以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (21): 71-74.doi: 10.16460/j.issn1008-9969.2021.21.071

Previous Articles     Next Articles

Effect of Active Cycle of Breathing Technique on Perioperative Cardiopulmonary Function of Patients with Non-Small Cell Lung Cancer

DU Jinga, DEND Hai-bob, LIU Leia, LI Lin-fenga, SUN Jian-huac   

  1. a. Dept. of Thoracic Surgery;
    b. Dept. of Cardiac Surgery;
    c. Dept. of Critical Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
  • Received:2021-03-10 Online:2021-11-10 Published:2021-12-13

PDF (PC)

221

Like

Abstract: Objective To explore the effects of active cycle of breathing technique (ACBT) on postoperative cardiopulmonary function in patients with non-small cell lung cancer (NSCLC). Methods NSCLC patients who were admitted to the Department of Thoracic Surgery of Peking Union Medical College Hospital from January 1, 2019 to December 31, 2019 were selected and divided into control group (n=105) and observation group (n=106) according to the order of hospitalization. Traditional lung physical therapy was adopted in the control group to instruct patients to exercise respiratory function after operation, and in the observation group ACBT together with traditional therapy was applied. The difference of forced expiratory volume (FEV1), forced vital capacity (FVC), peak expiratory flow (PEF), 6-minute walk test (6MWT), first expectoration time, pulmonary complications and other indicators were compared between the two groups. Results The postoperative lung function of patients in observation group (including FEV1, FVC and PEF) and the 6MWT were superior to those in the control group on the day of discharge and on the 30th day after operation(P<0.05). The first expectoration time of the observation group,the chest tube retention time and postoperative hospital stay were significantly shorter in the observation group than those in the control group(P<0.05). Conclusion ACBT can significantly improve the cardiopulmonary function of patients after non-small cell lung cancer surgery, promote early and efficient removal of patients' airway secretions, shorten chest tube retention time, reduce the incidence of pulmonary complications, and promote rapid recovery of patients.

Key words: non-small cell lung cancer, respiratory function exercise, active cycle of breathing technique, cardiopulmonary function, pulmonary complication

CLC Number: 

  • R473.6
[1] Siegel RL,Miller KD,Jemal A.Cancer Statistics,2017[J]. CA Cancer J Clin, 2017, 67(1):7-30. DOI:10.3322/caac.21387.
[2] 王龙平,彭继海,张鸣生.主动呼吸循环技术在非小细胞肺癌肺叶切除术后快速康复中的临床应用[J].中国康复医学杂志,2018,33(6):642-646. DOI:10.3969/j.issn.1001-1242.2018.06.005.
[3] Lugg ST, Agostini PJ,Tikka T,et al.Long-term Impact of Developing a Postoperative Pulmonary Complication after Lung Surgery[J].Thorax, 2016,71(2):171-176. DOI:10.1136/thoraxjnl-2015-207697.
[4] 贾若雅,郑雪梅,常芸,等.综合呼吸功能锻炼对肺动脉高压患者呼吸功能及运动耐力的影响研究[J].护理学报,2019,26(8):46-50.DOI:10.16460/j.issn1008-9969.2019.08.046.
[5] Parisien LS, Abel RE, Boucher V, et al.Effects of Pursed Lip Breathing on Exercise Capacity and Dyspnea in Patients with Interstitial Lung Disease:A Randomized, Crossover Study[J]. J Cardiopulm Rehabil Prev, 2019, 39(2):112-117.DOI:10.1097/hcr.0000000000000387.
[6] 曾帆. 主动呼吸循环技术功能锻炼对机械通气患者肺功能与生活质量的影响[J].国际护理学杂志, 2017, 36(3): 422-424. DOI:10.3760/cma.j.issn.1673-4351.2017.03.045.
[7] 华玉平,冯重睿,符碧洲,等.探讨主动呼吸循环技术对脑卒中气管切开术后患者呼吸功能的疗效[J].中国康复,2018,33(2):136-137.DOI:10.3870/zgkf.2018.02.013.
[8] Agarwala P, Salzman SH.Six-minute Walk Test: Clinical Role, Technique,Coding,and Reimbursement[J].Chest,2020,157(3):603-611. DOI:10.1016/j.chest.2019.10.014.
[9] Pecorelli N, Fiore J, Gillis C, et al.The Six-Minute Walk Test as a Measure of Postoperative Recovery after Colorectal Resection: Further Examination of Its Measurement Properties[J].Surgical Endoscopy,2016, 30(6):2199-2206.DOI:10.1007/s00464-015-4478-1.
[10] 杨梅,钟就娣,张俊娥,等.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[J]. 中华护理杂志, 2018, 53(5):523-527.DOI:10.3761/j.issn.0254-1769.2018.05.002.
[11] Ray AD, Udhoji S, Mashtare TL, et al.A Combined Inspiratory and Expiratory Muscle Training Program Improves Respiratory Muscle Strength and Fatigue in Multiple Sclerosis[J]. Arch Phys Med Rehabil, 2013, 94(10):1964-1970 DOI:10.1016/j.apmr.2013.05.005.
[12] 林静静,林晓克,陈传帮,等.主动呼吸循环技术在肺癌患者围手术期气道管理中的应用研究[J].中国全科医学, 2018, 21(z1):4-6. DOI:10.3969/j.issn.1007-9572.2018.z1.003.
[13] Lewis LK, Williams MT, Olds TS.The Active Cycle of Breathing Technique:A Systematic Review and Meta-analysis[J]. Respir Med,2012, 106(2):155-172. DOI:10.1016/j.rmed.2011.10.014.
[14] 岳斌容,陈玉萍.肌肉放松训练对胸外科患者手术后肺功能的影响[J].护理学报,2019,26(18):58-60.DOI:10.16460/j.issn1008-9969.2019.18.058.
[15] 陈菲菲,庞永慧,茅乃权,等.老年肺癌患者衰弱现状及影响因素分析[J]. 护理学报, 2020,27(15):7-11.DOI:10.16460/j.issn1008-9969.2020.15.007.
[16] Kendall F, Oliveira J, Peleteiro B, et al.Inspiratory Muscle Training is Effective to Reduce Postoperative Pulmonary Complications and Length of Hospital Stay: A Systematic Review and Meta-analysis[J].Disabil Rehabil, 2018,40(8):864-882. DOI:10.1080/09638288.2016.1277396.
[1] ZHANG Ping, LIU Li-ping. Construction of Risk Assessment Scale of Unplanned Extubation for Patients Undergoing Endotracheal Intubation [J]. Journal of Nursing, 2021, 28(21): 18-22.
[2] WEI Qing, BAI Xiao-ling, PANG Jin, ZHANG Jia-xing, LOU Ting, LIANG Qing-long, YANG Zeng-zhen. TEvidence-based Radiation Protection Standard of Medical Staff in Interventional Diagnosis and Treatment [J]. Journal of Nursing, 2021, 28(21): 41-46.
[3] WANG Yan, WANG Zhe-yun, YE Jia-xin, GUAN Yan, YU Yun, LU Shan. Effect of Different Preset Temperature of Cooling Blanket on Cooling Effect and Complications after Cardiac Surgery [J]. Journal of Nursing, 2021, 28(21): 67-70.
[4] . [J]. Journal of Nursing, 2021, 28(21): 75-78.
[5] . [J]. Journal of Nursing, 2021, 28(20): 64-67.
[6] . [J]. Journal of Nursing, 2021, 28(20): 68-73.
[7] BAO Li-chao, HAN Hui, ZOU Xiao-yue. AGREE II-based Guideline Appraisal of Prevention and Management of Parastomal Hernia [J]. Journal of Nursing, 2021, 28(19): 48-51.
[8] TIAN Wen-jie, LV Yi, WANG Kai-ling, YANG Qin-ling, XIAO Qi-gui. Nursing of Complications after Liver Transplantation in Children with Biliary Atresia [J]. Journal of Nursing, 2021, 28(18): 50-52.
[9] . [J]. Journal of Nursing, 2021, 28(18): 53-55.
[10] . [J]. Journal of Nursing, 2021, 28(18): 56-60.
[11] SHEN Yan, CHEN Lan, FEI Kai-hong, PAN Heng-de, YU Jia-qi, WANG Ying, JIANG Yan-hua, ZHANG Jie, YAO Ye-ying. Best Evidence Summary of Early Mobilization after Liver Transplantation [J]. Journal of Nursing, 2021, 28(16): 16-21.
[12] KANG Li, WANG Cui-ling, TIAN Jia, XU Chen-li. Best Evidence Summary for Prevention and Management of Enteral Feeding Intolerance in Patients after Upper Gastrointestinal Surgery [J]. Journal of Nursing, 2021, 28(16): 22-26.
[13] . [J]. Journal of Nursing, 2021, 28(16): 37-41.
[14] FENG Yan-ying, WANG Yong-sheng, ZHANG Xiu-ni, JIANG Feng-ting. Cognition on Extended Nursing of Patients with Chronic Refractory Wounds and Training Needs of Community Nurses [J]. Journal of Nursing, 2021, 28(16): 69-73.
[15] YAN Si-qin, FAN Jing-hui, XIONG Liang-kun. Application of Family Empowerment Theory in Health Guidance for Family Caregivers of atients with Ileostomy [J]. Journal of Nursing, 2021, 28(15): 74-78.
Viewed
Full text


Abstract

Cited
  Shared   
[1] YE Zeng-jie,Ruan Xiao-li,ZENG Zhen,XIE Qiong,CHENG Meng-hui,PENG Chao-hua,LU Yong-Mei,QIU Hong-zhong. Psychometric Properties of 10-item Connor-davidson Resilience Scale among Nursing Students[J]. , 2016, 23(21): 9 -13 .
[2] LIU Hua-long,ZHANG Pei-lu,GE Xue-di. Knowledge, Attitude and Practice of Aspiration Prevention among Primary Caregivers of Elderly Hospitalized Patients[J]. , 2016, 23(21): 14 -18 .
[3] . [J]. , 2016, 23(21): 19 -21 .
[4] KANG Dong-qin,YUE Shu-jin. Biliometric Analysis on Application of Flipped Classroom in Nursing Teaching[J]. , 2016, 23(21): 22 -25 .
[5] . [J]. , 2016, 23(21): 26 -29,30 .
[6] . [J]. , 2016, 23(21): 30 -33 .
[7] DU hui,QIN Hui-ying,SUN Zhong-wen,HUANG Chun-li. Influence Factors of Uncertainty in Illness among Family Members of Cancer Patients in ICU[J]. , 2016, 23(21): 34 -37 .
[8] WANG Ying-wen,ZHANG Yu-xia,Shen Guo-mei,GU Ying. Post Management of Clinical Nursing Specialist in Comprehensive Children ’s Hospital[J]. , 2016, 23(21): 38 -41,42 .
[9] XU Wen-xin, TANG Xu-meng, CAO Song-mei, YANG Jun, XIE Li-ling, XIAO Ming-zhao, ZHAO Qing-hua. Current Status of Swallowing Function and Its Influence on Psychological Health of Community-dwelling Disabled Elders[J]. Journal of Nursing, 2021, 28(20): 1 -6 .
[10] JIAO Zi-shan, QIU Jin-hua, WANG Na-na, SHA Kai-hui. Current Status of Postpartum Diastasis Recti Abdominis and Its Influence Factors: A 489-case Study[J]. Journal of Nursing, 2021, 28(20): 7 -10 .