Abstract:

Objective To construct a whole-process nursing management program for patients undergoing day surgery for lung cancer and to evaluate its application effects，so as to provide a nursing practice reference for improving pre-hospitalization management of day surgery. Methods A convenience sampling method was used to recruit 560 patients who underwent day surgery for lung cancer in a tertiary Grade A hospital in Hangzhou from January to June 2025. According to admission time，the patients were divided into an experimental group and a control group，with 280 patients in each group. The experimental group received a whole-process nursing management program for lung cancer day surgery，including establishment of a pre-admission nursing unit for assessment of complex comorbidities，special medication management，pulmonary specialist evaluation，and examination management，multimodal perioperative prehabilitation education，in-hospital pulmonary rehabilitation supervision，specialized discharge follow-up，problematic case tracking management，and humanized whole-process communication management. The control group received routine pre-hospitalization management for lung cancer day surgery. Preoperative anxiety level，same-day surgery cancellation rate，accuracy rate of scheduled surgery time，postoperative pulmonary rehabilitation compliance rate，delayed discharge rate，incidence of post-discharge adverse events，and hospitalization satisfaction were compared between the 2 groups. Results A total of 544 patients completed the study，including 273 patients in the experimental group and 271 patients in the control group. The preoperative anxiety score，and post-discharge care deficit or adverse event rate in the experimental group were lower than those in the control group（P<0.05）. The surgery time accuracy rate，pulmonary rehabilitation compliance rate and hospitalization satisfaction rate were higher in the experimental group than those in the control group，with statistically significant differences（all P<0.05）. Conclusion The whole-process nursing management program for patients undergoing lung cancer day surgery can help reduce preoperative anxiety levels，decrease post-discharge care deficit or adverse event rates，and improve surgery time accuracy，pulmonary rehabilitation implementation，and hospitalization satisfaction.

Key words: Lung Cancer, Day Surgery, Whole-Process Management, Risk Management, Nursing Manage-ment Research

摘要：

目的 评价肺癌日间手术患者全流程护理管理的效果，为提升其护理质量、改善患者的就医体验提供参考。 方法 采用便利抽样法，选取2025年4—6月在杭州市某三级甲等医院行肺癌日间手术的280例患者作为试验组，采用肺癌日间手术患者全流程护理管理方案进行干预，包括住院前护理管理、住院期间护理管理、出院后护理管理、全流程医护患沟通管理、智慧化信息管理5个部分。选取2025年1—3月在该医院进行同类型手术的280例患者作为对照组，采用常规护理措施进行干预。比较两组的术前焦虑水平、手术取消率、手术时间准确率、肺康复执行率、延迟出院率、出院后护理缺陷或不良事件发生率、住院满意度。 结果 最终544例患者完成研究，其中试验组273例、对照组271例。试验组术前焦虑水平、出院后护理缺陷或不良事件发生率低于对照组，试验组手术时间准确率、肺康复执行率、住院满意度高于对照组，差异具有统计学意义（均P<0.05）。 结论 开展肺癌日间手术患者全流程护理管理有助于减轻患者术前焦虑水平，降低出院后护理缺陷或不良事件发生率，提升手术时间准确率、肺康复执行率及住院满意度。

关键词: 肺癌, 日间手术, 全流程管理, 风险管理, 护理管理研究