关键词: 麻醉苏醒护理, 胸腔镜, 肺癌根治术, 生活质量, 疼痛程度

Abstract: Objective To explore the effect of anesthesia awakening nursing on improving the quality of life of patients undergoing thoracoscopic radical resection of lung cancer. Methods Eighty patients with lung cancer admitted to the Department of Anesthesia and Perioperative Medicine of Shandong Public Health Clinical Center from January 2019 to January 2020 were treated with thoracoscopic radical lung cancer surgery. They were divided into control group and observation group by touching the ball with 40 cases in each one.The control group was adopted routine video-assisted thoracoscopic nursing intervention mode, and the observation group was adopted the anesthesia awakening nursing intervention mode. The indexes of postoperative recovery (anal exhaust time, catheter indwelling time, thoracic tube indwelling time, consciousness recovery time, tracheal tube removal time, hospitalization time), pain visual analogue scale (VAS), complication rate, blood pressure and heart rate, quality of life, nursing satisfaction were compared between the two groups. Results The postoperative anal exhaust time, indwelling time of urinary catheter and indwelling time of thoracic tube in the observation group were less than those in the control group, and the difference was statistically significant (P<0.05); the pain scores of patients in the observation group at 6 h, 12 h, 24 h and 48 h after operation were lower than those in the control group, and the difference was statistically significant (P<0.05); the incidence of postoperative complications in the observation group was lower than that in the control group (P<0.05); the blood pressure and heart rate in the observation group were significantly lower than those in the control group (P<0.05); the scores of quality of life in the observation group were higher than those in the control group (P<0.05); the nursing satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Nursing intervention of anesthesia after thoracoscopic radical resection of lung cancer can speed up the postoperative recovery process, reduce the degree of pain and complication rate, and help stabilize vital signs and improve the quality of life.

Key words: anesthesia awakening nursing, thoracoscope, radical resection of lung cancer, quality of life, degree of pain