目的: 探讨多学科综合护理对肺癌行肺叶切除患者术后肺康复的效果。方法: 将2016年3月至2017年2月因肺癌行肺叶切除的80例患者作为研究对象,将其随机分为观察组及对照组,各40例。对照组采取常规专科护理,观察组采取多学科综合护理,从肺功能指标、6 min步行试验(6 minutes walk test,6MWT)、术后肺部并发症发生率、术后住院时间等方面进行分析,对专科护理与多学科综合护理进行比较。结果: 观察组术后呼吸频率低于对照组(t=2.341,P=0.015),最大自主通气量(maximal voluntary ventilation,MVV)、用力肺活量(forced vital capacity,FVC)、第1 s用力呼气容积(forced expiratory volume in one second,FEV1)、一秒率(FEV1/FVC)、术后6MWT均高于对照组(P＜0.05)。观察组肺部感染、肺不张、呼吸衰竭发生率以及术后平均住院时间均低于对照组(P＜0.05)。结论: 多学科综合护理干预可以迅速有效地改善肺叶切除患者术后的肺康复,降低肺部并发症的发生率,缩短住院时间,提升护理质量。

Objective: To explore the effect of multidisciplinary nursing on pulmonary rehabilitation of lung cancer patients after lobectomy.Methods: 80 lung cancer patients who underwent lobectomy from March 2016 to February 2017 were chosen and randomly divided into the observation group and the control group, 40 patients in each group. The control group was treated with routine specialist care while the observation group was treated with multidisciplinary care, with lung function indexes, 6 minutes walk test (6MWT), the postoperative pulmonary complication rate and postoperative hospitalization time compared.Results: The postoperative respiratory rate was significantly lower in the observation group than that in the control group(t=2.341, P=0.015); maximal voluntary ventilation (MVV), forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1/FVC and 6MWT after operation in the observation group were significantly higher than those in the control group (P＜0.05). The incidence rates of pulmonary infection, atelectasis and respiratory failure were lower and the average hospital stay was shorter in the observation group than those in the control group (P＜0.05).Conclusion: Multidisciplinary care can improve lung rehabilitation after lobectomy quickly and effectively, reduce the incidence of pulmonary complications, shorten the hospital stay and improve the quality of care.