高龄肺癌患者围手术期的呼吸道护理体会

摘要

Objective:To study perioperative respiratory tract nursing method of senile patients with lung cancer,sum up nursing experience.Method:From January 2013 to December 2014 in Gaozhou People’s Hospital of thoracic surgery 30 patients with lung cancer over 65 years old,they were divided into two groups,15 cases in each group.The observation group was given perioperative psychological nursing, preoperative respiratory function training and guidance,the management of postoperative respiratory care, pain in patients with respiratory tract nursing intervention.The control group was given routine postoperative respiratory care.The indicators of two groups were compared.Result:Duration of drainage and hospital stays of two groups,the differences was statistically significant(P<0.05).Postoperative pain score of 1,3,7 days of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Lung infection and atelectasis of two groups,there were no statistical differences(P>0.05).Conclusion:Senile patients with lung cancer,active preoperative,intraoperative and postoperative nursing intervention can effectively reduce tube time,pain and the risk of postoperative lung infection,it is helpful for early rehabilitation.%目的：探讨高龄肺癌患者围手术期呼吸道的护理方法，总结护理经验。方法：选择2013年1月-2014年12月本院胸外科收治的30例65岁以上的肺癌患者，按照随机数字表法分为两组，每组15例。观察组主要通过围手术期的心理护理、术前呼吸功能训练与指导、术后呼吸道护理、疼痛管理等对患者进行呼吸道护理干预；对照组给予术后常规呼吸道护理，比较两组围手术期一般资料。结果：两组术后胸管引流时间、术后住院时间比较，差异均有统计学意义（P<0.05）。观察组术后1、3、7 d疼痛评分均比对照组低，差异均有统计学意义（P<0.05）；观察组并发肺部感染、肺不张与对照组比较，差异均无统计学意义（P>0.05）。结论：高龄肺癌术后患者，积极的术前、术中及术后护理干预，能有效减少患者带管时间、减轻疼痛、降低术后并发肺部感染等并发症风险，有利于患者早期康复。