基于增强的康复计划和肺癌患者的结果的术后肺部干预之间的关联:一个回顾性倾向得分匹配研究
Jishan Yin1, Jialing Zhou1, Linying Cao1
1Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Chongqing Medical University, Linjianglu 76, Yuzhong, Chongqing, China.
概括
与增强的康复计划相结合的术后肺部干预措施显著减少了肺癌手术患者的并发症和住院时间. 护士在这种增强的康复过程中发挥着关键作用.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部康复治疗 肺部康复治疗
- 增强的恢复程序 恢复程序
背景情况:
- 肺癌手术需要全面的术后护理,以尽量减少并发症.
- 增强恢复计划 (ERP) 旨在优化患者的康复.
- 在ERP中综合性肺部干预措施的具体影响需要进一步评估.
研究的目的:
- 评估基于肺癌手术患者增强恢复计划 (PPIE) 的术后肺干预措施的有效性.
- 使用倾向性得分匹配 (PSM) 来比较接受PPIE和接受标准ERP的患者之间的结果.
主要方法:
- 一项回顾性研究从2020年1月到2022年12月确定了656名肺癌患者.
- 倾向分数匹配 (PSM) 创建了可比的组:PPIE (n=253) 和非PPIE (n=253).
- PPIE包括呼吸技巧,呼吸压力疗法,激励螺旋计和早期动员,由护士管理.
主要成果:
- PPIE组显示30天 (4.7%对11.9%) 和住院 (3.2%对11.1%) 术后肺部并发症的发生率明显较低.
- PPIE与中位后术住院时间减少1天有关 (P < 0.001).
- 两组之间胸管停留时间没有显著差异 (P = 0.394).
结论:
- 整合到ERP的术后肺干预措施 (PPIE) 改善了肺癌手术患者的结果,不包括胸腔管的持续时间.
- PPIE可以增强患者康复,应考虑将其整合到标准ERP中.
- 在这些计划中,护士对于促进患者在肺癌手术后恢复至关重要.
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