The impact of integrated medical and nursing care combined with accelerated rehabilitation nursing on postoperative rehabilitation outcomes of lung cancer patients undergoing radical surgery
医护一体化结合加速康复护理对肺癌根治术患者术后康复效果的影响

摘要

目的 探讨医护一体化与加速康复外科理念结合对患者术后恢复的影响。方法 将2023年1月至2025年1月收治的60例肺癌根治术患者随机分为干预组（医护一体化+ERAS）与对照组（常规护理），每组30例。比较两组术后首次下床时间、引流管留置时间、住院时长以及并发症发生率。结果 干预组在首次下床天数(1.22±0.36 vs 2.14±0.68)、引流天数(10.56±1.13 vs 13.88±1.77)、住院天数(13.65±1.52 vs 17.95±2.39)均显著缩短（P<0.05），并发症发生率（13.33% vs 50.00%）亦明显改善（P<0.05）。结论 医护一体化与ERAS的协同应用可优化肺癌患者术后康复路径。

Abstract

Objective To explore the impact of the integration of medical care and the concept of accelerated rehabilitation surgery on postoperative recovery of patients.
Methods 120 patients with lung cancer who underwent radical surgery from January 2023 to January 2025 were randomly divided into an intervention group (integrated medical care+ERAS) and a control group (conventional nursing), with 60 patients in each group. Compare the first time of getting out of bed, drainage tube retention time, length of hospital stay, and incidence of complications between two groups after surgery.
Results The intervention group showed significant reductions in the number of days of first mobilization (1.22±0.36 vs 2.14±0.68), drainage days (4.56±1.13 vs 6.88±1.77), and hospitalization days (7.65±1.52 vs 10.95±2.39) (P<0.05), as well as a significant improvement in the incidence of complications (13.33% vs 50.00%) (P<0.05).
Conclusion   The collaborative application of medical integration and ERAS can optimize the postoperative rehabilitation pathway of lung cancer patients.