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| Effect of nursing intervention based on the concept of fast rehabilitation surgery on the efficacy, fatigue and quality of life of patients with lung cancer |
| CAO Yanchao YIN Guimei ZHENG Xinying MA Hongxia JIANG Xuelian SUN JIE |
| Department of Nursing, Cangzhou Central Hospital, Hebei Province, Cangzhou 061001, China |
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Abstract Objective To explore the role of nursing intervention based on the concept of fast rehabilitation surgery (FTS) in improving the clinical effect, fatigue level and quality of life of patients with lung cancer undergoing surgery. Methods From August 2017 to August 2019, Cangzhou Central Hospital, Hebei Province, a total of 216 patients with thoracoscopic-assisted tumor resection for lung cancer were treated. They were divided into FTS group and control group by random number table method, with 108 cases in each group. The control group was given routine nursing intervention, and the FTS group was given nursing intervention based on the concept of FTS. The postoperative recovery indicators and postoperative complications in severn days were recorded for the two groups; self-made questionnaires were used to assess the patient′s satisfaction rate with care, the Piper fatigue scale to assess the degree of fatigue, and the quality of life questionnaire (QLQ-C30) scale to assess the quality of life. Results The extubation time, exhaust time, and time to get out of bed in the FTS group were earlier than those in the control group, and the differences were statistically significant (P ＜ 0.05); the antibiotic use time and hospital stay were shorter than the control group, and the differences were statistically significant (P ＜ 0.05). The incidence of complications in the FTS group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). The nursing satisfaction rate of the FTS group was higher than that of the control group, and the difference was statistically significant (P ＜ 0.05). The behavioral, emotional, physical, cognitive scores and total scores of the two groups after intervention were all lower than before the intervention, while the FTS group was lower than the control group, and the differences were statistically significant (P ＜ 0.05). The QLQ-C30 function scores of the two groups after intervention were higher than those before the intervention, while the symptom scores were lower than before the intervention, and the differences were statistically significant (P ＜ 0.05). The functional score of the FTS group was higher than that of the control group, while the symptom score was lower than that of the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Nursing intervention based on the concept of FTS can promote postoperative recovery of lung cancer patients, reduce the incidence of complications, improve fatigue, and improve the quality of life.
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