Clinical effect of adopting the concept of rapid recovery surgery in thoracic surgery nursing
胸外科手术护理中采取快速康复外科理念的临床效果

摘要

目的 探究胸外科手术护理中采取快速康复外科理念的临床效果。方法 选取2022年10月-2024年6月期间胸外科收治的110例手术患者为实验对象，根据数字表法将患者随机分为对照组与观察组各55例。对照组实施胸外科常规围术期护理；观察组在对照组基础上采取快速康复外科理念（ERAS）实施护理干预。采用数字评分法（NRS）评估两组患者术后3d的疼痛程度；使用Autar量表评估患者术后5d的深静脉血栓（VTE）风险；使用生活质量量表（SF-36）评估患者出院前的健康状况。结果 观察组患者经过ERAS护理干预后，术后NRS、VTE评分显著低于对照组（P＜0.05），SF-36评分显著高于对照组（P＜0.05）。结论 ERAS通过检索近年来权威国内外文献得到护理实施证据，以提高患者术后康复速度为核心理念，减轻患者围手术期的痛苦为目的，达到减少患者并发症发生风险，改善患者预后结果，缩短患者住院时间的有效护理干预结果，值得临床推广应用。

Abstract

Objective To explore the clinical effects of applying the concept of Enhanced Recovery After Surgery (ERAS) in thoracic surgery nursing.
Methods A total of 110 surgical patients admitted to the Department of Thoracic Surgery from October 2022 to June 2024 were selected as the experimental subjects. According to the number table method, the patients were randomly divided into the control group and the observation group, with 55 cases in each group. The control group received routine perioperative nursing care in thoracic surgery; the observation group was given nursing interventions based on the application of the ERAS concept on top of the care provided to the control group. The Numerical Rating Scale (NRS) was used to assess the pain level of the two groups of patients 3 days after surgery; the Autar scale was used to evaluate the risk of deep vein thrombosis (VTE) of the patients 5 days after surgery; and the Short Form-36 Health Survey (SF-36) was used to assess the health status of the patients before discharge.
Results After receiving ERAS nursing interventions, the patients in the observation group had significantly lower NRS and VTE scores than those in the control group (P < 0.05), and the SF-36 score was significantly higher than that of the control group (P < 0.05).
Conclusion   ERAS obtains evidence for nursing implementation by retrieving authoritative domestic and foreign literature in recent years. With the core concept of improving the postoperative rehabilitation speed of patients and the purpose of alleviating the pain of patients during the perioperative period, it achieves effective nursing intervention results such as reducing the risk of complications in patients, improving the prognosis of patients, and shortening the hospitalization time of patients. It is worthy of clinical promotion and application.