Application of rapid rehabilitation surgical concept in perioperative nursing of patients undergoing single-port thoracoscopic lobectomy

Enhanced recovery of postoperative nursing for single-port thoracoscopic surgery in lung cancer patients

Lung cancer is a common clinical malignant tumor, and the number of new lung cancer patients is increasing year by year. With the advancement of thoracoscopy technology and equipment, the scope of application of minimally invasive surgery has expanded to almost all types of lung cancer resection, making it the mainstream lung cancer resection surgery. Single-port thoracoscopic surgery provides evident advantages in terms of postoperative incision pain since only a single incision is required, and the surgical effect is similar to those of multi-hole thoracoscopic surgery and traditional thoracotomy. Although thoracoscopic surgery can effectively remove tumors, it nevertheless induces variable degrees of stress in lung cancer patients, which eventually limit lung function recovery. Rapid rehabilitation surgery can actively improve the prognosis of patients with different types of cancer and promote early recovery. This article reviews the research progress on rapid rehabilitation nursing in single-port thoracoscopic lung cancer surgery.

Rapid Rehabilitation Program Can Promote the Recovery of Gastrointestinal Function, Speed Up the Postoperative Rehabilitation Process, and Reduce the Incidence of Complications in Patients Undergoing Radical Gastrectomy

Objective

To explore the influence of rapid rehabilitation programs on gastrointestinal function, rehabilitation process, and complications of patients undergoing radical gastrectomy.

Methods

Of ninety-eight radical gastrectomy cases assessed for eligibility from January 2018 to July 2020, 43 patients who received routine perioperative nursing were assigned to the control group (CG), and 55 patients given a rapid rehabilitation program were assigned to the research group (RG). The recovery of gastrointestinal function, pain, nutritional status, complications, rehabilitation process, quality of life, and nursing satisfaction were compared.

Results

After nursing, in contrast to the CG, the RG showed significantly better recovery of gastrointestinal function (the first time to eat (t = 7.701, P < 0.01), the first time to anal exhaust (t = 9.342, P < 0.01), the first time to defecation (t = 2.061, P=0.040), and the recovery time to bowel sounds (t = 16.030, P < 0.01)), notably improved pain and nutritional status, and showed fewer complications (X² = 9.385, P=0.002). Rapid rehabilitation protocol also showed shorter recovery time and higher quality of life and nursing satisfaction of patients versus the routine perioperative nursing (all P < 0.05).

Conclusion

The rapid rehabilitation program can accelerate the recovery of gastrointestinal function and postoperative rehabilitation and reduce the incidence of complications in patients undergoing radical gastrectomy.