| ObjectiveBased on the concept of ERAS,an intervention plan suitable for lung cancer patients undergoing thoracoscopic lobectomy was formulated.To explore its influence on postoperative pulmonary function,exercise endurance,pain,spontaneous expectoration time and complications of patients with lung cancer undergoing thoracoscopic single lobectomy.MethodBy convenient sampling method,the patients with lung cancer who needed thoracoscopic lobectomy in cancer center of a Grade III Grade-A tertiary hospital of Inner Mongolia Autonomous Region from January to December,2022 were selected as the research object.The control group was given routine perioperative nursing care of thoracic tumor surgery,while the intervention group was given comprehensive lung rehabilitation nursing measures based on ERAS concept.The postoperative recovery of the two groups was compared(including pulmonary function before operation and discharge,6-minute walking test before operation and discharge;pain score on the 1st,2nd and 3rd day after operation;effective time for postoperative spontaneous expectoration;incidence of common complications after operation).Compare and analyze the difference between the two groups,evaluate the effect,and summarize the nursing experience.All results were analyzed by SPSS26.0 for input and analysis.The statistical methods include t-test,chi-square test and rank sum test.Results(1)According to the established experimental requirements,86 people were selected from January to December 2022.During the experiment,2 cases were excluded from the intervention group,3 cases were excluded from the control group respectively,and finally 41 cases were in the intervention group,there are a total of 40 people in the other group.The overall data of the two groups are basically similar in age,ethnic group,education level,family history,basic diseases,smoking history,drinking history,lung surgery and general demography between the intervention group and the other group(P>0.05),which meets experimental requirements.(2)Comparison of lung function between the two groups of patients before operation and before discharge: two independent sample t-tests were used for analysis.The results showed that there was no significant difference in FEV1 and FVC between the two groups before operation(P>0.05);There was significant difference in FEV1 and FVC between the two groups before discharge(P<0.05).(3)Comparison of 6MVD between the two groups of patients before operation and before discharge: two independent sample t-tests were used for analysis.The results showed that there was no significant difference in 6MVD between the two groups before operation(P>0.05);The6MVD of the two groups of patients before discharge was statistically significant(P<0.05).(4)Record pain data between the intervention group and another group,and finally compare them: repeated measurement analysis of variance was used to analyze the pain scores of the two groups at 24 hours,48 hours and 72 hours after operation.The results showed that time had an effect on the pain score(P<0.001).The pain score decreased with the increase of time.Compared to the 24-hour postoperative pain score,both the 48 and 72 hours postoperative pain scores decreased;Intervention factors had an impact on pain scores(P=0.018).The difference between the pain scores of the intervention group and the control group at 24 hours after operation was not statistically significant(P>0.05),while the pain scores of the control group at 48 and 72 hours were higher than intervention group after operation,with a statistically significant difference(P<0.05).(5)Comparison of effective postoperative spontaneous expectoration time between two groups of patients: analysis by Wilcoxon rank sum test.This result indicates to us that there is a difference in the time it takes for two groups of patients to easily cough up phlegm after undergoing surgery(P<0.05).(6)Both groups of patients recorded and compared postoperative complications: chi-square test was used to compare and analyze the all relevant data for the intervention group and another group of patients.The results showed that there were 3 postoperative complications in the intervention group,accounting for 7.3%,and 8 postoperative complications in the control group,accounting for 20%.The situation of the two groups of patients is similar.If statistical methods are used to prove that the same results are also obtained,whether overall or separately(P>0.05).ConclusionThe comprehensive lung rehabilitation training based on ERAS concept can effectively promote the improvement of lung function of patients undergoing thoracoscopic single lobectomy,increase their exercise endurance and overall activity ability,help patients to relieve pain,reduce their pain,shorten the time spent on spontaneous and powerful expectoration after surgery,help patients cough effectively,and accelerate their postoperative recovery. |
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