），差异具有统计学意义（P<0.05）。结论：对实施肺叶切除术的肺癌患者采用人性化快速康复护理，能显著改善患者的呼吸功能，提高其生活质量，降低并发症发生率。人性化快速康复护理是一种优质的护理措施，具有深远的临床应用价值。

Objective: To explore the effects of humanized rapid rehabilitation nursing on postoperative breath volume, Borg scores and adverse effects of patients with lung cancer. Methods: 150 cases of lung-cancer patients during January 2017 to June 2018 in our hospital with hemiplegia were selected as the research subjects, who were divided into observation group and control groupaccording to random number table method, 75 cases in each group. Patients in the control group adopted the routine nursing, patients in the observation group treated with humanized rapid rehabilitation nursing. Borg scale and SF-36 scale were used to evaluate the respiratory function and quality of life of patients before and three months after nursing. The incidence of adverse events and lung function indexes of patient during the nursing were compared, including forced vital capacity (VC), forced vital capacity (FVC) and forced expiratory volume in one second(FEV₁).Results: Three months after nursing, the Borg scores of the two groups of patients were significantly decreased (P<0.05) and the SF-36 scores were significantly increased (P<0.05). In addition, the VC, FVC, FEV₁ and FEV₁/FVC levels of the two groupswere significantly increased (P<0.05), and the levels of observation group were higher than those of the control group (P<0.05). The incidence of adverse events in the observation group (8.00%)was significantly lower than those in the control group (34.67%), and the difference was statistically significant (P<0.05).Conclusion: The postoperative patients with lung cancer treated by rapid rehabilitation nursing of human nature, can significantly improve the patients' respiratory function and the quality of life, reduce the incidence of adverse events. This is a kind of high-quality nursing measures, which has profound value of clinical application.

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