Application of evidence-based seamless nursing in patients undergoing video-assisted thoracoscopic lobectomy
10.3760/cma.j.cn115682-20231229-02876
- VernacularTitle:基于循证的无缝隙护理在全胸腔镜下肺叶切除术患者中的应用研究
- Author:
Lu CAI
1
;
Lili ZHU
Author Information
1. 台州市中心医院（台州学院附属医院）心胸外科，台州 318000
- Keywords:
Evidence-based nursing;
Seamless nursing;
Video-assisted thoracoscopic lobectomy;
Rehabilitation
- From:
Chinese Journal of Modern Nursing
2024;30(29):4034-4039
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of evidence-based seamless nursing in patients undergoing video-assisted thoracoscopic lobectomy (VATS) .Methods:Totally 235 lung cancer patients who underwent elective VATS at Taizhou Central Hospital from January 2022 to January 2023 were selected by convenience sampling. The patients were randomly assigned to either the observation group (117 patients) or the control group (118 patients) using a random number table. Patients in the control group received conventional perioperative nursing care, while patients in the observation group received evidence-based seamless nursing care in addition to the conventional care. The two groups were compared in terms of recovery outcomes, pain beliefs and perceptions (measured by the Pain Beliefs and Perceptions Inventory, PBPI), and quality of life (measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer Questionnaire LC43, EORTC QLQ-LC43) .Results:After the intervention, the observation group showed significantly shorter times for the first ambulation, chest drainage tube retention, bowel sound recovery, and hospital stay compared to the control group ( P<0.05). The scores of dimensions of PBPI in the observation group were significantly lower than those in the control group ( P<0.05). In addition, the observation group had higher Quality of Life Questionnaire (QLQ-C30) scores and lower Quality of Life Questionnaire-Lung Cancer 13 (QLQ-LC13) scores compared to the control group ( P<0.05) . Conclusions:The application of evidence-based seamless nursing in the perioperative management of VATS patients yields positive results, which effectively improves pain beliefs and quality of life, and accelerates postoperative recovery. This approach is recommended for clinical promotion.
