馬金菊

【摘要】 目的：探究?jī)?yōu)質(zhì)延續(xù)護(hù)理在胸腔鏡下肺病損切除術(shù)患者術(shù)后的應(yīng)用價(jià)值。方法：選取2018年1-12月筆者所在醫(yī)院的90例胸腔鏡下肺病損切除術(shù)患者為研究對(duì)象，依據(jù)隨機(jī)分配的原則分為對(duì)照組（常規(guī)術(shù)后護(hù)理）45例和觀察組（優(yōu)質(zhì)延續(xù)護(hù)理）45例。比較兩組引流時(shí)間、住院時(shí)間、不良反應(yīng)發(fā)生率、滿意率、護(hù)理前后心理應(yīng)激（Zung自評(píng)量表評(píng)分）與生存質(zhì)量（WHOQOL-BREF評(píng)分）。結(jié)果：觀察組引流時(shí)間及住院時(shí)間均短于對(duì)照組，不良反應(yīng)發(fā)生率低于對(duì)照組，滿意率高于對(duì)照組，護(hù)理后Zung自評(píng)量表評(píng)分與WHOQOL-BREF評(píng)分均優(yōu)于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：優(yōu)質(zhì)延續(xù)護(hù)理在胸腔鏡下肺病損切除術(shù)患者術(shù)后的應(yīng)用價(jià)值較高，值得在本類手術(shù)患者中推廣應(yīng)用。

【關(guān)鍵詞】 優(yōu)質(zhì)延續(xù)護(hù)理; 胸腔鏡下肺病損切除術(shù); 康復(fù)速度; 心理狀態(tài); 生存質(zhì)量

doi：10.14033/j.cnki.cfmr.2019.27.056 文獻(xiàn)標(biāo)識(shí)碼 B 文章編號(hào) 1674-6805（2019）27-0-03

Application Value of High-quality Extended Nursing in the Patients after Thoracoscopic Resection of Pulmonary Lesion/MA Jinju.//Chinese and Foreign Medical Research，2019，17（27）：-132

【Abstract】 Objective：To investigate the application value of high-quality extended nursing in the patients after thoracoscopic resection of pulmonary lesion.Method：A total of 90 patients with thoracoscopic resection of pulmonary lesion from January to December 2018 were chosen as the study object，and they were divided into the control group（routine postoperative nursing） 45 cases and the observation group（high-quality extended nursing） 45 cases according to the principle of random distribution.Then the drainage time，hospitalization time，adverse reaction rates，satisfaction rate，psychological stress（Zung self-rating scale score） and quality of life（WHOQOL-BREF score） before and after the nursing of two groups were compared.Result：The drainage time and hospitalization time of the observation group were shorter than those of the control group，and the adverse reaction rates was lower than that of the control group，and the satisfaction rate was higher than that of the control group，Zung self-rating scale score and WHOQOL-BREF score after the nursing were all better than those of the control group，and the differences were statistically significant（P<0.05）.Conclusion：The application value of high-quality extended nursing in the patients after thoracoscopic resection of pulmonary lesion is higher，and it is worthy of popularization and application in these surgical patients.

【Key words】 High-quality extended nursing; Thoracoscopic resection of pulmonary lesion; Rehabilitation speed; Psychological state; Quality of life

First-authors address：Nantong Tongzhou Peoples Hospital，Nantong 226300，China

胸腔鏡下肺病損切除術(shù)是臨床中常見(jiàn)的一類微創(chuàng)手術(shù)，患者術(shù)后恢復(fù)相對(duì)較快，但術(shù)后康復(fù)的效果仍存在較大的提升空間[1-2]。護(hù)理干預(yù)對(duì)患者的康復(fù)與心理、生存等多方面均有較大影響[3]。不同的護(hù)理模式在胸腔鏡下肺病損切除術(shù)患者中的應(yīng)用價(jià)值各有差異[4]。因此，本研究就優(yōu)質(zhì)延續(xù)護(hù)理在胸腔鏡下肺病損切除術(shù)患者術(shù)后的應(yīng)用價(jià)值進(jìn)行探究，將結(jié)果報(bào)道如下。

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（收稿日期：2019-04-16） （本文編輯：李盈）