Visualize the health education program on postoperative recovery of patients with radical surgery of lung cancer under the thoracoscope
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摘要: 目的 探讨形象化健康教育方案在胸腔镜下肺癌根治术患者恢复中所发挥的作用。 方法 将61例接受胸腔镜下肺癌根治术的患者采用随机数字表法分为2组,其中观察组31例,对照组30例。对照组患者采用常规的健康教育,包括健康宣教、围手术期的护理等临床常规护理措施,观察组在此基础上实施形象化健康教育方案。对比2组患者术后恢复指标(抗生素使用时间、吸氧时间、下床活动时间、拔管时间、住院时间)、并发症(胸腔漏气、肺不张及感染、坠积性肺炎、出血)发生概率、术后满意度的差异。 结果 实施形象化教育方案后,观察组在吸氧时间、住院天数、下床活动时间、拔管时间上明显短于对照组(P<0.05);术后胸腔漏气、坠积性肺炎、出血并发症的发生率明显低于对照组(P<0.05);在患者满意度方面,观察组明显高于对照组(P<0.05)。 结论 形象化的术前宣教可以让患者及家属建立起对胸腔镜手术全面的认识,消除了他们的顾虑和恐惧心,有助于建立起战胜疾病的自信;手术前后加强、督促呼吸功能锻炼,认真落实呼吸道的管理,促进了患者肺功能的恢复,减少术后并发症发生。形象化的健康教育护理方案显著缩短胸腔镜肺癌根治术患者住院时间,降低了术后并发症的发生概率,提高了患者对于护理工作的治疗配合度及满意度,减少了术后并发症的发生,最大程度减轻了患者的痛苦,大大提高了疗效以及术后满意度。在临床护理工作中具有一定的应用和推广价值。Abstract: Objective To discuss the role of visualization health education plan to help patients recover from radical surgery of lung cancer. Methods A total of 61 patients with radical surgery of lung cancer under thoracoscope were randomly divided into observation group with 31 cases and control group with 30 cases. For the control group was treated with routine health education, including health education, perioperative nursing and such clinical routine nursing measures. The observation group was given visualized health education program on the basis of the control group. Comparisons were made of postoperative recovery index (antibiotic use time, oxygen time, ambulation time, extubation time, length of hospital stay)and complications (The chest leakage, pulmonary atelectasis and infection, the pendant pneumonia, the hemorrhage) probability, as well as the the differences between the postoperative satisfaction. Results After implementation of visualization education plan, in observation group the oxygen time, hospitalization days, ambulation time, extubation time were significantly shorter than the control group(P<0.05); the occurrences of postoperative pleural leakage, hypostatic pneumonia, bleeding complications in observation group were significantly lower than those in the control group(P<0.05); In terms of patient satisfaction, the observation group is significantly higher than control group(P<0.05). Conclusion Visualization of preoperative education can make the patient and family build a comprehensive understanding of thoracoscope surgery, eliminate their concerns and fear, help build up the confidence to conquer the disease; Strengthen before and after operation, supervise the respiratory function exercise, earnestly implement the respiratory tract management, promote the recovery of patients with lung function, reduce postoperative complications and so on. The visualization of health education nursing scheme significantly shortens the hospitalization time of thoracoscope lung cancer patients with radical prostatectomy and reduces the probability of the occurrence of postoperative complications and improve the patients in the treatment of nursing cooperation degree and satisfaction degree, reduces the postoperative complications, and reduces the patient's pain to the largest extent, greatly improves the curative effect and postoperative satisfaction. In the clinical nursing work it has a certain application and popularization value.
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