Research progress on optimization and standardized management of thoracic surgery nursing process based on evidence-based medicine
基于循证的胸外科护理流程优化与标准化管理研究进展

摘要

胸外科疾病因手术创伤大、围术期并发症风险高，对护理质量提出严苛要求。循证护理以最佳科研证据为核心，结合临床专业经验与患者需求，为胸外科护理流程优化与标准化管理提供科学支撑。本文系统梳理循证护理在胸外科的应用基础，重点阐述围术期关键护理流程的循证优化路径、标准化管理体系的构建策略，分析当前实践中的核心挑战，并展望未来发展方向。研究表明，基于循证的护理优化可显著降低术后并发症发生率、缩短住院周期、提升患者满意度；标准化管理则能保障护理质量的稳定性与均一性。未来需进一步强化多学科协作、推动证据转化落地、完善质量评价体系，实现胸外科护理的高质量发展。

Abstract

Thoracic surgery diseases involve large surgical trauma and high risks of perioperative complications, thus demanding strict requirements for nursing quality. Evidence-based nursing, with the best scientific research evidence as its core, combines clinical professional experience and patient needs to provide scientific support for the optimization and standardized management of thoracic surgery nursing processes. This article systematically reviews the application basis of evidence-based nursing in thoracic surgery, focuses on elaborating the evidence-based optimization paths of key perioperative nursing processes and the construction strategies of standardized management systems, analyzes the core challenges in current practice, and looks forward to future development directions. Research shows that evidence-based nursing optimization can significantly reduce the incidence of postoperative complications, shorten the hospital stay, and improve patient satisfaction; standardized management can ensure the stability and uniformity of nursing quality. In the future, it is necessary to further strengthen multidisciplinary collaboration, promote the implementation of evidence-based transformation, and improve the quality evaluation system to achieve high-quality development of thoracic surgery nursing.