Effect of rehabilitation nursing on lung function of patients after lung cancer operation
康复护理对肺癌术后患者肺功能的影响

摘要

目的 分析肺癌术后患者中康复护理的干预效果。方法 选取我院近 2 年（2021 年 4 月-2022 年 5 月）收治的 120 例肺癌术后患者，回顾临床资料。将实施康复护理（包括呼吸训练、咳嗽训练、体位 疗法训练、运动训练等）的 64 例患者作为观察组，其中男 37 例，女 27 例；年龄 43-83 岁；伴有肺功能重 度减退 24 例、中度减退 40 例，有吸烟史 33 例。将实施常规护理的 56 例患者作为对照组，其中男 24 例，女 32 例；年龄 42-84 岁；伴有肺功能重度减退 19 例、中度减退 37 例，有吸烟史 18 例。均为Ⅰa-Ⅱb 期肺癌患者，吸屏气实验均<35s。观察两组患者肺功能改善情况。结果 干预后，观察组、对照组肺功能 情况较干预前均有一定改善，且观察组肺活量、潮气量、第 1 秒用力呼气量改善更明显，动脉血氧饱和 度、动脉血氧分压、动脉二氧化碳分压变化更明显，与对照组相比差异有统计学意义（P<0.05）。结论 通 过对肺癌术后患者实施康复护理，可有效改善患者肺功能，这对进一步促进患者康复有积极意义，临床应 用价值确切。

Abstract

Objective To analyze the intervention effect of rehabilitation nursing in patients with lung cancer after surgery.
Methods A total of 120 patients with lung cancer after surgery were selected from our hospital in recent 2 years (April 2021 to May 2022), and the clinical data were reviewed. Sixty-four patients with rehabilitation nursing (including breathing training, cough training, posture therapy training, sports training, etc.) were selected as the observation group, including 37 males and 27 females; Age: 43-83; There were 24 cases with severe and 40 cases with moderate pulmonary function decline, and 33 cases with smoking history. 56 patients with routine nursing were selected as the control group, including 24 males and 32 females. Age: 42-84 years; There were 19 cases with severe and 37 cases with moderate pulmonary function decline, and 18 cases with smoking history. All patients had stage ⅰ A - ⅱ B lung cancer, and the breath hold test was less than 35s. The improvement of lung function in the two groups was observed.
Results after the intervention, the observation group and control group lung function also have improved, compared with before, and the observation group, lung capacity, tidal volume, forced expiratory volume 1 seconds more obvious improvement, spo2, arterial blood oxygen partial pressure, artery co2 partial pressure change is more obvious, compared with the control group was statistically significant difference (P < 0.05).
Conclusion   Rehabilitation nursing can effectively improve the lung function of patients with lung cancer after operation, which has positive significance to further promote the rehabilitation of patients and has definite clinical application value.