通讯作者: 李茹芳, mydd1988@yeah.net

DOI：10.12201/bmr.202502.00057

Study on the Impact of Early Discharge Guidance Based on Intelligent Education System on Postoperative Recovery in Young and Middle-aged Lung Cancer Patients

• 摘要：【摘要】目的 旨在探讨基于智慧宣教系统的出院计划前移对青中年肺癌患者术后疼痛管理、功能恢复及出院准备度的影响。方法 选取2022年7月至2023年6月金华市中心医院170例青中年肺癌患者，按照入院时间进行分组，2022年7月至11月入院患者设为对照组（n=82），2022年12月至2023年6月入院患者作为观察组（n=88）。对照组使用常规围手术期健康教育方式，观察组在常规宣教基础上增加智慧宣教系统进行健康教育，比较两组术后首次下床时间、术后第1～3天及出院当天NRS疼痛评分、出院当天2－分钟踏步试验以及医院准备度量表（Readiness for Hospital Discharge Scale, RHDS）。结果 观察组术后首次下床时间短于对照组, 观察组术后72小时及出院当天NRS疼痛评分低于对照组,观察组2-分钟踏步试验完成踏步次数高于对照组相比，观察组RHDS得分高于对照组，差异均有统计学差异(P<0.05)。结论 智慧宣教系统推动的出院计划前移显著改善了青中年肺癌患者术后早期下床活动，减轻了术后疼痛，提高了躯体功能及出院准备度，从而有效促进患者的术后恢复。

  关键词： 中青年; 肺癌; 信息化; 健康宣教；胸腔镜; 

   

  Abstract: Objective This study aims to explore the impact of discharge guidance, based on an intelligent education system, on postoperative pain management, functional recovery, and discharge readiness in young and middle-aged lung cancer patients. Methods 170 patients (control group n = 82; observation group n = 88) participated in this study. The control group received routine perioperative health education, while the observation group received perioperative health education based on intelligent information platform system. The time of getting out of bed in the early postoperative period, pain scores on the first to third postoperative days and the day of discharge, 2-minute step test and readiness for discharge were compared between the two groups. Results The time of getting out of bed in the observation group(23.65±9.33) was shorter than that in the control group(28.32±8.23)；(P=0.006)；The pain scores of the observation group were lower than those of the control group on the 72 hours after operation and the day of discharge(P<0.05), but there was no significant difference between the two groups on the 24 hours and 48 hours day after operation(P>0.05)；Compared with the control group, patients in the observation group had more 2-mst81.16±12.29)vs.74.24±17.97)(P<0.05); On the day of discharge, the score of discharge readiness in the observation group(7.02±1.01) was higher than that in the control group(5.91±1.00), and the difference was statistically significant(P<0.05). Conclusions The health education plan designed based on the intelligent publicity and education platform can effectively improve the early ambulation of lung cancer patients, the pain of the later postoperative period, physical function, and readiness for discharge, which is helpful to improve the postoperative recovery of patients.

  Key words: Young and middle-aged adults; Lung cancer; Intellectualization; Health education; Perioperative period

  提交时间：2025-02-25

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2024-10-12	bmr.202502.00057V1	下载

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