RESUMO
Background and Objective: We explored the effect of the Active Cycle of Breathing Technique (ACBT) on rapid patient rehabilitation following lung cancer (LC) surgery and the advantages of Watson's Theory of Human Caring. Method: A total of 64 patients with LC were chosen and randomly divided into 2 groups: the ACBT group and the routine care group. The ACBT group received Watson's Theory of Human Caring, and ACBT was adapted for respiratory training to promote airway secretions, excretions and pulmonary function (PF) recovery. After the intervention, PF, 6-Minute Walk Test (6MWT) distance, heart rate (HR), clinical treatment, quality of life (QoL), nursing satisfaction, negative emotions and postoperative complications were compared in the 2 groups. Results: The results showed that PF levels (peak expiratory flow [PEF], forced expiratory volume in 1 second/forced vital capacity ratio [FEV1/FVC], vital capacity [VC], partial pressure of oxygen dissolved in blood [PaO2], oxygenation index [OI] and oxygen saturation as measured by blood analysis [SaO2]) in the ACBT group were significantly higher than in the routine care group, while partial pressure of carbon monoxide (PaCO2) was significantly lower. In addition, after ACBT training, patient 6MWT distance increased, and the maximum HR, Borg fatigue score and Borg dyspnea score in the training group were lower than in the routine care group. In terms of clinical treatment, duration of drainage tube retention, total oxygen therapy, out of bed time, hospital stay and visual analog score (VAS) score in the ACBT group were all lower. At the same time, QoL and nursing satisfaction in patients in the ACBT group were higher, and anxiety and depression were significantly lower. Moreover, the incidence of postoperative complications was 6.25% in the ACBT group and 28.13% in the routine care group. Conclusion: ACBT combined with the Watson Theory of Human Caring can better restore LF in patients with LC following surgery, so as to promote rapid recovery and reduce postoperative complications. In addition, Watson's Theory of Human Caring is of great significance for improving the nurse-patient relationship and building a harmonious hospital.
