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精细化护理对肺癌胸腔镜手术后伤口并发症的影响

Effect of Refined Nursing on Wound Complications After Thoracoscopic Surgery for Lung Cancer.

作者信息

Dong Yanxia, Ma Guangqin, Wu Shuaishuai, Zhang Shuling

机构信息

Cardiothoracic Surgery Department, Dongying People's Hospital, Dongying, China.

Department of ENT, Dongying People's Hospital, Dongying, China.

出版信息

Clin Respir J. 2025 Jan;19(1):e70039. doi: 10.1111/crj.70039.

Abstract

INTRODUCTION

Lung cancer thoracoscopic postoperative wound complications bring great pain and inconvenience to patients.

METHODS

To provide clinical nurses with a more scientific and effective nursing plan, this study evaluated the effect of refined nursing on wound complications after thoracoscopic surgery for lung cancer. Two-hundred thirty patients undergoing thoracoscopic radical resection for lung cancer were randomly divided into two groups according to the random number table method. The study group received refined nursing intervention (115 cases), and the control group received routine nursing intervention (115 cases). The effects of the two groups' nursing modes on the wound complications (pleural effusion, incision infection, lung leakage, and wound bleeding) after thoracoscopic surgery for lung cancer were compared.

RESULTS

According to the study results, the study group experienced a shorter intraoperative blood loss, lower extubation time, shorter hospital stay, and lower wound complication rate than the control group (p < 0.05). Compared to the control group, the study group had significantly lower Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) and visual analog scale (VAS) scores, and higher the short form 36 health survey questionnaire (SF-36) scores (p < 0.05).

CONCLUSION

Compared with the control group, the implementation of refined nursing intervention for patients with thoracoscopic radical resection of lung cancer has fewer postoperative wound complications and can improve patients' nursing satisfaction and quality of life, which is worthy of clinical promotion and application.

摘要

引言

肺癌胸腔镜术后伤口并发症给患者带来极大痛苦和不便。

方法

为给临床护士提供更科学有效的护理方案,本研究评估了精细化护理对肺癌胸腔镜手术后伤口并发症的影响。将230例行肺癌胸腔镜根治性切除术的患者按随机数字表法随机分为两组。研究组接受精细化护理干预(115例),对照组接受常规护理干预(115例)。比较两组护理模式对肺癌胸腔镜手术后伤口并发症(胸腔积液、切口感染、肺漏气和伤口出血)的影响。

结果

根据研究结果,研究组术中失血量少于对照组,拔管时间更短,住院时间更短,伤口并发症发生率更低(p<0.05)。与对照组相比,研究组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)和视觉模拟量表(VAS)得分显著更低,36条目简明健康调查问卷(SF-36)得分更高(p<0.05)。

结论

与对照组相比,对肺癌胸腔镜根治性切除术患者实施精细化护理干预术后伤口并发症更少,可提高患者护理满意度和生活质量,值得临床推广应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf3f/11744364/5a3261f479df/CRJ-19-e70039-g004.jpg

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