Study On The Role Of High-quality Nursing In A Third-level Hospital Of Qiqihar City In Preventing Pulmonary Infection After Operation For Patients With Non-small Cell Lung Cancer

Objective:To investigate the effect of quality nursing on the prevention of lung infection in patients with non-small cell lung cancer（NSCLC）in a hospital in the third city of Qi City.Methods:This subject adopts a retrospective method and selects the pathological diagnosis of hospitalization in the Department of Cardiothoracic Surgery of the Third Affiliated Hospital of Qiqihar Medical College from July 2015 to June 2018.The blood biochemical routine examination,chest CT scan,and lung cancer eradication are available.Patients with surgical indications of NSCLC and other related factors were similar and included a total of 200 criteria.In the 200 patients included in the study,the number of lung infections in postoperative patients with lung cancer who did not have high-quality care from July 07 to December 2016 was determined according to whether or not high-quality care was not assigned and according to the care received during the perioperative period.One hundred patients served as control group;the number of patients with lung infection who underwent high-quality nursing from January 2017 to June 2018 was taken as the intervention group.Two groups of subjects were given care.The control group was given routine health education,psychological counseling,and life guidance.The intervention group was assigned to the nurses on the basis of the control group to provide nurses with responsibility for division of labor,preoperative guidance,dietary guidance,and strengthening.Preoperative psychological care for patients,postoperative respiratory management to prevent respiratory complications,early exercise and respiratory gymnastics training and other high-quality care.Analysis of postoperative satisfaction and vital signs monitoring indicators（HR,RR,MAP,SpO2）within 72 hours after surgery Blood white blood cell（WBC）,neutrophil levels,inflammation,incidence of respiratory failure,locomotion,level of serum hs-CRP,TNF-α,IL-6,postoperative cough,electrolyte imbalance Complications such as poor drainage and fever symptoms.The data obtained will be statistically processed using the SPSS15.0 software package.The data will be expressed as（?x±s）.The t-test will be used for the comparison between groups.The count data shall be expressed in n（%）,and theχ² test shall be used,P<0.05.The difference is significant.Results:The HR,RR,and MAP at 12 h,24 h,48 h,and 72 h after operation in the intervention group were significantly lower than those in the control group（P<0.05）.There was no significant difference in SpO₂ between the two groups（P>0.05）.In the intervention group,10 patients with pulmonary infection at 24 hours after operation had an infection rate of 10%,of which lung infection was 26.67%（8/30）,which was significantly lower than 25%and 46.67%（14/30）in the control group,respectively.The difference was statistically significant（all P<0.05）.The incidence of respiratory failure in the intervention group was 5.00%,which was significantly lower than the16.00%in the control group.The difference was statistically significant（P<0.05）.After symptomatic treatment after surgery,the incidence of pulmonary infection and respiratory failure was significantly reduced in all patients,but the incidence of the above intervention group was significantly lower than the control group（P<0.05）;From 24 h to 72 h after operation,hs-CRP and TNF-αwere gradually decreased in both groups（P<0.05）,but serum hs-CRP and TNF-αwere lower in the intervention group than in the control group.Statistical significance（P<0.05）.This indicates that the infection of the infected patients is improved after the symptomatic treatment,and the quality of care in the intervention group can significantly reduce the postoperative infection.From 24 h to 72 h after operation,the PCT value,WBC,and neutrophils ratio in both groups were gradually decreased（P<0.05）;however,the serum PCT values,WBC,and neutrophils ratios were lower in the intervention group.In the control group,the differences were statistically significant（P<0.05）.This indicates that the patient’s infection recovered and symptomatic treatment significantly improved lung infections,while the intervention group received superior quality care can significantly reduce postoperative infection.The incidence of complications such as cough,sputum,electrolyte imbalance,poor drainage,and fever was significantly lower in the intervention group than in the control group（P<0.05）.The VAS scores in the intervention group from 0 to 72 hours after operation were significantly lower than those in the control group（P<0.05）,indicating that high-quality care can significantly reduce the postoperative pain.The satisfaction rate of patients in the intervention group was 86.00%,which was significantly higher than that of the control group（56.00%）（P<0.05）.Conclusion:The use of high-quality care for patients with NSCLC can significantly improve patient satisfaction,improve clinical vital signs after surgery,reduce the incidence of pulmonary infection and respiratory failure in patients,while improving the level of PCT,WBC,neutrophil,and reduce inflammatory reactions.After the reduction of complications,the patient’s lung infection was significantly improved and the prognosis was good.