摘要
目的:探讨全程加速康复外科(ERAS)管理模式在肺癌全肺切除术患者中的应用价值。方法:选取2020年1月—2021年1月南阳市中医院收治的72例肺癌全肺切除术患者作为研究对象,按随机数表法分为对照组和观察组,每组各36例。对照组实施常规护理,观察组采取全程ERAS管理模式干预,两组患者均干预至出院。对比分析两组患者康复效果、疼痛程度、并发症、护理满意度情况。结果:观察组术后下床时间、首次排气时间、住院时间短于对照组,差异有统计学意义(t=18.508、10.777、5.483,P<0.05)。干预前,两组患者视觉模拟评分法(VAS)评分比较,差异无统计学意义(t=0.113,P>0.05);干预后,观察组VAS评分低于对照组,差异有统计学意义(t=5.750,P<0.05)。观察组并发症发生率低于对照组,护理满意度高于对照组,差异有统计学意义(χ^(2)=4.571、5.258,P<0.05)。结论:全程ERAS管理模式能够减轻肺癌全肺切除术患者疼痛感,促进术后恢复,减少术后并发症,利于早日出院,且能够获得较高的护理满意度。
Objective:To explore the application value of enhanced recovery after surgery(ERAS)management mode in patients with lung cancer who underwent pneumonectomy.Methods:A total of 72 patients with lung cancer who underwent pneumonectomy from January 2020 to January 2021 in the hospital were selected and divided into control group and observation group according to the random number table method,with 36 cases in each group.The control group was given routine nursing,the observation group was given the whole ERAS management mode,and both groups were intervened until the patients were discharged.The rehabilitation effect,pain degree,complications and nursing satisfaction were compared and analyzed between the two groups.Results:The time to get out of bed,the time to first exhaust,and the length of hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(t=18.508,10.777,5.483,P<0.05).Before intervention,there was no statistically significant difference in visual analogue scale(VAS)scores between the two groups(t=0.113,P>0.05).After the intervention,the VAS score of the observation group was lower than that of the control group,and the difference was statistically significant(t=5.750,PP<0.05).The incidence of complications in the observation group was lower than that in the control group,and the nursing satisfaction was higher than that in the control group,and the differences were statistically significant(χ^(2)=4.571,5.258,P<0.05).Conclusion:The whole-process ERAS management model can reduce the pain of lung cancer patients undergoing pneumonectomy,promote postoperative recovery,reduce postoperative complications,facilitate early discharge from hospital,and achieve higher nursing satisfaction.
作者
孙彦成
SUN Yan-cheng(First Department of Surgery,Nanyang Traditional Chinese Medicine Hospital,Nanyang,Henan,473000,China)
出处
《黑龙江医学》
2022年第12期1498-1500,共3页
Heilongjiang Medical Journal
关键词
肺癌全肺切除术
全程加速康复外科管理
疼痛程度
并发症
护理满意度
Pneumonectomy for lung cancer
Enhanced recovery after surgery management
Pain level
Complications
Nursing satisfaction
