Lung cancer surgery does not mean the end of treatment, rehabilitation care is important

  After surgery, lung cancer patients do not mean that the treatment is over. If they do not pay attention to nursing care, it will affect the security of the disease and it is important to carry out daily nursing care. Improper post-operative care methods may lead to recurrence of the disease, so what are the daily care methods for lung cancer post-operative recovery?  Pay attention to sputum discharge After lung cancer surgery, patients should actively carry out respiratory rehabilitation exercises to prevent pulmonary atelectasis and respiratory system infection. Within 24 to 48 hours after surgery, patients should actively cough and take 5 to 10 deep breaths every one or two hours.  Within 3 days after surgery, nurses or family members should assist patients to cough and expel sputum 4 to 6 times a day. To do this, stand on the non-operative side of the patient, stretch out your arms, put your fingers together, and hold the patient’s thorax on the operative side from the front and back of the chest wall, and ask the patient to do deep inhalation with you. When inhaling, gently hold the incision and then ask the patient to cough hard, pressing the ribs while coughing to help expel sputum, while patting the patient’s back gently. Repeat several times until the patient coughs up all the sputum.  Because of the large incision and severed muscles in lung cancer surgery, muscle adhesions and ankylosis may easily occur after surgery, therefore, muscle function recovery is also an important part of the rehabilitation care.  On the second day after surgery, family members should assist patients to do activities such as shoulder and arm bending, supination and inversion on the operated side every 4 hours, and pay attention to the sitting and walking postures of patients at all times, and correct sloping shoulders and upper body scoliosis in time to avoid the occurrence of scoliosis.  On the third postoperative day, the patient is encouraged and urged to use the operated arm to carry a cup of tea, eat, and comb the hair, and to touch the opposite ear with the operated hand over the top of the head several times a day. A rope can be tied to the end rail of the bed, and the patient can practice sitting up, lying down and getting out of bed by pulling the rope with the operated arm, which can enhance the muscle tone of the operated shoulder, arm and back muscles.  The earlier the rehabilitation exercise, the better the rehabilitation exercise. Before the patient wakes up from general anesthesia, he should lie flat with his head on his side and aspirate oral or respiratory secretions in time to prevent aspiration pneumonia. After waking up, take a semi-recumbent position, which is conducive to drainage of pleural effusion and reduction of wound pain, while the septum muscle decreases, which is conducive to improving respiratory and circulatory functions.  Rehabilitation exercises should be started in the first postoperative time, that is, after the patient is awake from general anesthesia. At this time, nurses or family members can start to assist patients to lift their hips and move their limbs, massage the upper limbs on the patient’s side of surgery, and put their hands under the patient’s back and rub the back muscles to improve blood circulation and restore muscle tone.  From the first day after surgery, if the vital signs (blood pressure, respiration, pulse) are stable and the chest drainage tube is fixed, the patient can be encouraged to do bed activities. After the drainage tube is removed, the patient can be assisted to get out of bed and walk indoors for 3-5 minutes every 4 hours in the early stage, and later the patient can be allowed to get out of bed by himself.