To analyze the preventive effect of centralized airway management on lung infection in nursing care ofpatients with lung cancer undergoing surgery
分析在肺癌手术患者护理中予以集束化气道管理对肺部感染的预防效果

摘要

目的 观察在对肺癌手术患者进行护理中将集束化气道护理进行运用对于降低患者肺部感染发 生率的作用。方法 按照对比护理观察的方式开展探究，纳入 2021 年 2 月至 2022 年 6 月进行肺癌手术治疗 患者 76 例为对象，双盲法均分为对照组（38 例，常规护理）和观察组（38 例，集束化气道护理）。分析两 组患者恢复情况。结果 对比两组患者干预前后 6min 步行试验，以及 Borg 呼吸困难评分，在手术前两组无 差异，P>0.05，干预后，观察组优于对照组，P<0.05。统计两组患者在恢复期间并发症情况，观察组肺不张、 肺部感染以及切口感染发生率均低于对照组，P<0.05。对比两组术后氧疗时间、住院时间，观察组均短于对 照组，P<0.05。结论 在对肺癌手术患者进行护理中将集束化气道管理进行运用，可以降低患者肺部感染发 生率，改善患者呼吸功能，有助于患者恢复。

Abstract

Objective To observe the effect of applying the integrated airway nursing to reduce the incidence of lung infection in patients undergoing lung cancer surgery.
Methods According to the way of comparative nursing observation, 76 patients with lung cancer undergoing surgical treatment from February 2021 to June 2022 were enrolled as the objects. The patients were divided into the control group (38 cases, routine nursing) and the observation group (38 cases, centralized airway nursing) by double blind method. The recovery of patients in the two groups was analyzed.
Results There was no difference between the two groups in the 6-minute walking test and Borg dyspnea score before and after the intervention, P>0.05. After the intervention, the observation group was better than the control group, P<0.05. According to the statistics of the complications of the two groups during recovery, the incidence of atelectasis, pulmonary infection and incision infection in the observation group were lower than those in the control group (P<0.05). The time of oxygen therapy and hospitalization in the observation group were shorter than those in the control group (P<0.05).
Conclusion   The application of centralized airway management in the nursing of patients with lung cancer surgery can reduce the incidence of pulmonary infection, improve the respiratory function of patients, and help patients recover.