目的 探析人性化护理干预联合体位管理对胸腔镜下纵隔肿瘤切除术患者的干预效果。方法 回顾性分析2021年4月—2023年6月行胸腔镜下纵隔肿瘤切除术治疗的84例纵隔肿瘤患者资料,其中42例经常规干预+体位管理干预患者纳入对照组,42例在体位管理基础上接受人性化干预患者纳入观察组。于干预前、干预24 h以及干预48 h时评估并比较两组护理依从性[采用本院自制护理依从性量表评估]、疼痛情况[采用数字评定量表（NRS）评估]以及术后康复指标（下床时间、胸腔引流管留置时间、住院时间）。结果 两组患者干预24、48 h的依从性评分均较干预前升高,且观察组高于对照组（P<0.05）;两组患者干预24、48 h的NRS评分均较干预前降低,且观察组低于对照组（P<0.05）;两组下床时间、胸腔引流管留置时间、住院时间比较,差异均无统计学意义（P>0.05）。结论 对胸腔镜下纵隔肿瘤切除术患者应用人性化干预联合体位管理,可提高患者体位管理依从性,且有利于减轻术后疼痛程度。

Objective To explore the intervention effect of humanized nursing intervention combined with position management on patients undergoing thoracoscopic mediastinal tumor resection. Methods Data of 84 patients who underwent thoracoscopic resection of mediastinal tumor from April 2021 to June 2023 were retrospectively analyzed. Among them, 42 patients who underwent routine intervention and position management intervention were included in the control group, and 42 patients who received humanized intervention on the basis of position management were included in the observation group. Before intervention and at 24 h and 48 h of intervention, the nursing compliance （using the self-made nursing compliance scale）, pain levels [using the numerical rating scale （NRS）], and postoperative rehabilitation indicators （time to get out of bed, time of thoracic drainage tube retention, and length of hospital stay） of the two groups were assessed and compared. Results The compliance scores of both groups of patients at 24 h and 48 h of intervention were higher than those before intervention, and the scores of the observation group were higher than those of the control group （P<0.05）. The NRS scores of both groups of patients at 24 h and 48 h of intervention decreased compared to before intervention, and the scores of the observation group were lower than those of the control group （P<0.05）. There was no significant difference in the time to get out of bed, retention time of thoracic drainage tube, and length of hospital stay between the two groups （P>0.05）. Conclusion The application of humanized intervention combined with position management in patients undergoing thoracoscopic mediastinal tumor resection can improve their compliance with position management and help alleviate postoperative pain.