Objective: To explore the safety and effectiveness of rapid rehabilitation nursing mode in perioperative nursing of patients undergoing uniportal fluorescent thoracoscopic anatomical segmentectomy. Methods: The clinical data of 96 patients who underwent uniportal fluorescent thoracoscopic anatomical segmentectomy from January to June 2020 in Nanjing Chest Hospital Affiliated to School of Medicine of Southeast University were retrospectively analyzed. There were 39 males and 57 females, aged 28-78 years. They were divided into routine perioperative nursing group(n=46) and perioperative rapid rehabilitation nursing group(n=50). The basic data of the two groups were recorded, and the differences of postoperative complications, postoperative chest tube removal time, postoperative hospital stay, total hospitalization expenses and nursing satisfaction were compared between the two groups. Results: The patients in both groups recovered successfully and discharged without perioperative death. Postoperative complication rate(4% vs. 17.4%, P<0.05), postoperative chest tube removal time[(3.24±1.02) d vs.(5.17±1.29) d, P<0.05], postoperative hospital stay[(4.56±1.15) d vs. (6.37±1.51) d, P<0.05], and total hospitalization expenses[(5.61±0.86)million yuan vs.(6.12±1.20) million yuan, P<0.05], and all being significantly different. Conclusion: It is safe and feasible to implement rapid rehabilitation nursing mode for patients with uniportal fluorescence thoracoscopic anatomical segmentectomy, which can significantly reduce the incidence of postoperative complications, facilitate the removal of the chest tube and discharge the patients as soon as possible, so as to effectively reduce the medical expenses of patients, and obtain higher nursing satisfaction of patients, which can improve the perioperative rapid rehabilitation of segmentectomy, and is worth applying in clinical practice. |
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