呼吸道集束化管理對肺癌切除術患者術后康復的影響分析

周羽芳　鄭衍洪　陳淑嫻

【摘要】 目的：探討呼吸道集束化管理對肺癌切除術患者術后康復的影響。方法：選取2015年

1月-2017年1月本院收治肺原位癌患者60例，以入院時間先后順序分為觀察組和對照組，每組30例。觀察組給予呼吸道集束化管理，對照組給予常規護理。采用Borg評分量表評價管理效果，觀察兩組并發癥發生情況，胸管留置時間、術后氧療時間、術后住院時間，并統計分析。結果：術后4、8 d，觀察組Borg得分均顯著低于對照組，差異均有統計學意義（P<0.05），觀察組6MWT距離顯著長于對照組，差異有統計學意義（P<0.05）。結論：呼吸道集束化管理作為一項具備循證基礎的護理模式，在肺癌根治術圍術期呼吸道護理中發揮了重要作用，提高了護理質量，改善了患者術后康復效果。

【關鍵詞】 呼吸道； 集束化管理； 肺癌切除術； 圍手術期

Analysis the Impact of Cluster Bundled Nursing of Respiratory Tract on Patients with Lung Cancer Resection/ZHOU Yu-fang，ZHENG Yan-hong，CHEN Shu-xian.//Medical Innovation of China，2017，14（22）：078-080

【Abstract】 Objective：To discuss the impact analysis of cluster bundled nursing of respiratory tract on patients with lung cancer resection.Method：A total of 60 cases with pregnant lung carcinoma in situ were selected from January 2015 to January 2017 in our hospital，according to the admission time sequence they were divided into the observation group and the control group，30 cases in each group.The observation group received cluster bundled nursing of respiratory tract，the control group received routine nursing.Borg rating scale was used to evaluate nursing impact，changes in occurrence of complications，chest tube leave time，postoperative oxygen therapy time，postoperative hospitalization of two groups were statistically analysed.Result：After surgery 4 and 8 d，Borg score of the observation group were significantly higher than those of the control group，the differences were statistically significant（P<0.05）；distance of 6MWT of the observation group was significantly longer than that of the control group，the difference was statistically significant（P<0.05）.Conclusion：Cluster bundled nursing as a matter of the basics of evidence-based nursing mode played an important role in the respiratory tract nursing of perioperative period of lung cancer resection，it can improve the quality of nursing and the patients postoperative rehabilitation effect.

【Key words】 Respiratory； Cluster bundled nursing； Lung cancer resection； Perioperative

First-authors address：Dafeng Hospital of Chaoyang District，Shantou 515154，China

doi：10.3969/j.issn.1674-4985.2017.22.022

目前，原發性肺癌的治療方式多種多樣，中醫療法、放化療、生物靶向治療均為良好的原發性肺癌治療方式，而符合肺癌根治術手術指征病例應首先選擇術式治療，其它療法相繼配合[1-5]。術式治療入侵性較大，往往并發肺部感染、肺不張、急性呼吸窘迫綜合征、呼吸衰竭等癥[6-7]。為此，本院開展呼吸道集束化管理對肺癌切除術患者術后康復的影響分析研究，旨在為肺癌切除術圍術期護理提供參考依據，現報道如下。

1 資料與方法

1.1 一般資料 選取2015年1月-2017年1月本院收治肺原位癌患者60例，以入院時間先后分為觀察組和對照組，每組30例。經免疫組化驗查，所有患者確診為肺原位癌，且均符合肺癌根治術手術指征。觀察組男16例，女14例；年齡37～64歲，平均（47.65±4.69）歲；Karnofsky評分60.95～69.62分，平均（64.33±3.26）分。對照組男15例，女15例；年齡36～64歲，平均（47.88±4.90）歲；Karnofsky評分60.48～69.03分，平均（64.52±3.17）分。兩組患者的一般資料比較差異均無統計學意義（P>0.05），具有可比性。endprint

1.2 納入與排除標準 納入標準：（1）肺原位癌；（……