摘要目的 探讨团队支持锻炼护理干预模式对肺癌患者术后康复效果的影响.方法 采用便利抽样法选取2012年1—12月在唐山市工人医院入院行肺癌手术治疗的65例患者为对照组,选取2013年1—12月入院的65例患者为观察组.对照组进行常规术后康复宣传教育和指导并行电话回访,观察组在对照组基础上引入团队支持锻炼的指导与康复护理干预模式.比较两组患者肺癌术后的心肺功能、生活质量和心理状态的康复效果.结果 运用团队支持锻炼模式后,观察组患者生活质量评分中,外周神经炎、胸痛、黏膜炎、咳嗽、咯血、呼吸困难、肩背疼痛和其他部位疼痛的得分低于对照组,脱发得分高于对照组,差异均有统计学意义(P<0.05).观察组的焦虑和抑郁评分低于对照组,差异有统计学意义(P<0.01).应用Karnofshy评分法评估患者的体力活动状态,3个月后观察组的体力状态和活动力优于对照组,差异有统计学意义(P<0.01).干预后比较两组患者的呼吸功能康复效果,除了VA/Q的差异无统计学意义外(P>0.05),观察组肺功能优于对照组,差异有统计学意义(P<0.01).结论 通过团队支持锻炼护理干预模式能提高肺癌患者术后的康复效果,减少并发症或不良反应的发生率,提高和调整患者术后的生存质量和心理状态.

abstractsObjective To explore the influences of team supported exercise nursing intervention mode on the recovery of patients after lung cancer operation. Methods According to convenient sampling, the study selected 130 cases that took lung cancer operation in Tangshan Workers′ Hospital from January to December in 2013. The participants were divided into control group and observation group, 65 cases in each group. The patients of control group received normal recovery education and telephone follow-up;the patients of observation group additionally received team supported exercise of nursing intervention mode. The results would be compared by cardiopulmonary function, quality of life, and mental status after the operation. Results After the intervention, the score of peripheral neuropathy, chest pain, pleurisy, cough, hemoptysis, dyspnea, aches of life quality assessment in the observation group were lower than those in the control group;the score of alopecia was higher than that the control group (P<0. 05). The score of anxiety and depression in observation group were lower than the control group (P < 0. 01). According to Karnofshy assessment, observation group′s performance status and activity were obviously better than these in the control group after three months of operation (P<0. 01). When we compared the recovery the pulmonary function between two groups, pulmonary function except VA/Q in the observation group were better than that of the control group (P < 0. 01). Conclusions The team supported exercise of nursing intervention mode can significantly improve patients′rehabilitation results, quality of life and mental status, and can reduce the incidence of complications and side effects.