昆明医科大学学报2024，Vol.45Issue(6)：190-196,7.DOI:10.12259/j.issn.2095-610X.S20240627
5A模式下主动循环呼吸技术训练在肺癌手术患者中的效果
The Effect of Active Circulatory Breathing Training in Patients undergoing Lung Cancer Surgery under 5A Mode
摘要
Abstract
Objective To analyze the application effect of active circulatory breathing training in patients undergoing thoracoscopic lung cancer surgery based on 5A(Ask,Asses,Advice,Assist,Arrange)mode.Methods 100 patients with lung cancer,treated by thoracoscopic surgery in Anhui Provincial Chest Hospital from May 2023 to August 2023,were randomly divided into observation group(n=50)and control group(n=50).Both groups received routine perioperative comprehensive nursing care,while the observation group was additionally trained with active circulatory breathing technique based on 5A mode.The differences of postoperative recovery,sputum output and complications between the two groups were compared,and the changes of cardiopulmonary function,dyspnea and motor function before and 3 months after operation were recorded.Results The time of chest tube removal,thoracic drainage and postoperative hospital stay in the observation group were shorter than those in the control group(P<0.05).The sputum output of the observation group was lower than that of the control group on the 1st,2nd and 3rd day after operation(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).3 months after operation,LVEF(left ventricular ejection fraction)increased and LVEDD(left ventricular end diastolic diameter)decreased in both groups,and FEV1(forced expiratory volume for 1 second),FVC(forced vital capacity)and PEF(peak expiratory flow)decreased compared with that in the first day before operation.Three months after operation,LVEF was higher,LVEDD was lower and FEV1,FVC and PEF were higher in the observation group than in the control group(P<0.05).3 months after operation,the mMRC(multiple myeloma research consortium)scores of both groups were higher than those of preoperative one day,and the 6MWT(6-min walking distance)was lower.mMRC score was lower and 6MWT was higher in the observation group than in the control group 3 months after operation(P<0.05).Conclusion The training of active circulatory breathing technology based on 5A mode can promote the early recovery and postoperative sputum production in lung cancer patients undergoing thoracoscopic surgery.It also helps to prevent postoperative complications,improve postoperative motor function,and effectively reduce postoperative breathing difficulties.关键词
5A模式/主动循环呼吸技术/胸腔镜/肺癌Key words
5A mode/Active circulatory breathing technology/Thoracoscope/Lung cancer分类
医药卫生引用本文复制引用
黄群,侯黎莉,王德桂,王召君,吴思圆,桑莹莹..5A模式下主动循环呼吸技术训练在肺癌手术患者中的效果[J].昆明医科大学学报,2024,45(6):190-196,7.基金项目
国家自然科学基金资助项目(82272919) （82272919）
安徽省护理学会科研课题立项项目(AHHL202133) （AHHL202133）
