作者：李英，隋曌，文晓宇，张坤

单位：

1.成都医学院第一附属医院胸心外科2.成都医学院第一附属医院护理部

单位（英文）：

1.Department of Thoracic and Cardiac Surgery, the First Affiliated Hospital of Chengdu Medical College, Chengdu 610500, China 2.Nursing Department, the First Affiliated Hospital of Chengdu Medical College, Chengdu 610500, China

关键词：

肺肿瘤; 肺癌根治术; 术前系统评估; 音频干预; 术前管理;

关键词（英文）：

　Lung neoplasms; Radical resection of pulmonary carcinoma; Preoperative systematic evaluation; Audio intervention; Preoperative management

中图分类号：

DOI：

10.12114/j.issn.1008-5971.2023.00.090

基金项目：

成都医学院第一附属医院科研项目（CYFY2021HL03）

摘要：

目的 分析术前系统评估结合音频干预在肺癌根治术患者术前管理中的应用效果。方法 回顾性选取2020年1月至2022年1月于成都医学院第一附属医院行肺癌根治术的患者68例为研究对象。采用随机数字表法将患者分为观察组和对照组，各34例。对照组给予常规护理干预，观察组在对照组基础上给予术前系统评估结合音频干预。比较两组干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、肺功能指标[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、FEV1/FVC]及静脉血栓栓塞症(VTE)发生率、护理满意度。结果 干预后，两组SAS、SDS评分分别低于本组干预前，且观察组SAS、SDS评分低于对照组(P<0.05)。干预后，两组FVC、FEV1分别大于本组干预前，FEV1/FVC分别高于本组干预前，且观察组FVC、FEV1大于对照组，FEV1/FVC高于对照组(P<0.05)。观察组VTE发生率低于对照组(P<0.05)。观察组护理满意度优于对照组(P<0.05)。结论 术前系统评估结合音频干预可以有效减轻肺癌根治术患者的焦虑、抑郁情绪，提高肺功能，降低VTE发生风险，提高护理满意度。

英文摘要：

Objective To analyze the application effect of preoperative systematic evaluation combined with audio intervention in the preoperative management of patients with radical resection of pulmonary carcinoma. Methods Sixty-eight patients who underwent radical resection of pulmonary carcinoma in the First Affiliated Hospital of Chengdu Medical College from January 2020 to January 2022 were selected as the study objects. The patients were divided into observation group and control group by random number table method, with 34 cases in each group. The control group was given routine nursing intervention, and the observation group was given preoperative systematic evaluation combined with audio intervention on the basis of the control group. The Self-rating Anxiety Scale (SAS) score, Self-rating Depression Scale (SDS) score and pulmonary function indexes [forced vital capacity (FVC) , forced expiratory volume in one second (FEV1) , FEV1/FVC] before and after intervention, incidence of venous thromboembolism (VTE) and nursing satisfaction were compared between the two groups. Results After intervention, the SAS and SDS scores of the two groups were lower than those before intervention respectively, and those of observation group were lower than those of control group (P < 0.05) . After intervention, FVC and FEV1 in the two groups were bigger than those before intervention, and FEV1/FVC in the two groups was higher than that before intervention respectively, and FVC and FEV1 in observation group were bigger than those in control group, and FEV1/FVC was higher than that in control group (P < 0.05) . The incidence of VTE in observation group was lower than that in control group (P < 0.05) . The nursing satisfaction of observation group was better than that of control group (P < 0.05) . Conclusion Preoperative systematic evaluation combined with audio intervention can effectively reduce anxiety and depression in patients with radical resection of pulmonary carcinoma, improve lung function, reduce the risk of VTE and improve nursing satisfaction.

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