精细护理对肺癌胸腔镜术后创面并发症的影响。

IF 1.9 4区 医学 Q3 RESPIRATORY SYSTEM Clinical Respiratory Journal Pub Date : 2025-01-01 DOI:10.1111/crj.70039
Yanxia Dong, Guangqin Ma, Shuaishuai Wu, Shuling Zhang
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引用次数: 0

摘要

肺癌胸腔镜术后伤口并发症给患者带来极大的痛苦和不便。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术后创面并发症的影响。采用随机数字表法将230例胸腔镜肺癌根治术患者随机分为两组。研究组采用精细化护理干预(115例),对照组采用常规护理干预(115例)。比较两组护理模式对肺癌胸腔镜术后创面并发症(胸腔积液、切口感染、肺漏、创面出血)的影响。结果:研究结果显示,研究组术中出血量、拔管时间、住院时间、伤口并发症发生率均低于对照组(p)。与对照组相比,对胸腔镜肺癌根治术患者实施精细化护理干预,术后创面并发症较少,可提高患者的护理满意度和生活质量,值得临床推广应用。
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Effect of Refined Nursing on Wound Complications After Thoracoscopic Surgery for Lung Cancer.

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.

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来源期刊
Clinical Respiratory Journal
Clinical Respiratory Journal 医学-呼吸系统
CiteScore
3.70
自引率
0.00%
发文量
104
审稿时长
>12 weeks
期刊介绍: Overview Effective with the 2016 volume, this journal will be published in an online-only format. Aims and Scope The Clinical Respiratory Journal (CRJ) provides a forum for clinical research in all areas of respiratory medicine from clinical lung disease to basic research relevant to the clinic. We publish original research, review articles, case studies, editorials and book reviews in all areas of clinical lung disease including: Asthma Allergy COPD Non-invasive ventilation Sleep related breathing disorders Interstitial lung diseases Lung cancer Clinical genetics Rhinitis Airway and lung infection Epidemiology Pediatrics CRJ provides a fast-track service for selected Phase II and Phase III trial studies. Keywords Clinical Respiratory Journal, respiratory, pulmonary, medicine, clinical, lung disease, Abstracting and Indexing Information Academic Search (EBSCO Publishing) Academic Search Alumni Edition (EBSCO Publishing) Embase (Elsevier) Health & Medical Collection (ProQuest) Health Research Premium Collection (ProQuest) HEED: Health Economic Evaluations Database (Wiley-Blackwell) Hospital Premium Collection (ProQuest) Journal Citation Reports/Science Edition (Clarivate Analytics) MEDLINE/PubMed (NLM) ProQuest Central (ProQuest) Science Citation Index Expanded (Clarivate Analytics) SCOPUS (Elsevier)
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