CAJ | 학술논문

目的：探讨预见性护理对氩氦刀冷冻治疗非小细胞肺癌患者的影响，以研究预见性护理的临床意义。方法选取2012年4月至2013年4月来我院行氩氦刀冷冻治疗的非小细胞肺癌患者186例作为研究对象，前半年就诊患者93例作为对照组，行常规护理；后半年就诊患者93例作为观察组，在常规护理基础上实行预见性护理。比较两组患者术后并发症发生情况，出院1个月后生活质量改善情况以及患者护理满意度。结果观察组发热、气胸发生率低于对照组，差异有统计学意义（ P＜0.05）；观察组躯体功能、心理功能及社会功能评分均明显高于对照组，差异有统计学意义（ P＜0.05）；两组物质生活评分比较，差异无统计学意义（P＞0.05）；观察组护理满意度明显高于对照组，差异有统计学意义（P＜0.05）。结论预见性护理可以减少氩氦刀冷冻治疗非小细胞肺癌患者并发症发生率，提高患者生活质量和护理满意度，是一种科学有效的护理方式，值得临床推广借鉴。
목적：탐토예견성호리대아양도냉동치료비소세포폐암환자적영향，이연구예견성호리적림상의의。방법선취2012년4월지2013년4월래아원행아양도냉동치료적비소세포폐암환자186례작위연구대상，전반년취진환자93례작위대조조，행상규호리；후반년취진환자93례작위관찰조，재상규호리기출상실행예견성호리。비교량조환자술후병발증발생정황，출원1개월후생활질량개선정황이급환자호리만의도。결과관찰조발열、기흉발생솔저우대조조，차이유통계학의의（ P＜0.05）；관찰조구체공능、심리공능급사회공능평분균명현고우대조조，차이유통계학의의（ P＜0.05）；량조물질생활평분비교，차이무통계학의의（P＞0.05）；관찰조호리만의도명현고우대조조，차이유통계학의의（P＜0.05）。결론예견성호리가이감소아양도냉동치료비소세포폐암환자병발증발생솔，제고환자생활질량화호리만의도，시일충과학유효적호리방식，치득림상추엄차감。
Objective To explore the effect of predictive nursing on patients with non -small cell lung cancer who received cryoa-blation therapy .Methods From April 2012 to April 2013 , 186 cases of non -small cell lung cancer patients who received cryoablation treatment in our hospital were selected as objects .The 93 patients treated at first half year were as control group , they accepted routine care , the other 93 patients at second half year were as observation group , they accepted predictive nursing care on the base of routine care.Statistics and analysis of the incidence of postoperative complications , improvement of life quality 1 month after discharged , and patients satisfaction rates were compared between the two groups.Results The observation group was significantly lower than the control group in the incidence of fever (10.8%VS3.2%) and pneumothorax (9.7%VS2.2%), and the difference was statistically significant (P<0.05) .Observation group were significantly higher than the control group in physical function ( 54.12 ±4.77 VS52.68 ±4.51 ) , mental function ( 55.68 ± 4.88VS52.92 ±4.95) and social function scores (52.87 ±14.93VS49.21 ±15.16), and the difference was statistically significant (P<0.05 );there was no significant difference in the material life scores between the two groups ( P>0.05 ) .The nursing satisfaction rate of observation group and control group were 93.5%, 83.9%, the observation group was significantly higher than the control group ( P <0.05 ) .Conclusions Predictive nursing can reduce the complication incidences and improve the life quality and patient satisfaction rates . It is a scientific and effective way of care , worthy of clinical reference.