Effect of continuous nursing on patients after lobectomy
持续性护理对肺叶切除术后患者的影响

摘要

目的 探讨持续性护理干预对肺叶切除术后患者生活质量的改善效果，明确该护理方案的实施价值。方法 选取2023年1月至2024年12月新疆维吾尔自治区第六人民医院行胸腔镜肺叶切除术的80例患者。采用随机数字表法分为观察组和对照组，每组各40例。对比两组患者的护理效果，综合评估持续性护理的作用。结果 观察组患者在干预后呈现多方面优势，具体包括：生理功能：肺功能指标（第一秒用力呼气量占预计百分比等）更优，术后疼痛评分更低、住院时间更短，并发症发生率更低。自我护理能力：健康知识、自我护理技能、自我责任感、自我概念评分更高。心理健康：焦虑、抑郁评分更低。生活质量：功能量表及总体健康状况评价更高，症状量表及子症状量表评价更低。护理满意度：整体满意度高于对照组；P均＜0.05。结论 持续性护理干预能显著改善肺叶切除术后患者的生理功能、心理健康和生活质量。

Abstract

Objective To explore the improvement effect of continuous nursing intervention on the quality of life of patients after lobectomy, and to clarify the implementation value of the nursing program.
Methods 80 patients who underwent thoracoscopic lobectomy in a hospital from January 2023 to December 2024 were selected. They were divided into observation group and control group by random number table method, 40 cases in each group. The nursing effects of the two groups were compared, and the effect of continuous nursing was comprehensively evaluated.
Results The patients in the observation group showed many advantages after intervention, including: physiological function: lung function index (forced expiratory volume in the first second accounted for the expected percentage, etc.) was better, postoperative pain score was lower, hospitalization time was shorter, and the incidence of complications was lower. Self-care ability: health knowledge, self-care skills, self-responsibility, self-concept score higher. Mental health: anxiety and depression scores were lower. Quality of life: the functional scale and the overall health status were higher, and the symptom scale and the sub-symptom scale were lower. Nursing satisfaction: the overall satisfaction was higher than that of the control group; P< 0.05.
Conclusion   Continuous nursing intervention can significantly improve the physiological function, mental health and quality of life of patients after lobectomy.