关键词: 肺移植, 肺康复, 围手术期护理

Abstract:

Objective To construct a pulmonary rehabilitation program for patients with double lung transplantation and to evaluate its application effect.Methods 46 patients admitted to our hospital for double lung transplantation from January 2020 to March 2021 were selected as the research subjects. Using random number table method,they were divided into a control group and an experimental group with 23 cases each. The experimental group received the intervention of the lung rehabilitation program for patients with double lung transplantation on the basis of the control program. The pulmonary rehabilitation team led by respiratory therapy specialist nurses guided the whole process,including preoperative pre-rehabilitation training and adaptive training,early postoperative activities,and respiratory muscles training,sequential oxygen therapy,airway clearance,active breathing and circulation techniques,etc. The control group received conventional treatment,health education and pulmonary rehabilitation guidance. The postoperative ECMO assisting time,mechanical ventilation time,hospital stay,oxygenation index,6-minute walk test,incidence of adverse events,and compliance with postoperative pulmonary rehabilitation were compared between the 2 groups.Results The length of hospital stay in the experimental group was lower than that in the control group. The oxygenation index,6-minute walk test distance,and compliance with postoperative pulmonary rehabilitation were better than those in the control group（P<0.05）. There was no statistical difference in the ECMO assisting time,mechanical ventilation time and the incidence of adverse events in the 2 groups（P>0.05）.Conclusion The pulmonary rehabilitation program for patients with double lung transplantation is safe and effective. It can shorten the length of ICU hospitalization,improve exercise capacity,and promote early recovery of transplanted lung function.

Key words: Lung Transplantation, Pulmonary Rehabilitation, Perioperative Nursing