快速康复护理在胸外科术后患者康复过程中的临床价值探讨

Clinical Value of Fast-Track Nursing in the Recovery Process of Thoracic Surgery Patients

摘要: 目的：探讨快速康复护理在胸外科术后患者康复过程中的临床价值。方法：纳入2024年2月至2026年2月于广州市白云区人民医院胸外科接受手术的84例患者为研究对象，通过随机抽签法将其分为对照组(实施常规康复护理，n = 42)与观察组(在常规康复护理基础上辅以快速康复护理，n = 42)。对比两组受试者经不同护理方案干预后的康复效果。结果：观察组术后并发症发生率(4.76%)显著低于对照组(21.42%)，差异有统计学意义(χ² = 7.499, P < 0.05)；观察组胸腔引流管留置时间(4.79 ± 2.01天)、首次下床活动所需时间(21.49 ± 6.01小时)及住院时间(10.28 ± 2.14天)均短于对照组(8.98 ± 2.11天、42.58 ± 7.94小时、14.25 ± 1.88小时)，组间差异具有显著性(t = 2.46、3.34、2.62，P < 0.05)；观察组护理满意度(100.00%)高于对照组(85.71%)，差异有统计学意义(χ² = 6.462，P < 0.05)。结论：将快速康复护理应用于胸外科术后患者，可有效缩短术后恢复周期、降低并发症发生风险、加速机体功能恢复，并提升护理工作的满意程度。

Abstract: Objective: This paper aims to explore the clinical value of enhanced recovery after surgery (ERAS) nursing in the rehabilitation process of patients undergoing thoracic surgery. Methods: A total of 84 patients who underwent surgery at the Department of Thoracic Surgery, Baiyun District People's Hospital in Guangzhou from February 2024 to February 2026 were enrolled and randomly divided into a control group (receiving conventional postoperative care, n = 42) and an observation group (receiving conventional care plus ERAS interventions, n = 42). The rehabilitation outcomes between the two groups were compared. Results: The incidence of postoperative complications in the observation group (4.76%) was significantly lower than that in the control group (21.42%), with statistical significance (χ² = 7.499, P < 0.05). The duration of chest tube drainage (4.79 ± 2.01 days), time to first ambulation (21.49 ± 6.01 hours), and hospital stay (10.28 ± 2.14 days) in the observation group were all shorter than those in the control group (8.98 ± 2.11 days, 42.58 ± 7.94 hours, and 14.25 ± 1.88 days, respectively), with significant differences between groups (t = 2.46, 3.34, 2.62, P < 0.05). Patient satisfaction with nursing care was higher in the observation group (100.00%) compared to the control group (85.71%), with statistical significance (χ² = 6.462, P < 0.05). Conclusion: Applying ERAS nursing to patients after thoracic surgery effectively shortens recovery time, reduces the risk of complications, accelerates functional recovery, and improves patient satisfaction with nursing care.