正性同化护理联合多学科-快速康复链式管理在肺癌胸腔镜手术患者中的应用OA

Objective:To analyze the effect of combining positive assimilation nursing with MDT-ERAS chain nursing on patients undergoing thoracoscopic lung resection for lung cancer.Methods:Eighty patients with lung cancer who underwent single-port thoracoscopic lobectomy at Putian University Affiliated Hospital from January to December 2024 were selected as the observation sample.The patients were randomly assigned to two groups by a coin toss.The control group(40 patients)received MDT-ERAS chain nursing,while the study group(40 patients)received MDT-ERAS chain nursing combined with positive assimilation nursing.After the intervention,the two groups' HHI scores,rapid recovery compliance rates,rehabilitation indices,and postoperative pulmonary complication rates were compared.Results:The HHI scores in the study group were(12.60±1.13)points,(12.53±0.99)points,and(12.58±1.24)points,respectively,significantly higher than the corresponding scores in the control group((9.25±1.13)points,(9.18±1.34)points,(10.35±0.86)points,respectively).These differences were statistically significant(t=13.291,12.747,9.322;P＜0.05).The rapid recovery compliance rate was 97.50％(39/40)in the study group,which was higher than 80.00％(32/40)in the control group,and the difference was statistically significant(x2=6.135,P=0.013).The time to first ambulation,duration of chest drainage tube placement,total hospital stay,and postoperative pain score in the study group were(6.13±1.32)hours,(22.60±1.50)hours,(12.48±1.54)days,and(2.83±1.13)points,respectively.These values were lower than those in the control group((11.25±1.19)hours,(27.38±2.07)hours,(18.35±2.09)days,(4.33±1.12)points,respectively),and the differences were statistically significant(t=-18.187,—11.811,—14.306,-5.968,P＜0.05).The postoperative pulmonary complication rate was 5.00％(2/40)in the study group and 22.50％(9/40)in the control group,with no statistically significant difference(x2=3.794.P＞0.05).Conclusion:Combining positive assimilation nursing with MDT-ERAS chain nursing in patients undergoing lung cancer surgery improves patients' hope level and rapid recovery compliance,which helps achieve the goal of safe and rapid recovery.