链式管理模式下的加速康复方案在肺癌患者围手术期的应用  

The application of an enhanced rehabilitation plan under a chain management model in the perioperative period of patients with lung cancer

作　　者：黄建冰 何素娇 谢晓平[1] 黄彩标 余小莲 罗桂林 HUANG Jianbing;HE Sujiao;XIE Xiaoping;HUANG Caibiao;YU Xiaolian;LUO Guilin(Department of Thoracic Surgery,Xiaolan People’s Hospital of Zhongshan,Guangdong,Zhongshan 528415,China)

机构地区：[1]广东省中山市小榄人民医院胸外科,广东中山528415

出　　处：《中国医药科学》2024年第4期106-109,共4页China Medicine And Pharmacy

基　　金：广东省中山市卫生健康局医学科研项目(2021J344)。

摘　　要：目的探讨链式管理模式下加速康复方案在肺癌患者围手术期的应用效果。方法选取2021年1月至2022年11月中山市小榄人民医院胸外科行单孔胸腔镜肺癌切除术的患者88例,按随机数表法分为试验组和对照组,每组各44例。两组均实施围手术期加速康复方案,试验组在常规基础上优化加速康复方案,实施胸外科-手术室-重症监护病房多学科协作链式管理路径,护理组长协调围手术期管理全过程。结果试验组患者术后首次下床活动时间、胸腔引流管留置时间、住院时间,以及术后6、24、72 h疼痛评分均低于对照组,差异有统计学意义(P<0.05)。试验组住院总满意度高于对照组,差异有统计学意义(P<0.05)。结论链式管理模式可提高肺癌患者加速康复方案的实施效果,改善患者住院感受,提升患者满意度,值得临床推广。Objective To explore the application effect of an enhanced rehabilitation plan under a chain management model in the perioperative period of patients with lung cancer.Methods A total of 88 patients who underwent uniportal video-assisted thoracoscopic surgery in the Department of Thoracic Surgery at Xiaolan People’s Hospital of Zhongshan from January 2021 to November 2022 were selected.They were divided into an experimental group and a control group by a random number table method,with 44 patients in each group.Both groups implemented perioperative enhanced rehabilitation plans,and the experimental group optimized the enhanced rehabilitation plan based on conventional methods,implementing a multidisciplinary collaborative chain management path of thoracic surgery-operating-intensive care unit,with nursing team leaders coordinating the entire perioperative management process.Results The postoperative first off-bed activity time,thoracic drainage tube retention time,hospitalization time,and pain scores at postoperative 6 h,24 h,and 72 h of patients in the experimental group were significantly lower than those in the c ontrol group,with statistically significant differences(P<0.05).The total hospitalization satisfaction of patients in the experimental group was significantly higher than that in the control group,with statistically significant difference(P<0.05).Conclusion The chain management model can improve the implementation effect of enhanced rehabilitation plans for patients with lung cancer,improve their hospitalization experience,and increase patient satisfaction,which is worthy of clinical promotion.

关 键 词：链式管理 加速康复 肺癌 住院满意度 

分 类 号：R473.73[医药卫生—护理学]