回授健康教育结合运动处方策略在老年肺癌行微创手术患者围手术期的应用OA

Objective To analyze the application value of feedback health education combined with exercise prescription strategy in the perioperative period of elderly lung cancer patients undergoing minimally invasive surgery.Methods A total of 102 elderly lung cancer patients who were scheduled to undergo minimally invasive surgery at Longgang Central Hospital of Shenzhen from January 2022 to December 2023 were included in the study.They were assigned into an observation group(51 case)and a control group(51 case)using simple random sampling.Both groups received routine care and feedback health education,while the observation group additionally received exercise prescription strategy.The postoperative recovery indicators,postoperative pulmonary function,blood gas indicators,and incidence of postoperative complications were compared between the two groups.Results Compared with the control group,the observation group had shorter time to postoperative sputum,ambulation,and length of hospital stay(P<0.05).The thoracic drainage volume on the 1st postoperative day,the lowest blood oxygen saturation in the 3 days after surgery,as well as the forced vital capacity,forced expiratory volume in 1 second,forced expiratory volume in 1 second/forced vital capacity,and arterial partial pressure of oxygen on the 3rd postoperative day were all higher in the observation group(P<0.05).The arterial partial pressure of carbon dioxide on the 3rd postoperative day and total incidence of complications were lower in the observation group(P<0.05).Conclusion The combination of exercise prescription and feedback health education can promote the early recovery of elderly lung cancer patients after minimally invasive surgery,improve the early postoperative pulmonary function and arterial blood gas indicators,and help reduce the risk of postoperative complications.