作者：胡欢1，李娟1，蒲荣2，蓝程3

单位：1.华中科技大学同济医学院附属武汉市中心医院 胃肠外科，湖北 武汉 430000； 2.东莞市第三人民医院 检验科，广东 东莞 523000； 3.海南省人民医院 消化内科，海南 海口 570311

Authors:  HU Huan1, LI Juan1, PU Rong2, LAN Cheng3

Unit:  1. Department of Gastroenterology, The central hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, Hubei, China； 2. Department of Medical Laboratory, The third People Hospital of Dongguan, Dongguan 523000, Guangdong, China； 3. Department of Gastroenterology, Hainan General Hospital, Haikou 570311, Hainan, China

摘要：

目的  探讨身心综合训练配合肺活量练习在改善食管癌(esophageal cancer, EC)患者术后护理质量及情绪、呼吸功能中的应用价值。方法  选取2017年8月～2018年11月就诊于本院行手术治疗的食管癌患者共83例作为研究对象,采用随机数表法分为实验组和对照组,术后给予对照组常规护理干预,实验组在此基础上增加身心综合训练配合肺活量练习,比较两组术后情绪及呼吸功能恢复情况。结果  所有患者均顺利完成手术,经护理后,实验组呼吸功能、心功能改善优于对照组(P<0.05),日常活动能力比较无明显差异(P>0.05);实验组患者焦虑、抑郁情绪改善情况优于对照组(P<0.05);实验组生活质量评分结果高于对照组(P<0.05);术后肺部并发症发生率比较,两组无明显差异(P>0.05)。结论  食管癌术后开展身心综合训练配合肺活量练习能有效纠正患者不良情绪,提高生活质量及肺功能,有推广应用价值。

关键词： 身心综合训练; 肺活量练习; 情绪; 呼吸功能; 护理质量

Abstract：

Objective  To explore the application value of physical and mental comprehensive training combined with vital capacity exercise in improving postoperative care quality, mood and respiratory function in patients with esophageal cancer (EC). Methods  A total of 83 patients with esophageal cancer who underwent surgery in our hospital from August 2017 to November 2018 were enrolled. The patients were divided into experimental group and control group by random number table method. On the basis of this intervention, the experimental group increased physical and mental comprehensive training combined with vital capacity exercise. And compared the recovery of postoperative mood and respiratory function between the two groups. Results  All patients underwent surgery successfully. After nursing, the respiratory function and cardiac function of the experimental group improved better than the control group (P<0.05). There was no significant difference in daily activity ability (P>0.05). The anxiety and depression of the experimental group were observed. The improvement was better than the control group (P<0.05). The quality of life score of the experimental group was higher than that of the control group (P<0.05). There was no significant difference in the incidence of postoperative pulmonary complications between the two groups (P>0.05). Conclusion Postoperative physical and mental training combined with vital capacity training for esophageal cancer can effectively correct the patient's bad mood, improve the quality of life and lung function, and promote the application value.

Key Words:  Comprehensive physical and mental training; Vital capacity exercise; Emotion; Respiratory function; Quality of care