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目的探讨细节护理配合人性化理念在肺癌根治性手术中的应用。方法选取2013年2月至2015年1月四川省凉山州第一人民医院收治的60例肺癌根治性手术患者,采用随机数字表法分为观察组(细节护理配合人性化理念)和对照组(手术室常规护理),每组30例。对比两组患者术后并发症发生率、术后疼痛、住院时间、肺功能和护理前后生活质量。结果观察组患者并发症发生率明显低于对照组患者;观察组患者术后各时间点疼痛得分均明显低于对照组患者,观察组患者住院时间较对照组患者短,观察组患者最大通气量(MVV)和用力肺活量(FVC)等指标均明显高于对照组;上述指标差异均有统计学意义(均P<0.05)。两组患者护理前生活质量得分差异无统计学意义(P>0.05),观察组患者护理后生活质量得分高于对照组患者,差异有统计学意义(P<0.05)。结论细节护理配合人性化理念能有效的降低肺癌根治性手术患者并发症发生率,减轻疼痛,缩短恢复时间,同时还有助于肺功能和生活质量的改善。
Objective To explore the application of detailed nursing and humanistic concept in radical surgery of lung cancer. Methods From February 2013 to January 2015, 60 patients with radical surgery of lung cancer admitted to the First People’s Hospital of Liangshan Prefecture in Sichuan Province were divided into observation group (detail nursing with humanized concept) and control group (control group) Operating room routine care), 30 cases in each group. The incidence of postoperative complications, postoperative pain, length of hospital stay, lung function and quality of life before and after care were compared between the two groups. Results The incidence of complications in the observation group was significantly lower than that in the control group. The scores of pain in the observation group were significantly lower than those in the control group at each time point. The observation group had shorter hospital stay and the maximum ventilation (MVV) and forced vital capacity (FVC) were significantly higher than those in the control group. There was significant difference between the above parameters (all P <0.05). There was no significant difference in quality of life before treatment between the two groups (P> 0.05). The quality of life after treatment in the observation group was higher than that in the control group (P <0.05). CONCLUSIONS Nursing with detail nursing can effectively reduce the incidence of complications in patients with radical surgery of lung cancer, relieve pain and shorten the recovery time, and also help to improve pulmonary function and quality of life.