Evaluation of the postoperative rehabilitation effect of integrated medical and nursing care combined with enhanced recovery after surgery (ERAS) on patients undergoing radical resection of lung cancer
医护一体化联合加速康复护理对肺癌根治术患者术后康复效果评价

摘要

目的 探讨医护一体化联合加速康复护理（ERAS）在肺癌根治术患者术后康复中的应用效果。方法选取2024年1月至2024年12月于本院接受肺癌根治术患者80例，依据护理模式不同分为对照组与观察组，每组40例。对照组采用常规护理，观察组在此基础上实施医护一体化联合加速康复护理。比较两组患者的术后拔管时间、首次下床活动时间、住院时间、并发症发生率及术后3个月生活质量评分（QLQ-C30）。结果 观察组拔管时间、首次下床时间及住院天数均短于对照组（P＜0.05）；观察组并发症发生率明显低于对照组（10.0% vs. 30.0%，P＜0.05）；术后3个月生活质量评分观察组显著高于对照组（P＜0.05）。结论 医护一体化联合加速康复护理能够有效促进肺癌根治术患者术后早期康复，缩短住院时间，降低并发症发生率，并提高患者生活质量，具有临床推广价值。

Abstract

Objective To explore the application effect of integrated medical and nursing care combined with enhanced recovery after surgery (ERAS) in the postoperative rehabilitation of patients undergoing radical resection of lung cancer.
Methods A total of 80 patients who underwent radical resection of lung cancer in our hospital from January 2024 to December 2024 were selected and divided into a control group and an observation group, with 40 cases in each group, based on different nursing models. The control group received conventional care, while the observation group received integrated medical and nursing care combined with ERAS on this basis. The postoperative extubation time, first time out of bed, hospital stay, incidence of complications, and quality of life score (QLQ-C30) at 3 months after surgery were compared between the two groups.
Results The extubation time, first time out of bed, and hospital stay in the observation group were all shorter than those in the control group (P < 0.05); the incidence of complications in the observation group was significantly lower than that in the control group (10.0% vs. 30.0%, P < 0.05); the quality of life score at 3 months after surgery in the observation group was significantly higher than that in the control group (P < 0.05).
Conclusion   Integrated medical and nursing care combined with ERAS can effectively promote the early postoperative rehabilitation of patients undergoing radical resection of lung cancer, shorten the hospital stay, reduce the incidence of complications, and improve the quality of life of patients, which has clinical promotion value.