Effects of stepped nursing mode on home care and lung function in patients undergoing thoracoscopic radical resection for lung cancer

doi:10.3760/cma.j.issn.1007-1245.2024.20.024

Abstract

Abstract:

Objective　To explore the effects of stepped nursing mode on home care and lung function in patients undergoing thoracoscopic radical resection for lung cancer. Methods　A total of 100 patients undergoing thoracoscopic radical resection for lung cancer admitted to the Thoracic Surgery of Lianyungang Hospital of Traditional Chinese Medicine and the Thoracic Surgery of the Second People's Hospital of Lianyungang from November 2020 to November 2023 were selected as the study objects, and the patients were divided into a control group (50 cases) and an intervention group (50 cases) by the random number table method. In the control group, there were 31 males and 19 females, aged (68.42±7.67) years, including 32 cases of TNM stage Ⅱ and 18 cases of TNM stage Ⅲ. In the intervention group, there were 29 males and 21 females, aged (68.56±8.46) years, including 28 cases of TNM stage Ⅱ and 22 cases of TNM stage Ⅲ. The control group adopted routine rehabilitation nursing mode, and the intervention group adopted stepped nursing mode on the basis of the control group. The nursing observation time was 4 weeks in both groups. The home care level [Family Resilience Assessment Scale (FRAS)], pulmonary function indicators [forced vital capacity (FVC), vital capacity (VC), maximum ventilation volume (MVV), and total lung volume (TLC)], and postoperative complications (respiratory failure, pulmonary infection, arrhythmia, and pulmonary atelectasis) were compared between the two groups. Independent sample t test, paired t test, and χ² test were used. Results　After intervention, the scores of 6 dimensions of the FRAS in the intervention group were higher than those in the control group (all P<0.05); the levels of FVC [(85.47±5.53)%], VC [(2.47±0.50) L], MVV [(89.46±5.47)%], and TLC [(6.45±1.32) L] in the intervention group were higher than those in the control group [(80.53±3.66)%, (1.85±0.42) L, (83.58±4.63)%, and (5.62±1.41) L] (all P<0.05). The total incidence of postoperative complications in the intervention group [2.00% (1/50)] was lower than that in the control group [16.00% (8/50)] (P<0.05). Conclusion　The stepped nursing mode can improve the home care and lung function in patients undergoing thoracoscopic radical resection for lung cancer, and reduce the postoperative complications.

Key words:

Thoracoscopic radical resection for lung cancer, Stepped nursing mode, Home care, Lung function, Complications

摘要：

目的　探究阶梯式护理模式对胸腔镜肺癌根治术患者家庭关怀及肺功能的影响。方法　选取2020年11月至2023年11月连云港市中医院胸外科和连云港市第二人民医院胸外科收治的100例胸腔镜肺癌根治术患者作为研究对象。采用随机数字表法，将患者分为对照组（50例）和干预组（50例）。对照组男31例，女19例；年龄（68.42±7.67）岁；TNM分期Ⅱ期32例，Ⅲ期18例。干预组男29例，女21例；年龄（68.56±8.46）岁，TNM分期Ⅱ期28例，Ⅲ期22例。对照组采用常规康复护理模式，干预组在对照组基础上采用阶梯式护理模式。两组护理观察时间均为4周。比较两组家庭关怀水平［家庭韧性评估量表（FRAS）］、肺功能指标［用力肺活量（FVC）、肺活量（VC）、最大通气量（MVV）、肺总量（TLC）］及术后并发症发生情况（呼吸衰竭、肺感染、心律失常、肺不张）。采用独立样本t检验、配对t检验和χ²检验。结果　干预后，干预组FRAS 6个维度评分均高于对照组（均P<0.05）；干预组FVC［（85.47±5.53）%］、VC［（2.47±0.50）L］、MVV［（89.46±5.47）%］、TLC［（6.45±1.32）L］水平均高于对照组［（80.53±3.66）%、（1.85±0.42）L、（83.58±4.63）%、（5.62±1.41）L］（均P<0.05）。干预组术后并发症总发生率［2.00%（1/50）］低于对照组［16.00%（8/50）］（P<0.05）。结论　阶梯式护理模式有助于改善胸腔镜肺癌根治术患者家庭关怀和肺功能，减少术后并发症。

关键词:

胸腔镜肺癌根治术, 阶梯式护理模式, 家庭关怀, 肺功能, 并发症

Chen Xu, Zhu Maoshan, Dai Qin.

Effects of stepped nursing mode on home care and lung function in patients undergoing thoracoscopic radical resection for lung cancer [J]. International Medicine and Health Guidance News, 2024, 30(20): 3466-3470.

陈旭祝冒善代琴.

阶梯式护理模式对胸腔镜肺癌根治术患者家庭关怀及肺功能的影响 [J]. 国际医药卫生导报, 2024, 30(20): 3466-3470.

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