摘要:
目的 探讨系统化呼吸护理在肺癌手术患者中的应用效果.方法 选取肺癌手术患者66例随机分为观察组和对照组,各33例,对照组采用常规护理,观察组在对照组基础上采用系统化的呼吸护理,观察2组干预前后卡氏(KPS)评分,记录2组引流量、置管时间、住院时间,比较2组肺部并发症的发生情况和肺功能情况.结果 干预后,2组KPS评分均显著高于干预前(P＜0.01),观察组KPS评分显著高于对照组(P＜0.01),观察组引流量、置管时间和住院时间均显著低于对照组(P＜0.01),观察组肺部并发症发生率显著低于对照组(P＜0.05),肺功能显著优于对照组(P＜0.05).结论 系统化的呼吸护理应用于肺癌手术患者中,可有效提高其健康水平,缩短置管时间和住院时间,减少并发症的发生,改善肺功能,利于患者早期康复,值得临床推广.
关键词:
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肺癌
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呼吸护理
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置管
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卡氏评分
Abstract:
Objective To explore the application efficacy of systematic respiratory nursing in patients with surgical treatment for lung cancer.Methods A total of 66 patients receiving surgical treatment for lung cancer were randomly divided into observation group and control group,with 33 cases for each group.Control group was treated with routine nursing,and observation group was added with systematic respiratory nursing.Karnofsky performance status (KPS) score was observed,drainage volume,tube-indwelling duration and hospital stays were recorded in both groups,and occurrence rates of pulmonary complications and pulmonary function were compared between two groups.Results After intervention,KPS score was markedly higher in both groups than intervention before (P ＜0.01),and was notably higher in observation group than that of control group (P ＜0.01).And observation group was evidently lower in drainage volume,tube-indwelling duration and hospital stay than control group (P ＜ 0.01).Moreover,observation group was markedly lower in the occurrence rates of pulmonary complications (P ＜ 0.05),but was significantly better in the improvement of pulmonary function than control group (P ＜ 0.05).Conclusion Application of systematic respiratory nursing in patients receiving surgical treatment for lung cancer can effectively promote patients'healthy status,shorten tube-indwelling duration and hospital stay,reduce the recurrence of complications,and improve pulmonary function,which is beneficial to patients'early rehabilitation.Thus,it deserves widely application in clinic.
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