【摘要】 目的研究系统性护理在胸腔镜肺癌根治术(VATSLC)围手术期的应用效果。方法选择2014年7月至2017年6月该院收治的肺癌患者110例,依照随机数字表法分为系统性护理组和对照组,每组55例。对照组行常规护理,系统性护理组行常规护理及系统性护理。观察两组患者术后下床时间、留置导管时间、首次进食时间及术后住院时间等;比较两组患者术前、术后7 d生命质量评分、肿瘤坏死因子(TNF)-α、C反应蛋白(CRP)、白细胞介素(IL)-6等炎性细胞因子水平;比较两组患者术后疼痛程度及术后并发症。结果系统性护理组下床时间、留置导管时间、首次进食时间及术后住院时间均低于对照组,差异均有统计学意义(P<0.05)。术后7 d系统性护理组患者生命质量得分均大于对照组,差异均有统计学意义(P<0.05)。术后7 d系统性护理组CRP、IL-6、TNF-α水平均低于对照组,差异有统计学意义(P<0.05)。系统性护理组疼痛评分、术后并发症发病率均低于对照组,差异均有统计学意义(P<0.05)。结论系统性护理应用于VATSLC围手术期效果明显,临床上建议推广应用。更多还原

【Abstract】 Objective To investigate the effect of systemic nursing on the perioperative period of thoracoscopic radical lung cancer(VATSLC). Methods From January 2014 to June 2017,110 patients with lung cancer admitted to the hospital were selected and divided into systematic nursing group and control group according to the random number table method,with 55 cases in each group. The control group received routine care,and the systemic care group performed routine care plus systemic care.Observed the two groups of patients after bed time,indwelling catheter time,the first time to eat and postoperative hospital stay.The quality of life scores,tumor necrosis factor(TNF)-α,CRP,interleukin(IL)-6 and other inflammatory factors were compared between the two groups before and after surgery.The degree of postoperative painand postoperative complications were compared between the two groups. Results The time of getting out of bed,time of indwelling catheter,first feeding time and postoperative hospital stay in the systematic nursing group were lower than those in the control group,and the differencewas statistically significant(P<0.05). Seven days after surgery,the quality of life of the systemic care group was greater than that of the controlgroup,and the difference was statistically significant(P<0.05).On the 7 th day after operation,the levels of CRP,IL-6 and TNF-α in the systemiccare group were lower than those in the control group,and the difference was statistically significant(P<0.05).The pain scores and incidence ofpostoperative complications in the systemic care group were lower than those in the control group,and the difference was statistically significant(P<0.05). Conclusion Systematic nursing has obvious effect in the perioperative period of VATSLC and it is recommended to promote it.更多还原