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目的研究观察优质护理对肺癌患者术后并发症及生活质量影响。方法纳入2013年6月—2015年7月100例肺癌患者临床资料,均实施手术治疗,根据住院床号随机分为优质组对照组,各50例。对照组患者应用常规护理干预,优质组患者在常规护理干预的同时实施优质护理。对比分析两组患者术前及术后Karnofsky评分、Spitzer生活质量指数(quality of life index,QLI),并比较两组满意率和术后并发症的发生率。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果干预后优质组患者Karnofsky评分、QLI明显高于对照组[(83.18±6.71)、(73.43±5.29)、(8.22±1.59)、(6.11±1.94)分],数据对比差异均有统计学意义(均P<0.05)。干预后,优质组患者满意率明显高于对照组(100.00%、72.00%),术后并发症发生率明显低于对照组(2.00%、26.00%),数据对比差异均有统计学意义(均P<0.05)。结论优质护理在肺癌患者手术中的应用,可有效减少术后并发症发生,提升患者生活质量和满意度,值得推广。
Objective To observe the effect of quality nursing on postoperative complications and quality of life in patients with lung cancer. Methods The clinical data of 100 patients with lung cancer from June 2013 to July 2015 were enrolled in this study. All patients underwent surgical treatment. The patients were randomly divided into high quality group and control group according to the hospital bed number. Patients in the control group received routine nursing intervention, and patients in the high-quality group performed quality nursing at the same time as regular nursing intervention. The Karnofsky score and Spitzer quality of life index (QLI) were compared between the two groups before and after surgery. The incidences of satisfaction and postoperative complications were compared between the two groups. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The scores of Karnofsky and QLI in high quality group after intervention were significantly higher than those in control group [(83.18 ± 6.71), (73.43 ± 5.29), (8.22 ± 1.59) and (6.11 ± 1.94), respectively (All P <0.05). After intervention, the satisfaction rate of patients in high quality group was significantly higher than that in control group (100.00%, 72.00%), the incidence of postoperative complications was significantly lower than that of control group (2.00%, 26.00%), the difference was statistically significant P <0.05). Conclusion The application of quality nursing in the operation of lung cancer patients can effectively reduce the incidence of postoperative complications and improve the quality of life and satisfaction of patients, which is worth promoting.