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当前位置：临床护理进展 > 2026年 5卷 (3)期

Open Access Article

Journal of Advances in Clinical Nursing. 2026; 5: (3) ; 1-7 ; DOI: 10.12208/j.jacn.20260115.

Effects of evidence-based respiratory training program in surgical lung cancer patients
基于循证的围手术期呼吸训练管理方案在肺癌手术患者中的应用效果

作者： 季玉婷, 张莉萍 *

复旦大学附属肿瘤医院护理部，复旦大学上海医学院肿瘤学系上海

*通讯作者：张莉萍,单位：复旦大学附属肿瘤医院护理部，复旦大学上海医学院肿瘤学系上海；

发布时间: 2026-03-17 总浏览量: 313

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摘要

目的探讨基于循证的围手术期呼吸训练管理方案在肺癌手术患者中的应用效果。方法以持续质量改进模式为理论框架，选取2023年8-10月我院胸外科就诊的肺癌手术治疗102例患者作为持续质量改进前组，采用常规护理模式；选取2024年5-7月我院胸外科就诊的肺癌手术治疗100例患者作为持续质量改进后组，采用基于循证的围手术期呼吸训练管理方案，比较实施前后患者呼吸训练审查指标执行率，胸腔引流管留置时间及术后住院时间。结果围手术期呼吸训练管理方案包括评估与准备、呼吸训练策略和多模式合作策略三大方面，共11项执行指标。方案实施后，各项指标执行率均提高；肺癌患者胸腔引流管留置时间为（49.44±26.92）h，显著低于实施前的（65.43±50.41）h，差异具有显著统计学意义（P＜0.01）；患者术后住院时间为（3.38±1.31）天，低于实施前的（3.92±1.90）天，两者具有统计学差异（P＜0.05）。结论基于循证方法学的肺癌手术患者呼吸训练管理方案能有效促进临床持续质量改进，同时显著缩短术后胸腔引流管留置时间及住院时间，有效推进临床ERAS的顺利开展，为临床护理提供理论参考。

关键词： 循证；围手术期；呼吸训练；肺癌；手术

Abstract

Objective To explore the application effect of an evidence-based perioperative respiratory training management program in lung cancer surgery patients.
Methods Using the continuous quality improvement model as a theoretical framework, 102 lung cancer surgery patients who underwent surgery in the Department of Thoracic Surgery of our hospital from August to October 2023 were selected as the pre-continuous quality improvement group and received routine nursing care. 100 lung cancer surgery patients who underwent surgery in the Department of Thoracic Surgery of our hospital from May to July 2024 were selected as the post-continuous quality improvement group and received an evidence-based perioperative respiratory training management program. The implementation rate of respiratory training review indicators, the duration of chest drainage tube placement, and the postoperative hospital stay were compared before and after implementation.
Results The perioperative respiratory training management program included three main aspects: assessment and preparation, respiratory training strategies, and multimodal collaboration strategies, with a total of 11 implementation indicators. After implementation, the execution rates of all indicators improved. The indwelling time of the chest drainage tube in lung cancer patients was (49.44±26.92) h, significantly lower than (65.43±50.41) h before implementation, with a statistically significant difference (P<0.01). The postoperative hospital stay was (3.38±1.31) days, lower than (3.92±1.90) days before implementation, with a statistically significant difference (P<0.05).
Conclusion The evidence-based respiratory training management program for lung cancer surgical patients can effectively promote continuous clinical quality improvement, significantly shorten the indwelling time of the chest drainage tube and the length of hospital stay, effectively promote the smooth implementation of clinical ERAS, and provide a theoretical reference for clinical nursing.

Key words： Evidence-based; Perioperative period; Respiratory training; Lung cancer; Surgery

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引用本文

季玉婷, 张莉萍, 基于循证的围手术期呼吸训练管理方案在肺癌手术患者中的应用效果[J]. 临床护理进展, 2026; 5: (3) : 1-7.

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