肺癌患者肺葉切除術手術前后的常規護理和心理護理研究

高玲一　孔海紅　李曉艷　郎森鳳　徐玉萍　胡娟　柴瑩

[摘要] 目的 研究肺癌患者肺葉切除術手術前后的常規護理和心理護理。 方法 選取我院2016年1～12月收治的肺癌患者69例，依據治療方法將患者分為常規護理和心理護理聯合應用組（聯合護理組，n=39）和常規護理組（n=30）兩組，對兩組患者的焦慮、抑郁評分、手術時間、術中出血量、術后下床活動時間、住院時間、住院費用、術后并發癥發生情況、護理滿意度進行統計分析。 結果 護理后聯合護理組患者的焦慮、抑郁評分均顯著低于常規護理組（P<0.05），術中出血量顯著少于常規護理組（P<0.05），術后下床活動時間、住院時間均顯著短于常規護理組（P<0.05），術后并發癥發生率17.9%（7/39）顯著低于常規護理組36.7%（11/30）（P<0.05），護理滿意度94.9%（37/39）顯著高于常規護理組73.3%（22/30）（P<0.05）。 結論 與單純常規護理相比，肺癌患者肺葉切除術手術前后的常規護理和心理護理聯合應用效果較好，值得在臨床推廣應用。

[關鍵詞] 肺癌；肺葉切除術；常規護理；心理護理

[中圖分類號] R473.73 [文獻標識碼] B [文章編號] 1673-9701（2017）13-0150-04

[Abstract] Objective To study the routine nursing and psychological nursing of lung cancer patients before and after lobectomy. Methods 69 patients with lung cancer admitted in our hospital from January to December in 2016 were divided into two groups including routine nursing and psychological combination nursing group（n=39） and routine nursing group（n=30）. The anxiety， depression score， operation time， intraoperative blood loss， postoperative time to get out of bed， hospitalization time， hospitalization cost， postoperative complications and nursing satisfaction between two groups were analyzed statistically. Results The anxiety and depression scores of the patients in the combination nursing group after nursing were significantly lower than those in the conventional nursing group（P<0.05）. The intraoperative blood loss in the combination nursing group was significantly lower than that of the routine nursing group（P<0.05）. The postoperative time to get out of bed and the hospital stay in the combination nursing group was significantly shorter than those of the routine nursing group（P<0.05）. And the incidence of postoperative complications was 17.9%（7/39） in the combination nursing group， which was significantly lower than 36.7%（11/30） of routine nursing group（P<0.05）. The nursing satisfaction was 94.9%（37/39） in the combination nursing group， significantly higher than that in the conventional nursing group（73.3%， 22/30）（P<0.05）. Conclusion Compared with that of the routine nursing， the application effect of conventional nursing combined with psychological nursing in lung cancer patients with lobectomy before and after surgery is better and worthy of clinical use.

[Key words] Lung cancer； Lobectomy； Routine nursing； Psychological nursing

近年來，肺癌的發病率日益提升，對人類的健康造成了嚴重威脅[1]。在肺癌的治療中，手術治療是臨床采用的基本方法[2]。由于患者對手術治療達到康復目的具有強烈的要求，因此臨床護理人員應重視肺癌患者的術后護理[3]。要想有效促進患者術后早日康復并對并發癥進行積極預防，關鍵是要將精湛的醫療技術與有力的護理措施有機結合起來[4]。本研究比較肺癌患者肺葉切除術手術前后的常規護理和心理護理聯合應用與單純常規護理效果，發現前者較后者效果好，現報道如下。

1 資料與方法

1.1 一般資料

選取我院2016年1～12月收治的肺癌患者69例。納入標準：所有患者均符合肺癌的診斷標準[5]，均經胸部CT等檢查證實為肺癌，均接受肺葉切除術，均知情同意；將肺部良性腫瘤、有肺葉切除術禁忌證、心理疾病、精神障礙等患者排除在外。……