Qi Fang, Wang Bin, Li Xiangnan, Wang Yan, Zhang Jing
Thoracic Surgery Department, Tangshan People's Hospital of Hebei Province, Tangshan, Hebei, China.
Front Surg. 2025 May 7;12:1557289. doi: 10.3389/fsurg.2025.1557289. eCollection 2025.
In recent years, the Enhanced Recovery After Surgery (ERAS) concept has gradually been applied in clinical practice. The aim of this study is to evaluate the impact of refined nursing based on the ERAS concept on clinical index, physiological index, and comprehensive health index of patients undergoing radical surgery for lung cancer.
This study included 120 patients who underwent radical surgery for lung cancer. All patients were divided into an observation group (receiving refined nursing based on ERAS concept) and a control group (receiving routine care). Analyze the differences in clinical index, physiological index, comprehensive health index, and patient satisfaction at discharge between two groups before and after intervention. Evaluate the independent impact of nursing methods on these indicators through multiple linear regression. The ROC curve is used to evaluate the performance of a multi factor linear regression model.
The observation group showed significant improvement in clinical index, physiological index, and comprehensive health index compared to the control group. In terms of complications, the incidence of pneumonia, pneumothorax and other complications in the observation group was significantly lower than that in the control group. The results of multiple linear regression analysis showed that ERAS based refined nursing had significant independent effects on clinical index, physiological index, and comprehensive health index. The ROC curve shows that the AUC of the biochemical indicator model is the highest, followed by the comprehensive health indicator and clinical indicator models.
The refined nursing based on ERAS concept significantly improves the clinical index, physiological index, and comprehensive health index of lung cancer radical surgery patients compared to conventional nursing, and has the best effect in physiological index.
近年来，加速康复外科（ERAS）理念已逐渐应用于临床实践。本研究旨在评估基于ERAS理念的精细化护理对肺癌根治术患者临床指标、生理指标及综合健康指标的影响。
本研究纳入120例行肺癌根治术的患者。所有患者分为观察组（接受基于ERAS理念的精细化护理）和对照组（接受常规护理）。分析两组干预前后临床指标、生理指标、综合健康指标及出院时患者满意度的差异。通过多元线性回归评估护理方法对这些指标的独立影响。采用ROC曲线评估多因素线性回归模型的性能。
与对照组相比，观察组临床指标、生理指标及综合健康指标有显著改善。在并发症方面，观察组肺炎、气胸等并发症的发生率显著低于对照组。多元线性回归分析结果显示，基于ERAS的精细化护理对临床指标、生理指标及综合健康指标有显著的独立影响。ROC曲线显示，生化指标模型的AUC最高，其次是综合健康指标和临床指标模型。
与传统护理相比，基于ERAS理念的精细化护理显著改善了肺癌根治术患者的临床指标、生理指标及综合健康指标，且对生理指标的效果最佳。
