ADOPT nursing combined with respiratory training navigation intervention in patients undergoing surgery for lung cancer

LI Qinyun; WANG Junhui; QIAN Yan; QIN Mengxia

doi:10.3969/j.issn.1674-3768.2024.06.003

Abstract：Objective To explore the effect of ADOPT nursing combined with respiratory training navigation intervention in patients undergoing lung cancer surgery.Methods Ninety-six lung cancer patients undergoing surgery between May and August 2023 were selected as the study objects.According to the order of admission,48 patients admitted in the first two months were selected into a control group,while those treated in the following two months were chosen into an observation group.The control group received routine perioperative nursing,while the observation group underwent ADOPT nursing combined with respiratory training navigation intervention.Then,the pulmonary function indexes,incidence of postoperative pulmonary complications,duration of chest tube indwelling and hospital stay were compared between the two groups.Results After intervention,the forced expiratory volume in the first second,forced lung activity and the ratio of forced expiratory volume in first second to forced lung capacity in the observation group were significantly superior to that of the control group(t=5.913,P＜0.001;t=2.616,P=0.010;t=3.317,P=0.001).However,the incidence of postoperative pulmonary complications was significantly lower than the latter group(x2=9.095,P=0.003),and the retention time of chest tube and hospitalization days were significantly shorter than the latter(t=5.071,P＜0.001;t=5.309,P＜0.001).Conclusion ADOPT combined with respiratory training navigation intervention can reduce the incidence of postoperative pulmonary complications,promote pulmonary re-expansion,and shorten the time of chest tube indentation and length of hospital stay of patients undergoing lung cancer surgery.