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无痛护理模式在肺癌胸腔镜手术患者围手术期的应用及疗效比较 被引量:2

Comparison of painless nursing mode in perioperative period in lung cancer patients undergoing thoracoscopy
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摘要 目的:探讨无痛护理模式应用于肺癌胸腔镜手术患者围术期中的效果比较。方法:选取2017年3月~2018年2月江苏省肿瘤医院无痛示范病房建立前肺癌胸腔镜手术患者97例(对照组)及2018年3月~2019年2月无痛示范病房建立后胸腔镜肺癌手术患者98例(观察组)。比较对照组和观察组无痛护理的相关指标。结果:观察组术后患者胸管留置时间及术后住院时间均短于对照组,差异均有统计学意义(P<0.05)。观察组术后24 h、48 h和72 h疼痛数字评定量表(NRS)评分均低于对照组,差异均有统计学意义(P<0.05)。观察组患者出院时满意度(95.92%)高于对照组患者(87.63%),差异有统计学意义(P<0.05)。结论:肺癌胸腔镜手术患者在围术期采用无痛护理模式临床效果更好,能够提高患者生活质量,值得临床推广使用。 Objective:To observe the effectiveness of painless nursing model in perioperative period in lung cancer patients undergoing video-assisted thoracoscope surgery(VATS).Methods:Ninety-seven lung cancer patients undergoing VATS before the painless demonstration ward established were included from March 2017 to February 2018(control group),and another 98 patients undergoing VATS after completion of the painless demonstration ward were recruited from March 2018 to February 2019(observational group).The related indexes of painless nursing were compared and analyzed between groups.Results:Patients in the observational group had shorter indwelling time of postoperative chest drainage tube and postoperative hospital stay at 24,48 and 72 h after operation,lower pain scores by numerical rating scale(NRS),yet higher satisfaction rate at discharge(95.92%vs.87.63%)than those in control group(all P<0.05).Conclusion:Lung cancer patients receiving VATS can benefit from painless nursing mode.This nursing mode is worthy of clinical recommendation because of its clinical effectiveness and obvious improvement of quality of life for such patients.
作者 孔竹青 智晓旭 冯丽丽 茅昌敏 KONG Zhuqing;ZHI Xiaoxu;FENG Lili;MAO Changmin(Department of Thoracic Surgery,Jiangsu Cancer Hospital,Nanjing 210009,China)
出处 《皖南医学院学报》 CAS 2021年第2期195-197,共3页 Journal of Wannan Medical College
基金 国家自然科学基金项目(71804073) 江苏省肿瘤医院无痛项目(ZT201703)。
关键词 无痛护理 围手术期 效果比较 painless nursing perioperative period effectiveness comparison
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