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Advances in Lung Cancer 2022年第3期11卷 45-50页

作者： Chuanzhen Li Linjuan Zeng Shiwen Zhang jiudi zhong Cardiothoracic Surgery Department Sun Yat-sen University Cancer Center Guangzhou China

This article summarized the nursing problems and corresponding nursing strategies of 18 cases of external diaphragm pacemakers in the application of elderly patients with lung cancer after thoracic surgery. Timely psychological care, correct operation, close observation and infection prevention during treatment can effectively optimize the use of external diaphragm pacemakers, improve respiratory muscle function, and the quality of life after lung cancer surgery in elderly patients.

关键词： External Diaphragm Pacemaker Pulmonary Rehabilitation Lung Cancer Sur-gery Nursing Problems Countermeasures

Application of Psychological Elastic Development Model in Postoperative Trauma Growth of Patients with Esophageal Cancer

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Journal of Cancer Therapy 2022年第4期13卷 199-205页

作者： Weijin Wei Xiaoxiao Huang Linjuan Zeng jiudi zhong Sun Yat-sen University Cancer Center Guangzhou China

Purpose: Use the psychological resilience development model to formulate effective nursing measures, and explore the impact of relevant nursing measures on the psychological resilience and post-traumatic growth of patients. Methods: Using a general data sheet, post-traumatic growth scale, and psychological resilience scale, 100 patients discharged from the hospital after esophageal cancer were investigated in groups, and statistical software spss26.0 was used for statistical analysis. Results: The psychological resilience and post-traumatic growth levels of the experimental group were significantly higher than those of the control group, the P-value. Conclusion: As a common gastrointestinal tumor, esophageal cancer is traumatized by surgery. Not only will there be more discomfort during hospitalization, but also a series of complications will still occur after discharge, such as pain, weakness, and other discomforts, which will cause the patient’s emotions. Subject to strong fluctuations, the patient suffers great psychological trauma. After being discharged from the hospital, caregivers need to master more related skills when caring for patients, which is time-consuming and labor-intensive, and often causes the patients to feel the emotion of dragging the family members. Under the condition of both physical and psychological pressure, patients often appear fearful and uneasy, and suffer great psychological trauma, which leads to low levels of psychological resilience and post-traumatic growth of patients, and related nursing interventions based on Rutter’s psychological development model It can significantly improve the patient’s psychological flexibility, improve the patient’s post-traumatic growth level, promote the patient’s physical and mental recovery, make the patient produce positive emotions, increase positive psychological changes, and thereby improve the patient’s quality of life after discharge.

关键词： Esophageal Cancer Post-Traumatic Growth Psychological Resilience

Perioperative Nursing Care for Patients with Lung Cancer Undergoing Total Pneumonectomy

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Journal of Cancer Therapy 2022年第4期13卷 234-241页

作者： Ziya Xin Kunlin Tu Heping Wu Chuanzhen Li jiudi zhong Cardiothoracic Surgery Department Sun Yat-sen University Cancer Center Guangzhou China

Objectives: To explore the perioperative nursing care for lung cancer patients undergoing total pneumonectomy, and to promote their rehabilitation. Methods: We will provide preoperative assessment and education in the aspects of respiratory function, diet, and psychology to patients undergoing total pneumonectomy, and provide continuous postoperative management about posture, fluid, and respiratory to help patients diagnosed with lung squamous cell carcinoma and underwent total pneumonectomy to reduce their postoperative complications and improve their overall quality of life. Results: 78.9% of lung cancer patients who underwent total pneumonectomy achieved a better outcome and prognosis by receiving the above nursing program. Conclusion: With large lung cancer tumors, the surgical trauma is highly invasive and the resection is extensive. Management of the patient’s respiratory tract is the focus of perioperative nursing and the key to preventing the development of related postoperative complications.

关键词： Lung Squamous Cell Carcinoma Total Pneumonectomy Perioperative Nursing

Analysis of the Current Status and Influencing Factors of Caring Ability of Main Relatives and Caregivers of Patients with Esophageal Cancer

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Open Journal of Nursing 2022年第6期12卷 399-410页

作者： Weijing Wei Dandan Liu Kunlin Tu Chuanzhen Li jiudi zhong Division of Thoracic Surgery Sun Yat-sen University Cancer Center Guangzhou China

Objective: To investigate the caring ability of the main relatives of postoperative patients with esophageal cancer, and to analyze the influencing factors. Methods: From May 2019 to May 2021, 290 esophageal cancer patients and their main relatives were selected by convenience sampling method in a Grade III a cancer hospital in Guangzhou;the general data questionnaire and the Chinese version of the scale of care ability of relatives’ caregivers were used. Results: The total average score of caring ability of the main relatives’ caregivers after esophageal cancer operation was (32.99 ± 3.01). Multiple stepwise regression analysis showed that the age of the caregiver, the length of stay, the family income per capita and the experience of caring were the influencing factors. Conclusion: The caring ability of the main relatives of the patients with esophageal cancer after operation is moderate and low. The medical staff should improve the caring ability of the caregivers and take effective measures according to different influencing factors to improve the psychological state of the caregivers.

关键词： Esophageal Cancer Relatives Caregiver Capacity for Care

Pre- and Post-Surgical Health-Related Quality of Life Evaluation of Esophageal Carcinoma Patients

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Journal of Cancer Therapy 2022年第9期13卷 585-597页

作者： Lihong Qiu Tianzhen Yang Yutong Hong Xiaoling Huang Fen Ma Yanhui Pan Chuanzhen Li jiudi zhong Department of Thoracic Surgery Sun Yat-sen University Cancer Center State Key Laboratory of Oncology in South China Collaborative Innovation Center for Cancer Medicine Guangzhou China

For patients with esophageal carcinoma (ESCA), health-related quality of life (HRQoL) has now become an essential feature. To examine the quality of life of preoperative and postoperative ESCA patients, we used the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ C-30) and the Quality of Life Questionnaire Oesophageal 18 (QLQ-OES18). Using the EORTC QLQ-C30 and the QLQ-OES18 questionnaire, the analysis of the quality of life scores of 246 patients with oesophageal cancer who were operated on at the Sun Yat-sen University Cancer Centre during the period 2013 to 2015 was carried out. Differences between pre- and post-surgical EORTC QLQ C-30 and QLQ-OES18 scores were examined using the Student’s t-test. Patients’ global health status (QoL) decreased significantly one month after the operation but gradually recovered within a year. In terms of the role function, the emotional function, the cognitive function, and the perception and function variants, EORTC QLQ-C30 and QLQ-OES18 scores increased statistically significantly, as did clinical signs variables such as exhaustion, nausea, vomiting, pain, sleeplessness, decreased appetite, stomach pain, and economic hardship. After surgery, there was an improvement in functional and symptom domains in esophageal carcinoma patients. EORTC QLQ-C30 and QLQ-OES18 can be used to assess the HRQoL before and after surgical procedures.

关键词： Esophageal Carcinoma EORTC QLQ C-30 QLQ-OES18 Surgery Quality of Life

老年肺癌手术患者主动循环呼吸技术训练自信心培养的效果评价

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中华护理杂志 2018年第5期53卷 523-527页

作者：杨梅钟就娣张俊娥林小玲中山大学护理学院广州市510089 中山大学肿瘤防治中心胸科一区

目的探讨老年肺癌手术患者主动循环呼吸技术训练自信心培养对肺康复效果的影响。方法选择2016年9月—12月35例老年肺癌手术患者为对照组并接受胸外科常规呼吸训练,选择2017年1月—4月35例老年肺癌手术患者为试验组,在常规护理的基础上,... 详细信息

目的探讨老年肺癌手术患者主动循环呼吸技术训练自信心培养对肺康复效果的影响。方法选择2016年9月—12月35例老年肺癌手术患者为对照组并接受胸外科常规呼吸训练,选择2017年1月—4月35例老年肺癌手术患者为试验组,在常规护理的基础上,接受主动循环呼吸技术训练自信心培养干预。比较两组术后前3d的排痰量、肺部并发症及干预前后呼气峰流速、6分钟步行试验、运动自我效能的情况。结果试验组术后第2天、第3天的排痰量高于对照组,呼气峰流速、6分钟步行试验结果改善,运动自我效能明显提高,两组差异有统计学意义(P0.05)。结论主动循环呼吸技术训练自信心培养对老年肺癌患者是一种简便、有效、易行的短期肺康复方法。

关键词：主动循环呼吸技术自信肺肿瘤肺康复

快速康复外科理念在食管癌患者术前免灌肠的应用

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护士进修杂志 2010年第5期25卷 443-444页

作者：钟就娣辛明珠孔丽丽中山大学附属肿瘤医院胸科广东广州510060

目的探讨食管癌患者术前免灌肠对手术患者的安全性、可行性及临床应用效果。方法将60例拟行食管癌根治术的患者随机分为观察组和对照组各30例,对照组患者按食管癌术前护理常规,在手术前一天8 Pm予0.1%肥皂水500-1 000 ml灌肠1-2次;观察... 详细信息

目的探讨食管癌患者术前免灌肠对手术患者的安全性、可行性及临床应用效果。方法将60例拟行食管癌根治术的患者随机分为观察组和对照组各30例,对照组患者按食管癌术前护理常规,在手术前一天8 Pm予0.1%肥皂水500-1 000 ml灌肠1-2次;观察组术前免灌肠。术后分别比较两组患者胃肠功能恢复的时间及观察有无腹痛、腹胀、吻合口瘘、胃排空障碍等并发症的发生。结果观察组的肠鸣音恢复时间、肛门排气时间明显优于对照组的患者,术后腹痛、腹胀、吻合口瘘、胃排空障碍等并发症的发生率较对照组低,但没有统计学差异。结论食管癌手术患者术前免灌肠是安全可行的,可以增加患者手术的舒适感、减少术后并发症的发生率、缩短患者的住院时间、减少医疗费用的支出,符合快速康复的外科理念。

关键词：食管癌灌肠快速康复外科

食管癌术后康复期患者症状困扰与支持性照顾需求调查分析

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护理学杂志 2020年第11期35卷 87-90页

作者：任金颖钟就娣袁娟张俊娥中山大学护理学院广东广州510080 中山大学附属肿瘤防治中心

目的了解食管癌术后康复期患者症状困扰、支持性照顾需求及其相关性,为针对性干预提供参考。方法采用一般资料问卷、安德森胃肠道肿瘤症状量表及支持性照顾需求量表,对167例食管癌术后康复期患者进行调查。结果18项症状发生率为39.5%~79... 详细信息

目的了解食管癌术后康复期患者症状困扰、支持性照顾需求及其相关性,为针对性干预提供参考。方法采用一般资料问卷、安德森胃肠道肿瘤症状量表及支持性照顾需求量表,对167例食管癌术后康复期患者进行调查。结果18项症状发生率为39.5%~79.0%,严重程度得分中位数为2.06分;对6项生活方面的干扰发生率为50.9%~67.7%,干扰程度得分中位数为1.83分;支持性照顾需求总分为86.79±27.18,症状严重程度及困扰程度与支持性照顾需求呈正相关(r=0.481、0.541,均P<0.01)。结论患者康复期存在多种症状,造成不同程度的困扰;支持性照顾需求主要为卫生及信息方面;症状及其困扰越重需求越高。医护人员应加强评估与针对性干预,以满足患者需求,减轻其症状困扰。

关键词：食管癌手术后肿瘤相关症状困扰支持性照顾需求调查分析

支气管肺泡灌洗联合肺吹气治疗开胸术后肺不张的围术期护理

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现代临床护理 2013年第9期12卷 46-48页

作者：王敏刘莉钟就娣中山大学附属肿瘤医院胸科广东广州510060

目的观察12例支气管肺泡灌洗联合肺吹气治疗开胸术后肺不张患者的治疗效果和总结护理要点。方法完善术前准备,做好充分麻醉、心理疏导;术中加强监测,密切配合医生对患者进行支气管肺泡灌洗及肺吹气;加强术后护理。结果12例患者经治疗后... 详细信息

目的观察12例支气管肺泡灌洗联合肺吹气治疗开胸术后肺不张患者的治疗效果和总结护理要点。方法完善术前准备,做好充分麻醉、心理疏导;术中加强监测,密切配合医生对患者进行支气管肺泡灌洗及肺吹气;加强术后护理。结果12例患者经治疗后均肺复张。与治疗前相比,治疗6 h后的动脉血氧饱和度(arterial oxygen saturation,SaO2)和动脉血氧分压(arterial oxygen partial pressure,PaO2)均显著升高,二氧化碳分压(Co2partial pressure,PaCO2)显著降低,治疗前后比较,差异具有统计学意义(均P<0.05)。治疗中无严重并发症发生,肺不张无复发,患者均顺利出院。结论支气管肺泡灌洗联合肺吹气治疗开胸术后肺不张的效果明显,做好围术期护理对保证支气管肺泡灌洗联合肺吹气治疗顺利完成具有重要作用。

关键词：支气管镜肺泡灌洗肺吹气肺不张围术期护理

优效病例示范在肿瘤手术患者心理干预中的作用

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护理学杂志 2012年第6期27卷 64-66页

作者：蚁涵纯钟巧玲钟就娣中山大学附属肿瘤医院胸科广东广州510060

目的探讨优效病例示范对改善肿瘤患者焦虑、抑郁情绪的作用。方法选取手术治疗成功、出院1～6年、生活质量良好的病例,由其撰写康复成功的经历与方法,附照片,置于病区走廊墙上,创建"优效病例示范园地",冠名"希望之墙",每次8个病例,每半... 详细信息

目的探讨优效病例示范对改善肿瘤患者焦虑、抑郁情绪的作用。方法选取手术治疗成功、出院1～6年、生活质量良好的病例,由其撰写康复成功的经历与方法,附照片,置于病区走廊墙上,创建"优效病例示范园地",冠名"希望之墙",每次8个病例,每半年更新1次。对100例肿瘤住院手术患者,于术前检查阶段指导阅读各项内容;术后康复阶段再次针对患者的薄弱环节与患者及家属探讨应对术后不适的方法等;出院指导患者学习优效病例适应性调适方法。结果出院时患者焦虑、抑郁评分显著低于入院时(均P<0.01)。结论优效病例示范心理干预法可有效改善肿瘤患者焦虑、抑郁情绪。

关键词：肿瘤患者外科手术优效病例心理干预焦虑抑郁