循证理念下环节优化护理在老年肺癌胸腔镜手术围术期的应用效果

Application effects of link optimization nursing under evidence-based concept in perioperative period of thoracoscopic surgery for elderly lung cancer patients

中文关键词: 老年  肺癌  循证理念  环节优化  护理策略  胸腔镜  营养

英文关键词: elderly  lung cancer  evidence-based concept  link optimization  nursing strategy  thoracoscope  nutrition

中文摘要:

      目的 探讨在循证理念指导下环节优化后的护理策略在老年肺癌胸腔镜患者护理中的应用效果,为治疗该病症提供方法.方法 选择2023年6月-2024年1月华西医院收治的104例老年肺癌胸腔镜患者为研究对象,根据随机数字表法分为观察组和对照组,每组52例.比较2组患者在术后3周内并发症发生率,记录并比较2组术后1周、3周时疾病状态、营养状态、肺功能指标值.结果 术后3周内观察组术后并发症总发生率低于对照组(9.62％vs 25.00％,P＜0.05).与术后1周时比较,术后第3周,观察组和对照组有营养风险患者占比降低(38.46％vs67.31％,59.62％vs 65.39％),且观察组低于同期对照组(P均＜0.05).术后第3周,2组患者肺功能指标高于术前,研究组高于对照组(P均＜0.05).结论 基于循证理念指导的环节优化护理策略可及时识别并应对老年肺癌胸腔镜患者面临的营养风险,提供相应的指导和营养支持,从而有效降低手术后并发症的发生概率,具有一定的临床应用价值.

英文摘要:

      Objective To explore the application effects of nursing strategy after link optimization under the guidance of evidence-based concept in the nursing of elderly patients with lung cancer undergoing thoracoscopic surgery,and provide a method for the treatment of this disease.Methods A total of 104 elderly lung cancer patients undergoing thoracoscopic surgery in West China Hospital from June 2023 to January 2024 were included.They were divided into observation group and control group according to the random number table method,with 52 cases in each group.The differences in the incidence of complica-tions within 3 weeks after surgery were compared between the two groups.The disease status,nutritional status and lung func-tion indicators of the two groups were recorded and compared at 1 week and 3 weeks after surgery.Results The total inci-dence of postoperative complications within 3 weeks after surgery in the observation group(9.62％)was significantly lower than that in the control group(25.00％)(P＜0.05).At 3 weeks after surgery,the proportions of patients with nutritional risk in the observation group and the control group were 38.46％and 59.62％,respectively,which were significantly lower than those(67.31％and 65.39％)at 1 week after surgery,and the observation group was lower than the control group(all P＜0.05).The lung function indicators in the two groups at 3 weeks after surgery were significantly higher than those in the same group before surgery,and the observation group was significantly higher than the control group(all P＜0.05).Conclusion Link optimization nursing strategy under the guidance of evidence-based concept can timely identify and respond to the nutritional risks faced by elderly lung cancer patients undergoing thoracoscopic surgery,provide corresponding guidance and nutritional support,effectively reduce the probability of postoperative complications.It has certain clinical application value.