基于智慧宣教系统的出院计划前移对肺癌患者术后恢复研究  

Study on the impact of early discharge guidance based on intelligent education system on postoperative recovery in lung cancer patients

作　　者：陈惠卿[1] 李茹芳[2] 蔡丹丹[3] 盛晓雯 陈献国[1] 熊尚华 CHEN Huiqing;LI Rufang;CAI Dandan;SHENG Xiaowen;CHEN Xianguo;XIONG Shanghua(Department of Cardio-Thoracic Surgery,Jinhua Municipal Central Hospital,Jinhua 321000,Zhejiang,China;Department of Nursing,Jinhua Municipal Central Hospital,Jinhua 321000,Zhejiang,China;Department of Neurosurgery ICU,Jinhua Municipal Central Hospital,Jinhua 321000,Zhejiang,China;Department of Information Engineering,Jinhua Municipal Central Hospital,Jinhua 321000,Zhejiang,China)

机构地区：[1]金华市中心医院心胸外科,浙江金华321000 [2]金华市中心医院护理部,浙江金华321000 [3]金华市中心医院神经外科监护室,浙江金华321000 [4]金华市中心医院信息工程部,浙江金华321000

出　　处：《中国现代医生》2025年第11期5-8,12,共5页China Modern Doctor

基　　金：浙江省金华市重大(重点)科技计划项目(2022-3-110)。

摘　　要：目的 探讨基于智慧宣教系统的出院计划前移对肺癌患者术后疼痛管理、功能恢复及出院准备度的影响。方法 选取2022年7月至2023年6月金华市中心医院收治的170例肺癌患者并按入院时间分组:2022年7月至11月入院患者为对照组(n=82),2022年12月至2023年6月入院患者为观察组(n=88)。对照组实施标准化围手术期健康教育,观察组在此基础上叠加智慧宣教系统干预,比较两组患者术后首次下床时间、术后第1~3天及出院当天数字疼痛评分量表(numeric rating scale,NRS)评分、出院当天2分钟踏步试验及医院准备度量表(readiness for hospital discharge scale,RHDS)得分。结果 观察组患者的术后首次下床时间短于对照组,观察组患者术后72h及出院当天的NRS评分低于对照组,观察组患者的2分钟踏步试验完成踏步次数高于对照组,观察组患者的RHDS得分高于对照组,差异均有统计学意义(P<0.05)。结论 智慧宣教系统推动的出院计划前移可显著改善肺癌患者术后早期下床活动,减轻术后疼痛,提高躯体功能及出院准备度,有效促进患者的术后恢复。Objective To explore the impact of early discharge guidance,based on an intelligent education system,on postoperative pain management,functional recovery,and discharge readiness in lung cancer patients.Methods A total of 170 lung cancer patients were selected from Jinhua Municipal Central Hospital from July 2022 to June 2023.According to the time of admission,patients admitted between July to November 2022 were assigned to control group(n=82),while patients admitted between December 2022 to June 2023 were assigned to observation group(n=88).Control group received routine perioperative health education,while observation group received additional intelligent education system.Following outcomes were compared between two groups:Time to first ambulation after surgery,pain numeric rating scale(NRS)scores on postoperative 1 to 3 days and on day of discharge,performance on 2-minute step test on day of discharge,and readiness for hospital discharge scale(RHDS).Results Time to first ambulation post operative in observation group was shorter than that in control group.NRS scores at 72 hours post operative and on day of discharge were lower in observation group compared to control group.Number of steps completed in 2-minute step test in observation group was higher than that in control group.Additionally,RHDS scores in observation group was higher than that in control group,and all differences were statistically significant(P<0.05).Conclusion The discharge planning advancement driven by the intelligent education system significantly improved early postoperative ambulation,reduced postoperative pain,enhanced physical function,and increased discharge readiness in lung cancer patients,thereby effectively promoting postoperative recovery.

关 键 词：智慧医疗 出院计划 术后恢复 

分 类 号：R473[医药卫生—护理学]