综合呼吸功能训练对老年肺肿瘤患者术后康复效果及睡眠的影响

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AbstractObjective：Toexploretheefectsofcomprehensiverespiratoryfunction trainingonpostoperativerehabilitationand sleep inelderlypatientswithlungcancer.Methods：Atotalof46elderlypatients withlungcancersadmitedtotheOncologyDepartmentoftheFirst Hospitalof Putian City，FujianProvincefromJanuary2O22to January2O24 wereselectedasthestudysubjects.Theywererandomlydividedintothecontrol groupandobservationgroupusingarandom number table method，with 23 patientsineachgroup.Routie nursing interventionwasapledtopatientsofbothgroups，whiletoseintheobservationgroupaditionallyeceivedcomprehensiverespiratoryfunctiontraining.Thepulmonaryfunction（forced expiratoryvolumeinthefirstsecond （20号 ⌊FEV1- ，forced vital capacity[FVC]，forced expiratory volume/forced vital capacity in the first second[FEV -1 /FVC]），sleep quality（the Pitsburgh SleepQualityIndexPSQI]），qualityof life（theEuropean Organisation for Researchand Treatmentof Cancer QualityofLifeQuestionnaireCore 30[EORTCQLQ-C3O]score），postoperativerecovery status（ventilatorusetime，bed resttime，ICUstaytime，ospitalizationtime），andincidenceofpostoperativecomplicationswereanalyzedbeforeandafterinter vention in both groups.Results：Before interventions，there were no significant differences inFVC，FEVFEV 1 /FVC，PSQI，and EORTCQLQ-C30 scores between the two groups of patients （ P>0.05 ）. After interventions，significantly lower FEV ，FVC，FEV / 1 1 FVC，and incidenceofomplications，higher EORTCQLQ-C30 score，andshorterbedresttime，venilatoruse time，ICUstaytie， and hospitalization time were detected in the observation group than the control group（ P<0.05 ）. Conclusion：Comprehensive respiratoryfunctiontraininghassignificantclinicalnursing efects，hichcanimprovepulmonaryfunctionandsleepqualityorten theuseofventilatos，dst，CUstaiendospialatioti，duethiidenceofstoprativeomplicatiosely ensuretreatmentsafetyandpromotepostoperativerecoveryinelderlypatientswithlungcancer，hicharesuitableforlicalaplication.

KeywordsLung cancers inthe elderly；Comprehensiverespiratoryfunction training；Postoperativerehabilitation efect；Sleep quality

中图分类号：R734.2;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.05.001

近年来，随着环境污染问题的日益加剧，人们生活及工作压力的加大，导致老年肺肿瘤的发病率呈现出逐年上升的趋势。（剩余6164字）