| Objective: To investigate the effectiveness of perioperative systemic pulmonary function pre-rehabilitation training in patients undergoing daytime pulmonary nodule surgery. Methods: A total of 94 patients who underwent thoracoscopic pulmonary nodule resection or pulmonary wedge resection were selected as the research subjects and randomly divided into the control group and the observation group. The control group was given routine nursing, and the observation group was given psychological counseling, breathing training, lung clearing and expectoration training, respiratory muscle strength training, resistance breathing stimulation spirometer training, aerobic exercise training and other systematic pulmonary function pre-rehabilitation training on the basis of perioperative routine nursing. The pulmonary function of the two groups before the intervention, before the operation, and 12 h after the operation was observed. The indwelling time of the tracheal tube and the thoracic drainage tube was compared between the two groups, and the quality of life and postoperative follow-up outcome of the two groups were evaluat-ed and compared. Results: Before operation, FEV1, FVC and MVV in the two groups were higher than those in the same groups before intervention, and those in the observation group were significantly higher than those in the control group at the same time (P<0.05). At 12 h after operation, the above indexes in the two groups were significantly lower than those before operation (P<0.05), and those in the control group were lower than those before the intervention, while those in the observation group were higher than those before the intervention (P<0.05). In addition, the indwelling time of tracheal tube and thoracic drainage tube in the observation group was shorter than that in the control group (P<0.05). During one month follow-up period, the SGRQ score in the observation group was lower than that in the control group (P<0.05). The unplanned readmission and readmission rates of patients in the observation group were lower than those in the control group after one month of follow-up (P<0.05). Conclusion: Preoperative systemic pre-rehabilitation training can effectively improve the preoperative pulmonary function of patients undergoing daytime pul-monary nodule surgery, reduce the adverse effects of surgery on pulmonary function, and have a positive effect on maintaining short-term postoperative quality of life and preventing postoperative complications. |
