Qiu QX, Li WJ, Ma XM, Feng XH. Effect of continuous nursing combined with respiratory exercise nursing on pulmonary function of postoperative patients with lung cancer. World J Clin Cases 2023; 11(6): 1330-1340 [PMID: 36926122 DOI: 10.12998/wjcc.v11.i6.1330]
Corresponding Author of This Article
Xue-Hua Feng, BSc, Associate Chief Nurse, Department of Thoracic Surgery, Haikou People’s Hospital, Haikou Affiliated Hospital of Central South University Xiangya School of Medicine, No. 43 Renmin Avenue, Haidian Island, Haikou 570208, Hainan Province, China. fxh13700494704@163.com
Research Domain of This Article
Nursing
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
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World J Clin Cases. Feb 26, 2023; 11(6): 1330-1340 Published online Feb 26, 2023. doi: 10.12998/wjcc.v11.i6.1330
Table 1 Comparison of general data between the two groups
Clinical information
Test group, n = 40
Control group, n = 40
t/χ2
P value
Average age (yr), mean ± SD
62.76 ± 10.43
62.18 ± 10.39
0.249
0.803
Gender, n (%)
Male
24 (60)
25 (62.5)
0.053
0.818
Female
16 (40)
15 (38.5)
Average disease duration (mo), mean ± SD
6.47 ± 1.32
63.6 ± 6.5
0.636
0.527
BMI (kg/m2), mean ± SD
23.52 ± 3.68
23.47 ± 3.97
0.058
0.9536
Table 2 Comparison of pulmonary function indicators between the two groups (mean ± SD)
Indicators
Time
Test group, n = 40
Control group, n = 40
t value
P value
SpO2 (%)
Before the intervention
95.68 ± 10.26
95.35 ± 10.17
0.144
0.885
3 mo after the intervention
98.86 ± 4.26
96.04 ± 3.57
3.209
0.002
VC (L)
Before the intervention
2.96 ± 0.36
2.91 ± 0.33
0.648
0.519
3 mo after the intervention
3.64 ± 0.63
3.18 ± 0.46
3.567
< 0.001
MVV (L/min)
Before the intervention
83.74 ± 4.18
83.92 ± 4.24
0.191
0.849
3 mo after the intervention
89.46 ± 7.56
85.02 ± 6.38
2.839
0.006
FEV1 (L)
Before the intervention
1.53 ± 0.24
1.57 ± 0.25
1.095
0.276
3 mo after the intervention
2.56 ± 0.76
2.09 ± 0.53
3.208
0.002
FEV1% pred (%)
Before the intervention
61.27 ± 8.03
60.94 ± 7.42
0.191
0.849
3 mo after the intervention
69.48 ± 9.35
63.56 ± 7.94
3.052
0.003
FEV1/FVC (%)
Before the intervention
67.22 ± 8.37
67.16 ± 8.24
0.032
0.974
3 mo after the intervention
76.82 ± 10.46
70.05 ± 9.68
3.004
0.003
Table 3 Comparison of blood gas between the two groups (mean ± SD)
Indicators
Time
Test group, n = 40
Control group, n = 40
t value
P value
PaO2 (mmHg)
Before the intervention
90.67 ± 11.24
90.32 ± 11.15
0.139
0.889
3 mo after the intervention
98.45 ± 9.46
93.28 ± 8.89
2.524
0.013
PaCO2 (mmHg)
Before the intervention
50.39 ± 5.27
50.12 ± 5.06
0.233
0.815
3 mo after the intervention
42.85 ± 3.84
46.08 ± 4.38
3.507
< 0.001
Table 4 Comparison of MD Anderson Symptom Inventory scores between the two groups (mean ± SD)
Programs
Time
MDASI score
t value
P value
Test group, n = 40
Control, group n = 40
Cough
Before the intervention
7.28 ± 0.72
7.31 ± 0.74
0.183
0.854
3 mo after the intervention
5.62 ± 0.53
6.54 ± 0.62
7.134
< 0.001
Expectoration
Before the intervention
7.43 ± 0.78
7.52 ± 0.79
0.512
0.609
3 mo after the intervention
5.08 ± 0.52
6.29 ± 0.64
9.280
< 0.001
Hemoptysis
Before the intervention
4.63 ± 0.51
4.48 ± 0.49
1.341
0.183
3 mo after the intervention
3.26 ± 0.36
4.17 ± 0.48
9.592
< 0.001
Chest distress
Before the intervention
5.89 ± 0.63
5.91 ± 0.66
0.138
0.890
3 mo after the intervention
3.84 ± 0.39
4.52 ± 0.48
6.954
< 0.001
Weight loss
Before the intervention
4.62 ± 0.57
4.39 ± 0.54
1.853
0.067
3 mo after the intervention
3.08 ± 0.31
3.78 ± 0.39
8.886
< 0.001
Total
Before the intervention
29.85 ± 3.21
29.61 ± 3.22
0.333
0.739
3 mo after the intervention
20.88 ± 2.11
25.30 ± 2.61
8.329
< 0.001
Table 5 Comparison of the incidence of pulmonary complications between the two groups, n (%)
Group
Surgical incision infection
Surgical incision bleeding
Atelectasis
Pulmonary infection
Respiratory failure
Overall incidence rate
Test group, n = 40
0 (0.00)
0 (0.00)
1 (2.50)
1 (2.50)
0 (0.00)
2 (5.00)
Control group, n = 40
0 (0.00)
0 (0.00)
3 (7.50)
6 (12.50)
0 (0.00)
9 (22.50)
χ2
5.165
P value
0.023
Table 6 Comparison of treatment compliance between the two groups, n (%)
Group
Before the intervention
3 mo after the intervention
Good
Moderate
Poor
Good
Moderate
Poor
Test group, n = 40
6 (15.00)
28 (70.00)
6 (15.00)
24 (60.00)
11 (27.50)
5 (12.00)
Control group, n = 40
9 (22.50)
26 (65.00)
5 (12.00)
13 (32.50)
22 (55.00)
5 (12.00)
χ2
0.765
6.937
P value
0.682
0.031
Table 7 Comparison of nursing satisfaction between the two groups, n (%)
Group
Very satisfied
Satisfied
Fairly satisfied
Dissatisfied
Satisfaction rate
Test group, n = 40
26 (65.00)
12 (30.00)
2 (5.00)
0 (0.00)
38 (95.00)
Control group, n = 40
12 (30.00)
21 (52.50)
5 (12.00)
2 (5.00)
33 (82.50)
χ2
7.825
P value
0.005
Citation: Qiu QX, Li WJ, Ma XM, Feng XH. Effect of continuous nursing combined with respiratory exercise nursing on pulmonary function of postoperative patients with lung cancer. World J Clin Cases 2023; 11(6): 1330-1340