Early mobilization plays a vital role in the recovery of patients after lung cancer surgery. From the perspective of enhanced recovery after surgery, this paper summarized the mobilization program, effect evaluation and expanded application of early getting out of bed in lung cancer patients, in order to provide reference for medical staff to formulate early mobilization programs.

Objective:To explore the communication disorder of patients after cardiac surgery during mechanical ventilation in ICU and its influencing factors.Methods:From October 2019 to June 2020, convenience sampling was used to select 210 mechanical ventilation patients after cardiac surgery in the ICU of Shanghai Chest Hospital as the research subject for questionnaire survey. The questionnaire included the General Information Questionnaire, Communication Needs Questionnaire for Patients with Tracheal Intubation in Surgical ICU, Ease of Communication Scale and Negative Affect Scale. A total of 210 questionnaires were issued and 200 valid questionnaires were returned, with an effective recovery rate of 95.24%.Results:Among 200 patients after cardiac surgery during mechanical ventilation in ICU, the total score of communication disorder was (19.35±9.35) , which was at a moderate level. The results of multiple regression analysis showed that the duration of mechanical ventilation, education level, whether to use sedative drugs, negative emotions, and the need for love and belonging were the influencing factors of the communication disorder of patients after cardiac surgery during mechanical ventilation in ICU ( P<0.05) , which could explain 33.9% of the total variation. Conclusions:ICU nurses should strengthen communication support for those with low education level, long mechanical ventilation time, use of sedative drugs, high demand for love and belonging, and high negative emotions, provide communication tools, create a communication environment, and improve the quality of doctor-patient communication.

This article reviews the concept, content, meaning and related theoretical models of patient participation. This article summarizes five theoretical models and their applications, namely, model of therapeutic engagement, patient health engagement, patient and family engagement in health care, interactive patient participation in patient safety theoretical framework, and co-designed patient and family engagement framework, with a view to providing a theoretical basis for promoting the active participation of patients in medical care in China.

Objective:To explore the differences in postoperative recovery, economic effects, and discharge readiness between the day surgical ward mode and the traditional hospitalization mode for lung cancer patients based on propensity score matching analysis.Methods:From August to December 2022, 320 lung cancer patients who underwent thoracoscopy in the Department of Thoracic Surgery and Day Surgery Ward of the Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine were selected as the study subject by convenience sampling. The patients were surveyed using the General Information Questionnaire and the Readiness for Hospital Discharge Scale (RHDS) . The differences in postoperative recovery indicators, economic indicators, and discharge readiness between the day surgical ward mode and the traditional hospitalization mode for lung cancer patients were compared. A total of 320 questionnaires were distributed, and 308 valid questionnaires were collected, with an effective response rate of 96.25% (308/320) .Results:Among 308 lung cancer patients, there were 161 in the day surgical ward mode group and 147 in the traditional hospitalization mode group. Through propensity matching, a total of 160 cases were successfully matched, with 80 cases in each group. The first time out of bed, chest tube retention time, and postoperative hospitalization time in the day surgical ward mode group were all shorter than those in the traditional hospitalization mode group, with statistically significant differences ( P<0.05) . There was no statistically significant difference in the incidence of postoperative complications, adverse reactions, and pain scores between the two groups on the first and second postoperative days ( P>0.05) . The laboratory expenses, Western medicine expenses, and total postoperative hospitalization expenses of the day surgical ward mode group were all lower than those of the traditional hospitalization mode group, and the differences were statistically significant ( P<0.05) . The individual status, adaptability, and discharge readiness scores of the day surgical ward mode group were lower than those of the traditional hospitalization mode group, with statistically significant differences ( P<0.05) . Conclusions:The daytime surgical ward mode based on enhanced recovery after surgery for lung cancer can ensure the safety of patients during the perioperative period, promote early recovery, shorten hospitalization time, and improve economic effects. Compared to the traditional hospitalization mode, there is still room for improvement in the discharge readiness of the day surgical ward mode. It is necessary to strengthen the evaluation of patient discharge readiness and implement targeted interventions.