目的 分析行为训练联合快速康复外科理念在改善胸腔镜肺癌手术围术期患者指标及生活质量中的作用.方法 研究对象为江苏省溧阳市人民医院2017年4月至2019年4月收治的100例需要行胸腔镜肺癌手术治疗患者,根据计算机随机表数字法将其分为对照组(n=50)和联合组(n=50),对照组安排常规护理模式进行护理,联合组安排行为训练联合快速康复外科理念进行护理,比较两组患者护理后的围手术期指标、生活质量评分、疼痛评分、并发症发生率.结果 对照组在胸腔管拔管时间、尿管拔管时间、排气时间、下床时间长于联合组(P<0.05).护理后,联合组心理、社会、物质生活、生理功能评分高于对照组(P<0.05).术后6 h、24 h、48 h,联合组疼痛评分低于对照组(P<0.05).对照组患者各对照组患者心律失常、肺持续漏气、肺部感染、低氧综合征、脓胸发生率高于联合组(P<0.05).结论 对于采用胸腔镜肺癌手术治疗的患者,行为训练联合快速康复外科理念护理不仅可以显著改善其围手术期各项指标,减少各种术后并发症的发生,而且还有利于缓解患者术后疼痛,对患者生活质量的改善具有积极意义.
Objective:To analyze the effect of behavioral training combined with rapid rehabilitation surgery concept in improving perioperative indexes and quality of life of patients undergoing thoracoscopic lung cancer surgery.Meth-ods:100 patients requiring thoracoscopic lung cancer surgery treated in Liyang People's Hospital of Jiangsu Province from April 2017 to April 2019 were divided into control group(n=50)and combination group(n=50)according to computer random table number method.The control group was provided with routine nursing mode.In the combined group,behavioral training combined with rapid rehabilitation surgery was arranged for nursing,and perioperative indexes,quality of life score,pain score and complication rate were compared between the two groups after nursing.Results:The extubation time,extubation time,extubation time and extubation time in control group were longer than those in combined group(P<0.05).After nursing,the psychological,social,material life and physiological function scores of the combined group were higher than those of the control group(P<0.05).The pain score of the combined group was lower than that of the control group at 6,24 and 48 hours after operation(P<0.05).The inci-dence of arrhythmia,persistent pulmonary air leakage,pulmonary infection,hypoxic syndrome and empyema in control group was higher than that in combination group(P<0.05).Conclusion:For patients treated with thoraco-scopic lung cancer surgery,behavioral training combined with rapid rehabilitation nursing concept can not only sig-nificantly improve perioperative indicators and reduce various postoperative complications,but also help alleviate postoperative pain,which has positive significance for the improvement of patients'quality of life.