系统化呼吸道护理干预对肺癌患者手术效果及生活质量的影响

赵艳

[摘要] 目的 研究并分析系统化呼吸道护理干预对肺癌患者手术效果及生活质量的影响。 方法 选取我院在2016年1月～2017年1月期间收治的60例肺癌患者进行研究，按照随机数字表法，将其分为实验组和参照组，各30例。对参照组患者予以常规手术护理，对实验组患者予以系统化呼吸道护理。对比两组患者的临床效果。 结果 两组患者的胸腔引流管平均拔出时间和平均住院时间比较，差异有统计学意义（P<0.05）；两组患者的术后并发症发生率比较，差异有统计学意义（P<0.05）；两组患者治疗前后的KPS评分比较，治疗前，组间差异不明显（P>0.05）；治疗后，组间差异显著（P<0.05）。 结论 对肺癌患者予以在常规手术护理的基础上加以系统化呼吸道护理，能明显缩短患者的胸腔引流管平均拔出时间和平均住院时间，降低并发症的发生率，患者的生活质量有所提升，值得临床借鉴以及进一步普及。

[关键词] 系统化呼吸道护理；肺癌；手术效果；生活质量

[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2017）26-0155-03

Influence of systematic respiratory care intervention on operation effect and quality of life of patients with lung cancer

ZHAO Yan

Department of Thoracic Surgery， Zaozhuang Mining Group Zaozhuang Hospital， Zaozhuang 277101， China

[Abstract] Objective To study and analyze the effect of systematic respiratory care intervention on lung cancer surgery and quality of life. Methods A total of 60 patients with lung cancer admitted in our hospital from January 2016 to January 2017 were selected and divided into experimental group （n=30） and control group （n=30） according to the random number table method. The patients in the control group were treated with routine surgical care and the patients in the experimental group were treated with systemic respiratory care. The clinical effect between the two groups of patients was compared. Results The average extraction time of thoracic drainage tube and the average length of hospital stay were compared between the two groups， and the difference between the two groups was statistically significant（P<0.05）. There was statistically significant difference in the incidence of postoperative complications between the two groups（P<0.05）. There was no significant difference in the KPS score between the two groups before treatment（P>0.05）， and there was significant difference after treatment（P<0.05）. Conclusion Using systematic respiratory care on the basis of routine surgical care in patients with lung cancer significantly shortens the average extraction time of thoracic drainage tube and average hospitalization time， reduces the incidence of complications and improves the quality of life of patients， which is worthy of clinical reference and further popularization.

[Key words] Systematic respiratory care； Lung cancer； Surgical effect； Quality of life

肺癌是一種威胁人们生命健康的恶性肿瘤，具有较高的致死率和发病率，对人们的生命健康造成严重的影响[1-2]。肺癌的发生与人们的生活环境和生活方式具有密切联系，如电离辐射、吸烟、大气污染等因素。此疾病的临床治疗方式有化学药物治疗、手术治疗、辅助免疫治疗、放射治疗等[3-4]。因此，对手术治疗后的肺癌患者予以系统化呼吸道护理干预具有重要意义。为研究系统化呼吸道护理干预对肺癌手术效果及生活质量的影响，本文对我院收治的60例肺癌患者进行研究，现报道如下。endprint

1 资料与方法

1.1 一般资料

选取我院在2016年1月～2017年1月期间收治的60例肺癌患者进行研究。按照随机数字表法将其分为实验组（n=30）和参照组（n=30）。所有患者中，女23例，男37例，最小年龄为31岁，最大年龄为58岁，平均年龄为（43.56±1.72）岁。纳入标准：符合肺癌诊断标准的患者；对本次研究内容予以了解的并自愿签署同意书的患者；……