护理干预对胸腔镜肺癌根治术患者麻醉恢复期并发症影响评价.docVIP

护理干预对胸腔镜肺癌根治术患者麻醉恢复期并发症影响评价 　　[摘要]目的 探?胸腔镜肺癌根治术的护理干预措施及其对麻醉恢复期并发症的影响。方法 选取2015年8月23日～2017年4月11日我院收治的70例胸腔镜肺癌根治术患者作为研究对象，根据护理模式不同分为对照组和观察组，每组各35例。对照组予以基础干预，观察组在对照组基础上采取综合护理。观察两组患者麻醉恢复期并发症发生情况及生活质量。结果 观察组心律失常（0.00%）、低氧血症（2.86%）、躁动（5.71%）以及胃肠道不适（8.57%）发生率低于对照组，差异有统计学意义（P0.05）；观察组社会关系、物质生活、心理状态、生理功能评分高于对照组，差异有统计学意义（P0.05）。结论 在胸腔镜肺癌根治术患者中，采取有效的护理干预措施，能够提高服务质量，减少麻醉恢复期并发症。 　　[关键词]麻醉恢复期并发症；护理；胸腔镜肺癌根治术 　　[中图分类号] R473.73 [文献标识码] A [文章编号] 1674-4721（2018）1（a）-0177-03 　　[Abstract]Objective To explore the nursing intervention of thoracoscopic lung cancer radical mastectomy and its effect on the complications of anesthesia recovery.Methods From August 23，2015 to April 11，2017， 70 patients with thoracoscopic lung cancer underwent radical surgery were selected as the subjects，and divided into control group and observation group according to different nursing models，35 cases in each group.The control group was given basic intervention，and the observation group took the comprehensive nursing on the basis of the control group.The incidence and quality of life of the two groups were observed.Results The incidence of arrhythmia （0.00%），hypoxemia （2.86%），agitation （5.71%） and gastrointestinal discomfort （8.57%） in observation group were lower than those in control group，the differences were statistically significant （P0.05）.Social relations，physical life，psychological status，physiological function scores in the observation group were higher than those in the control group，the differences were statistically significant （P0.05）.Conclusion In patients with thoracoscopic lung cancer radical resection，effective nursing interventions can improve the quality of service and reduce the complications of anesthesia recovery. 　　[Key words]Anesthesia convalescence complications；Nursing；Thoracoscopic lung cancer radical surgery 　　随着社会发展及生活环境的改变，肺癌患者人数不断增加，严重威胁着患者生命安全及生活质量。胸腔镜手术作为微创外科全新技术[1-3]，广泛应用于胸部疾病治疗，在肺癌患者中有较高的应用价值，在予以必要治疗的同时，护理干预对病情控制、预后发展等均有一定影响，传统护理模式效果并不十分理想，故寻找更为有效的护理模式极为重要。本文选取70例胸腔镜肺癌