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Journal of Nursing ›› 2024, Vol. 31 ›› Issue (13): 73-78.doi: 10.16460/j.issn1008-9969.2024.13.073

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Doctor-nurse-patient accelerated rehabilitation clinical nursing pathway in patients with thoracoscopic resection of lung cancer

YANG Jian1a, ZHANG Ying1a,2, CHEN Xiao-yan1b, FENG Bi-long1b, HE Xue-yu1a   

  1. 1a. Dept. of Thoracic Surgery; 1b. Dept. of Nursing Administration, Zhongnan Hospital of Wuhan University, Wuhan 430071, China;
    2. School of Medicine, Yangtze University, Jingzhou 434023, China
  • Received:2024-04-03 Online:2024-08-05 Published:2024-08-05

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Abstract: Objective To construct and evaluate the effect of doctor-nurse-patient accelerated rehabilitation clinical nursing pathway for patients led by navigation nurses in the perioperative management of patients with thoracoscopic resection of lung cancer. Methods Using a convenience sampling method, 128 lung cancer patients who underwent thoracoscopic resection at a tertiary hospital from July 2022 to July 2023 were selected as the study subjects. According to the order of admission, patients admitted from July 2022 to January 2023 were assigned to the control group, and patients admitted from February 2023 to July 2023 were assigned to the observation group, with 64 patients in each group. The control group implemented nursing according to routine nursing measures formulated by the department, while the observation group doctor-nurse-patient accelerated rehabilitation clinical nursing pathway guided by navigation nurses. The intervention effects of the two groups were compared. Results There were statistical significance in the first time of out of bed, urinary catheter removal time, chest tube retention time, incidence of moderate or severe postoperative pain, hospitalization expense, hospitalization duration and satisfaction with enhanced recovery after surgery (ERAS) between the two groups (P<0.05). Conclusion Doctor-nurse-patient accelerated rehabilitation clinical nursing pathway for patients guarantees the effective implementation of accelerated rehabilitation nursing measures in perioperative period, and it is conducive to the rehabilitation of patients, and is worthy of clinical promotion.

Key words: enhanced recovery after surgery, lung cancer, perioperative care, navigation nurse, clinical nursing pathway

CLC Number: 

  • R473.6
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