快速康复护理在单操作孔全胸腔镜下肺癌完全切除术后的应用

目的 探讨快速康复护理在单操作孔全胸腔镜下肺癌完全切除术后的应用效果。方法 实验组采用快速康复外科的理念对2016年6月至2017年12月间的550例患者给予护理, 对照组回顾性分析2014年9月至2016年5月间500例患者的护理方法。2组患者均行单操作孔全胸腔镜下肺癌完全切除术。结果 2组患者均手术顺利, 无围手术期死亡病例, 实验组的术后第一次下床活动时间、术后平均住院时间、平均拔管时间、首次排气时间均短于对照组 (P <0.05) , 术后并发症发生75例显著低于对照组126例, 护理满意度95.1%显著高于对照组91% (P <0.05) 。结论 单操作孔创伤小, 手术时间, 拔管时间短, 对施行单操作孔全胸腔镜下肺癌完全切除术的患者实施快速康复护理措施, 可以缩短住院时间, 缩短第一次下床活动时间, 减轻患者疼痛, 提高护理满意度。

Application of Rapid Rehabilitation Nursing in Patients after Uniport Video-assisted Thoracoscopic Complete Resection of Lung Cancer

Objective To study the application effect of rapid rehabilitation nursing in patients after uniport video-assisted thoracoscopic complete resection of lung cancer.Methods The experimental group adopted the concept of rapid rehabilitation surgery to provide care to 550 patients between June 2016 and December 2017. The control group retrospectively analyzed the nursing methods of 500 patients between September 2014 and May 2016.Two groups of patients underwent single operation with total thoracoscopic lung cancer complete resection. Results All patients underwent operations successfully and there were no mortality occurred during the postoperative period.For the experimental group, the first time to get out of bed, average length of stay after surgery, average tube extraction time and first exhaust time were shorter than those of the control group (P < 0.05) . The incidence of postoperative complications was significantly lower than that of the control group. 95.1% of the patients in the experimental group were very satisfied, significantly higher than the control group 91.0% (P < 0.05) .Conclusion The rapid rehabilitation nursing measures for patients after completely uniport thoracoscopic lobectomy can shorten the average length of hospital stay, shorten the time of the first bed activity, alleviate the pain and improve the[A1] nursing satisfaction.