Research on the nursing effect of special preoperative respiratory exercise nursing on lung function in elderly patients with lung cancer

doi:10.3877/cma.j.issn.2095-8773.2019.04.04

Abstract

Abstract:

Objective

To explore the nursing effect of preoperative special respiratory exercise nursing in elderly patients with lung cancer and its impact on lung function.

Methods

A total of 152 elderly patients with lung cancer admitted to our hospital from March 2016 to February 2017 were selected and randomly divided into two group. Beyond routine nursing, patients in the special nursing group were treated by preoperative special respiratory exercise nursing while only routine nursing was applied in the control group. The clinical data of the two groups of elderly patients with lung cancer before and after the intervention of respiratory were recorded and compared, including respiratory function changes, pulmonary function changes and incidence of complications after intervention.

Results

The group with preoperative special respiratory exercise nursing has higher MVV, PaO₂, SaO₂ than the control group (P<0.05), with lower respiratory rate and lower incidence of complication(P<0.05). The respiratory index and other lung function indexes of the special nursing group were higher than those of the control group (P<0.05).

Conclusions

To elderly patients with lung cancer before surgery in clinical nursing, special breathing exercise can significantly reduce the incidence of complications after surgery and improve patients’ respiratory function , lung function, thus respiratory index, is worthy of application and promotion.

Key words: Respiratory exercise, Special care, Lung cancer, Lung function, Respiratory index, Respiratory function

Cailing Sun, Shunhong Sun. Research on the nursing effect of special preoperative respiratory exercise nursing on lung function in elderly patients with lung cancer[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2019, 06(04): 224-228.

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Figures/Tables 4

References 15

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组别		MVV(%)	PaO₂(mmHg)	SaO₂(%)	呼吸频率(次/min)
常规护理组(n＝76)
	干预前	78.5±8.6	79.4±7.6	87.5±2.6	22.4±3.4
	干预后	81.9±9.2^*	86.5±8.2^*	93.7±3.1^*	19.8±2.1^*
专项护理组(n＝76)
	干预前	77.1±9.1	78.5±8.1	88.1±2.2	21.8±4.2
	干预后	88.6±10.4^*#	93.2±3.5^*#	97.4±3.6^*#	14.5±1.9^*#

组别		MVV(%)	PaO₂(mmHg)	SaO₂(%)	呼吸频率(次/min)
常规护理组(n＝76)
	干预前	78.5±8.6	79.4±7.6	87.5±2.6	22.4±3.4
	干预后	81.9±9.2^*	86.5±8.2^*	93.7±3.1^*	19.8±2.1^*
专项护理组(n＝76)
	干预前	77.1±9.1	78.5±8.1	88.1±2.2	21.8±4.2
	干预后	88.6±10.4^*#	93.2±3.5^*#	97.4±3.6^*#	14.5±1.9^*#

组别	肺内感染[n(%)]	肺不张[n(%)]	呼吸衰竭[n(%)]	二次插管[n(%)]	发生率(%)
常规护理组(n＝76)	14(18.4)	10(13.2)	6(7.9)	18(23.7)	63.2
专项护理组(n＝76)	6(7.9)	2(2.6)	1(1.3)	7(9.2)	21.1
χ²值	6.197	5.984	7.231	6.553	6.217
P值	<0.05	<0.05	<0.05	<0.05	<0.05

组别	肺内感染[n(%)]	肺不张[n(%)]	呼吸衰竭[n(%)]	二次插管[n(%)]	发生率(%)
常规护理组(n＝76)	14(18.4)	10(13.2)	6(7.9)	18(23.7)	63.2
专项护理组(n＝76)	6(7.9)	2(2.6)	1(1.3)	7(9.2)	21.1
χ²值	6.197	5.984	7.231	6.553	6.217
P值	<0.05	<0.05	<0.05	<0.05	<0.05

组别	干预前	干预后1周	干预后2周	干预后4周
常规护理组(n＝76)	145.8±29.4	151.8±29.5	168.7±26.7	179.7±36.2
专项护理组(n＝76)	147.5±25.1	163.8±24.7	185.6±23.6	220.6±41.5
t值	1.145	16.527	17.193	15.237
P值	>0.05	<0.05	<0.05	<0.05

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