The application of positive assimilation nursing combined with MDT-ERAS chain nursing in patients undergoing lung cancer surgery

doi:10.19983/j.issn.2096-8493.20250139

Abstract

Abstract:

Objective: To analyze the effect of combining positive assimilation nursing with MDT-ERAS chain nursing on patients undergoing thoracoscopic lung resection for lung cancer. Methods: Eighty patients with lung cancer who underwent single-port thoracoscopic lobectomy at Putian University Affiliated Hospital from January to December 2024 were selected as the observation sample. The patients were randomly assigned to two groups by a coin toss. The control group (40 patients) received MDT-ERAS chain nursing, while the study group (40 patients) received MDT-ERAS chain nursing combined with positive assimilation nursing. After the intervention, the two groups’ HHI scores, rapid recovery compliance rates, rehabilitation indices, and postoperative pulmonary complication rates were compared. Results: The HHI scores in the study group were (12.60±1.13) points, (12.53±0.99) points, and (12.58±1.24) points, respectively, significantly higher than the corresponding scores in the control group ((9.25±1.13) points, (9.18±1.34) points, (10.35±0.86) points, respectively). These differences were statistically significant (t=13.291, 12.747, 9.322; P<0.05). The rapid recovery compliance rate was 97.50% (39/40) in the study group, which was higher than 80.00% (32/40) in the control group, and the difference was statistically significant (χ²=6.135, P=0.013). The time to first ambulation, duration of chest drainage tube placement, total hospital stay, and postoperative pain score in the study group were (6.13±1.32) hours, (22.60±1.50) hours, (12.48±1.54) days, and (2.83±1.13) points, respectively. These values were lower than those in the control group ((11.25±1.19) hours, (27.38±2.07) hours, (18.35±2.09) days, (4.33±1.12) points, respectively), and the differences were statistically significant (t=-18.187, -11.811, -14.306, -5.968, P<0.05). The postoperative pulmonary complication rate was 5.00% (2/40) in the study group and 22.50% (9/40) in the control group, with no statistically significant difference (χ²=3.794, P>0.05). Conclusion: Combining positive assimilation nursing with MDT-ERAS chain nursing in patients undergoing lung cancer surgery improves patients’ hope level and rapid recovery compliance, which helps achieve the goal of safe and rapid recovery.

Key words: Carcinoma, non-small-cell lung, Rehabilitation nursing, Comparative study

CLC Number:

R563.1+2

Zheng Lijing. The application of positive assimilation nursing combined with MDT-ERAS chain nursing in patients undergoing lung cancer surgery[J]. Journal of Tuberculosis and Lung Disease , 2026, 7(3): 333-337. doi: 10.19983/j.issn.2096-8493.20250139

Figures/Tables 4

References 10

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组别	积极行动态度		现实未来态度		亲密关系
组别	护理前	护理后	护理前	护理后	护理前	护理后
观察组(40例)	7.13±0.91	12.60±1.13^a	7.18±0.87	12.53±0.99^a	7.30±0.99	12.58±1.24^a
对照组(40例)	7.10±0.84	9.25±1.13^a	7.50±0.91	9.18±1.34^a	7.33±0.92	10.35±0.86^a
t值	0.128	13.291	-1.633	12.747	-0.117	9.322
P值	0.899	<0.05	0.106	<0.05	0.907	<0.05

组别	例数	依从性优	依从性良	依从性差	依从性好[例(构成比,%)]
观察组	40	25	14	1	39(97.50)
对照组	40	20	12	8	32(80.00)
χ²值					6.135
P值					0.013

组别	例数	肺部感染	肺不张	气胸	合计[例(发生率,%)]
观察组	40	1	0	1	2(5.00)
对照组	40	4	2	3	9(22.50)
χ²值					3.794
P值					0.051

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