Abstract:

Objective　To analyze the effect of nursing measures of integrated Chinese and western medicine on the self-care ability of patients after lung surgery. Methods　Eighty patients who underwent lung surgery at First Hospital, Guangzhou Medical University between July and September 2022 were selected for the randomized controlled trial. The patients were divided into a control group and an experimental group by computer lottery, with 40 cases in each group. There were 19 males and 21 females in the control group; they were 27-75 (55.73±11.45) years old. There were 18 males and 22 females in the experimental group; they were 29-72 (53.75±10.85) years old. The control group received routine western nursing care, including pressure therapy, infrared lamp irradiation, and mechanical-assisted sputum drainage; in addition, the experimental group received integrative Chinese and western medicine nursing measures, including moxibustion and Chinese herbal hot compresses. The activities of daily living level (BADL Scoring Scale), pain scores (Numerical Rating Scale), and pressure injury risk (Braden Scoring Scale) of the two groups were compared on the day of surgery and the first and second day after surgery. t test was applied. Results　The scores of activities of daily living level on the day of surgery and the first and second day after surgery in the experimental group were higher than those in the control group [(31.75±4.21) vs. (23.13±3.96), (78.88±3.45) vs. (68.13±3.79), and (98.50±1.26) vs. (91.50±2.38)], with statistical differences (t=9.432, 13.265, and 16.439; all P<0.05). The pain scores on the day of surgery and the first and second day after surgery in the experimental group were lower than those in the control group [(2.12±0.71) vs. (2.44±0.65), (1.98±0.42) vs. (2.28±0.53), and (1.07±0.38) vs. (1.53±0.44)], with statistical differences (t=2.102, 2.805, and 5.004; all P<0.05). The scores of pressure injury on the day of surgery and the first and second day after surgery in the experimental group were higher than those in the control group [(15.58±1.24) vs. (13.85±1.16), (18.93±1.53) vs. (17.60±1.48), and (22.30±0.62) vs. (20.45±1.35)], with statistical differences (t=6.443, 3.951, and 7.876; all P<0.05). Conclusion　Nursing measures of integrated Chinese and western medicine for patients after lung surgery can significantly improve their self-care ability and reduce their pain and risk of pressure injury.

Key words:

Integrated nursing of Chinese and western medicine, Nursing care after lung surgery, Self-care ability, Pain, Pressure injury

摘要：

目的　分析中西医结合护理措施对肺部手术患者术后生活自理能力的影响。方法　选取2022年7月至9月期间于广州医科大学附属第一医院胸外科接受肺部手术治疗的80例患者进行随机对照试验，使用计算机抽签法随机将患者分为两组，各40例。对照组男19例，女21例，年龄27～75（55.73±11.45）岁，实施常规西医护理，以气压治疗、红外线灯照射、机械辅助排痰等为主。试验组男18例、女22例，年龄29～72（53.75±10.85）岁，在对照组西医护理基础上加用天灸、中药热奄包等措施。比较两组患者术后当天、术后第1天、术后第2天的生活自理能力水平（BADL评分量表）、疼痛评分（数字评估量表）、压力性损伤风险（Braden评分量表）。统计学方法采用t检验。结果　试验组术后当天、术后第1天、术后第2天生活自理能力水平得分均高于对照组［（31.75±4.21）分比（23.13±3.96）分、（78.88±3.45）分比（68.13±3.79）分、（98.50±1.26）分比（91.50±2.38）分］，差异均有统计学意义（t=9.432、13.265、16.439，均P<0.05）；试验组术后当天、术后第1天、术后第2天疼痛评分均低于对照组［（2.12±0.71）分比（2.44±0.65）分、（1.98±0.42）分比（2.28±0.53）分、（1.07±0.38）分比（1.53±0.44）分］，差异均有统计学意义（t=2.102、2.805、5.004，均P<0.05）。试验组术后当天、术后第1天、术后第2天压力性损伤评分均高于对照组［（15.58±1.24）分比（13.85±1.16）分、（18.93±1.53）分比（17.60±1.48）分、（22.30±0.62）分比（20.45±1.35）分］，差异均有统计学意义（t=6.443、3.951、7.876，均P<0.05）。结论　肺部手术患者术后实施中西医结合护理措施可以显著提高患者的生活自理能力，减轻患者疼痛感受，降低压力性损伤发生风险。

关键词:

中西医结合护理, 肺部术后护理, 生活自理能力, 疼痛, 压力性损伤