肺癌患者肺叶切除术手术前后常规护理和心理护理研究.docVIP

肺癌患者肺叶切除术手术前后常规护理和心理护理研究 　　[摘要] 目的 研究肺癌患者肺叶切除术手术前后的常规护理和心理护理。 方法 选取我院2016年1～12月收治的肺癌患者69例，依据治疗方法将患者分为常规护理和心理护理联合应用组（联合护理组，n=39）和常规护理组（n=30）两组，对两组患者的焦虑、抑郁评分、手术时间、术中出血量、术后下床活动时间、住院时间、住院费用、术后并发症发生情况、护理满意度进行统计分析。 结果 护理后联合护理组患者的焦虑、抑郁评分均显著低于常规护理组（P0.05），术中出血量显著少于常规护理组（P0.05），术后下床活动时间、住院时间均显著短于常规护理组（P0.05），术后并发症发生率17.9%（7/39）显著低于常规护理组36.7%（11/30）（P0.05），护理满意度94.9%（37/39）显著高于常规护理组73.3%（22/30）（P0.05）。 结论 与单纯常规护理相比，肺癌患者肺叶切除术手术前后的常规护理和心理护理联合应用效果较好，值得在临床推广应用。 　　[关键词] 肺癌；肺叶切除术；常规护理；心理护理 　　[中?D分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2017）13-0150-04 　　[Abstract] Objective To study the routine nursing and psychological nursing of lung cancer patients before and after lobectomy. Methods 69 patients with lung cancer admitted in our hospital from January to December in 2016 were divided into two groups including routine nursing and psychological combination nursing group（n=39） and routine nursing group（n=30）. The anxiety， depression score， operation time， intraoperative blood loss， postoperative time to get out of bed， hospitalization time， hospitalization cost， postoperative complications and nursing satisfaction between two groups were analyzed statistically. Results The anxiety and depression scores of the patients in the combination nursing group after nursing were significantly lower than those in the conventional nursing group（P0.05）. The intraoperative blood loss in the combination nursing group was significantly lower than that of the routine nursing group（P0.05）. The postoperative time to get out of bed and the hospital stay in the combination nursing group was significantly shorter than those of the routine nursing group（P0.05）. And the incidence of postoperative complications was 17.9%（7/39） in the combination nursing group， which was significantly lower than 36.7%（11/30） of routine nursing group（P0.05）. The nursing satisfaction was 94.9%（37/39） in the combination nursing group， significantly higher than that in the conventional nursing group（73.3%， 22/30）（P0.05）. Conc