Zhou Yujing, Xu Ming
Department of Thoracic Surgery, Shanghai Pulmonary Hospital Affiliated to Tongji University, Shanghai, China.
Emerg Med Int. 2022 Oct 7;2022:6204832. doi: 10.1155/2022/6204832. eCollection 2022.
To observe the feasibility and safety of rapid rehabilitation nursing in the perioperative period of thoracoscopic treatment of lung cancer patients. Rapid rehabilitation nursing was compared with conventional perioperative nursing to explore its clinical efficacy, i.e., its advantages in improving postoperative comfort, postoperative rehabilitation efficiency, and hospitalization cost of patients undergoing thoracoscopic lung cancer resection.
We carried out a retrospective analysis of 337 lung cancer patients who underwent lobectomy in our thoracic surgery department from July 2019 to June 2021, of which 168 lung cancer patients whose perioperative care method was traditional rehabilitation care were classified as and 169 lung cancer patients who started to implement the intelligent medical intervention method in the department in September were classified as intelligent medical . By reviewing patient cases and departmental statistics, general information, length of stay, hospitalization cost, complication rate, pain score, bowel movement recovery time, and pulmonary function index of the two groups and were compared. Nursing satisfaction was investigated by using a questionnaire. All the data in the study were processed and analyzed using SPSS 17.0 software.
There were no differences in preoperative general data, pathological findings, preoperative underlying diseases, lesion involvement sites, and postoperative TNM stages ( > 0.05), which were comparable; the incidence of postoperative pulmonary infection and atelectasis complications, postoperative hospitalization time, and hospitalization cost were lower in group than in group ; the postoperative chest tube drain placement time was shorter in group than in group , and the difference between the two groups was statistically significant ( < 0.05). The incidence of postoperative pain and discomfort in group was lower than that in group , and the difference between the two groups was statistically significant ( < 0.05); the incidence of postoperative chest pain, bleeding, pneumothorax, pulmonary infection, and atelectasis in group was lower than that in group , and the difference between the two groups was statistically significant ( < 0.05).
Intelligent medical rehabilitation nursing has good application value in thoracoscopic lung cancer surgery. Applying the concept of intelligent medical rehabilitation nursing provides an important experimental basis and theoretical basis for improving the postoperative survival quality and clinical symptoms of patients undergoing thoracoscopic lung cancer resection, which helps to promote the postoperative recovery of patients with thoracoscopic lung cancer, improves the recovery efficiency of patients and their overall quality of life, and is superior to the conventional nursing group.
观察快速康复护理在肺癌患者胸腔镜治疗围手术期的可行性及安全性。将快速康复护理与传统围手术期护理进行比较，探讨其临床疗效，即其在提高胸腔镜肺癌切除术患者术后舒适度、术后康复效率及住院费用方面的优势。
对2019年7月至2021年6月在我院胸外科行肺叶切除术的337例肺癌患者进行回顾性分析，其中168例围手术期护理方法为传统康复护理的肺癌患者分为对照组，169例9月起在科室开始实施智能医疗干预方法的肺癌患者分为智能医疗组。通过查阅患者病例及科室统计资料，比较两组患者的一般资料、住院时间、住院费用、并发症发生率、疼痛评分、排便恢复时间及肺功能指标。采用问卷调查的方式调查护理满意度。研究中的所有数据均使用SPSS 17.0软件进行处理和分析。
两组患者术前一般资料、病理结果、术前基础疾病、病变累及部位及术后TNM分期比较，差异无统计学意义（P>0.05），具有可比性；智能医疗组术后肺部感染及肺不张并发症发生率、术后住院时间及住院费用均低于对照组；智能医疗组术后胸腔闭式引流管留置时间短于对照组，两组差异有统计学意义（P<0.05）。智能医疗组术后疼痛及不适发生率低于对照组，两组差异有统计学意义（P<0.05）；智能医疗组术后胸痛、出血、气胸、肺部感染及肺不张发生率低于对照组，两组差异有统计学意义（P<0.05）。
智能医疗康复护理在胸腔镜肺癌手术中具有良好的应用价值。应用智能医疗康复护理理念为提高胸腔镜肺癌切除术患者术后生存质量及临床症状提供了重要的实验依据和理论依据，有助于促进胸腔镜肺癌患者术后恢复，提高患者恢复效率及整体生活质量，优于传统护理组。
