Effectiveness of enhanced recovery after surgery combined with active health concept in nursing care for lung cancer patients_West China Medical Journal

Authors：

JIANG Qiuxin ^1,2 , FENG Ling ² , LI Hui ² , Zerongtaji ² ,  LAI Xiaoqin ^2,3

1. Department of Thoracic Surgery, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Thoracic Surgery, West China Tianfu Hospital, Sichuan University, Chengdu, Sichuan 610213, P. R. China;
3. Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LAI Xiaoqin, Email: laixiaoqin@wchscu.cn

Keywords：

Enhanced recovery after surgery; active health; lung cancer; patient satisfaction; postoperative complications

DOI：

10.7507/1002-0179.202509240

Video：

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Objective To explore the application of enhanced recovery after surgery (ERAS) combined with the active health concept in the nursing care of lung cancer patients, and its impact on patients’ compliance with rehabilitation exercises, hospitalization satisfaction, incidence of postoperative complications, and length of hospital stay. Methods A prospective study design was adopted. Lung cancer patients admitted to the Department of Thoracic Surgery, West China Tianfu Hospital of Sichuan University between April and July 2025 were enrolled. Using a non-concurrent control method in a quasi-experimental study, the patients were divided into two groups. The control group received routine ERAS nursing, while the intervention group received additional active health interventions on top of ERAS. These interventions included patient participation in personalized plan formulation, patient empowerment (self-evaluation and independent recording of exercise status), daily one-on-one bedside guidance with positive psychological encouragement from nurses, and optimized perioperative education protocols. Four indicators were compared between the two groups: daily exercise frequency from admission to one month after discharge, hospitalization satisfaction, incidence of postoperative complications, and length of hospital stay. Results The intervention group demonstrated significantly better outcomes than the control group in terms of average daily in-hospital exercise frequency (2.2±0.5 vs. 1.6±0.7; t=5.797, P<0.001), planned average daily out-of-hospital exercise frequency on the day of discharge (3.2±0.9 vs. 1.9±0.8; t=9.038, P<0.001), actual average daily out-of-hospital exercise frequency (3.6±1.5 vs. 2.4±1.4; t=4.932, P<0.001), and satisfaction score on the day of discharge (97.9±4.4 vs. 95.8±5.5; t=2.378, P=0.019). No statistically significant difference was observed between the two groups regarding the incidence of postoperative complications or length of hospital stay (P>0.05). Conclusions The nursing model combining ERAS with the active health concept can effectively increase the frequency of rehabilitation exercises and improve hospitalization satisfaction among lung cancer patients. This combined model is superior to ERAS nursing alone and is worthy of clinical promotion and application.

Citation： JIANG Qiuxin, FENG Ling, LI Hui, Zerongtaji, LAI Xiaoqin. Effectiveness of enhanced recovery after surgery combined with active health concept in nursing care for lung cancer patients. West China Medical Journal, 2026, 41(4): 575-580. doi: 10.7507/1002-0179.202509240 Copy

1.	中華醫學會腫瘤學分會. 中華醫學會肺癌臨床診療指南(2025 版). 中華醫學雜志, 2025, 105(34): 2918-2959.
2.	鄭榮壽, 陳茹, 韓冰峰, 等. 2022 年中國惡性腫瘤流行情況分析. 中華腫瘤雜志, 2024, 46(3): 221-231.
3.	Allemani C, Matsuda T, Di Carlo V, et al. Global surveillance of trends in cancer survival 2000-14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. Lancet, 2018, 391(10125): 1023-1075.
4.	高樹庚. 加速康復外科在肺癌圍術期管理中的應用. 山東大學學報(醫學版), 2022, 60(11): 1-10.
5.	Yang D, Liu Y, Bai C, et al. Epidemiology of lung cancer and lung cancer screening programs in China and the United States. Cancer Lett, 2020, 468: 82-87.
6.	中華醫學會外科學分會, 中華醫學會麻醉學分會. 中國加速康復外科臨床實踐指南(2021 版). 中國實用外科雜志, 2021, 41(9): 961-992.
7.	車國衛. 加速康復外科需要與時俱進. 山東大學學報(醫學版), 2022, 60(11): 17-22.
8.	車國衛, 李為民, 劉倫旭. 快速肺康復需要圍手術期流程優化. 中國胸心血管外科臨床雜志, 2016, 23(3): 216-220.
9.	余協媛, 李敏, 蘇艷光. 加速康復外科理念在肺癌患者圍手術期護理中的應用研究進展. 當代護士, 2024, 31(8): 22-27.
10.	中共中央國務院印發《“健康中國 2030”規劃綱要》. 中華人民共和國國務院公報, 2016(32): 1.
11.	國務院關于實施健康中國行動的意見(國發〔2019〕13 號). 中華人民共和國國務院公報, 2019(21): 17-21.
12.	劉玨, 李蔚東, 么鴻雁, 等. 主動健康研究進展與展望. 中國預防醫學雜志, 2023, 24(7): 750-752.
13.	張倩倩, 金花, 史曉曉, 等. 我國主動健康的實施現狀及對各責任主體實施策略的建議. 中國全科醫學, 2022, 25(31): 3923-3927, 3932.
14.	尹媛媛, 沈誠, 張杰, 等. 胸腔鏡肺癌切除術后患者重返工作智謀水平及對工作投入的影響. 中國胸心血管外科臨床雜志. (2025-07-31)[2025-09-17].
15.	韓丁培, 嚴越, 曹羽欽, 等. 加速康復外科理念在胸外科臨床實踐指導的瑞金醫院專家共識. 山東大學學報(醫學版), 2022, 60(11): 11-16.
16.	夏萍, 殷柳梅, 袁玲, 等. 術前預康復護理方案在肺癌胸腔鏡手術患者中的應用研究. 重慶醫學, 2023, 52(2): 245-249.
17.	Carli F, Bousquet-Dion G, Awasthi R, et al. Effect of multimodal prehabilitation vs postoperative rehabilitation on 30-day postoperative complications for frail patients undergoing resection of colorectal cancer: a randomized clinical trial. JAMA Surg, 2020, 155(3): 233-242.
18.	車國衛, 劉倫旭, 石應康. 加速康復外科臨床應用現狀與思考. 中國胸心血管外科臨床雜志, 2016, 23(3): 211-215.
19.	劉丹, 黃燕, 周清華, 等. 肺結節/肺癌患者全程管理模式的設計與應用. 中國肺癌雜志, 2020, 23(5): 299-305.
20.	張婷, 姜龍. 主動健康理念在機器人外科術后社區康復的應用前景. 機器人外科學雜志(中英文), 2022, 3(4): 325-328.
21.	沈誠, 常帥, 周坤, 等. 加速康復外科和日間手術模式在胸外科中的應用現狀及發展前景. 中國肺癌雜志, 2020, 23(9): 800-805.
22.	朱亞靜, 劉陸, 吳京, 等. 肺癌患者單孔電視胸腔鏡手術術后早期下床活動的現狀及影響因素分析. 中國腫瘤臨床與康復, 2023, 30(9): 569-576.
23.	周靜, 唐漢元, 韓焱楠, 等. 基于肺部超聲對肺癌根治術后出現肺部并發癥的預測效能. 中國超聲醫學雜志, 2025, 41(6): 635-639.
24.	廣東省護理學會肺癌個案管理專業委員會, 廣東省醫學會肺部腫瘤學分會. 肺癌術后并發皮下氣腫患者護理規范管理專家共識. 中華臨床醫師雜志(電子版), 2025, 19(3): 180-187.
25.	董均明, 茹義福, 邵明亮, 等. 基于分位數回歸模型的肺癌患者住院費用影響因素研究. 中國病案, 2025, 26(8): 33-36.
26.	周婷婷, 沈琰蕾, 呂玲娜. 早期階段性肺功能康復訓練對肺癌胸腔鏡術后患者康復效果觀察. 浙江醫學, 2025, 47(12): 1308-1310.
27.	Codima A, das Neves Silva W, de Souza Borges AP, et al. Exercise prescription for symptoms and quality of life improvements in lung cancer patients: a systematic review. Support Care Cancer, 2021, 29(1): 445-457.
28.	朱天祎, 吳瑋, 施宏, 等. 肺癌手術患者預康復的研究進展. 臨床麻醉學雜志, 2025, 41(3): 314-318.
29.	洪祎純, 謝澤鋒. 加速康復外科在肺癌手術患者中的應用效果. 中外醫藥研究, 2025, 4(8): 30-32.
30.	科技部, 國家衛生計生委, 體育總局科技部, 等. 國家衛生計生委體育總局食品藥品監管總局國家中醫藥管理局中央軍委后勤保障部關于印發《“十三五”衛生與健康科技創新專項規劃》的通知(國科發社〔2017〕147 號). (2017-06-14)[2022-07-09].

1. 中華醫學會腫瘤學分會. 中華醫學會肺癌臨床診療指南(2025 版). 中華醫學雜志, 2025, 105(34): 2918-2959.
2. 鄭榮壽, 陳茹, 韓冰峰, 等. 2022 年中國惡性腫瘤流行情況分析. 中華腫瘤雜志, 2024, 46(3): 221-231.
3. Allemani C, Matsuda T, Di Carlo V, et al. Global surveillance of trends in cancer survival 2000-14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. Lancet, 2018, 391(10125): 1023-1075.
4. 高樹庚. 加速康復外科在肺癌圍術期管理中的應用. 山東大學學報(醫學版), 2022, 60(11): 1-10.
5. Yang D, Liu Y, Bai C, et al. Epidemiology of lung cancer and lung cancer screening programs in China and the United States. Cancer Lett, 2020, 468: 82-87.
6. 中華醫學會外科學分會, 中華醫學會麻醉學分會. 中國加速康復外科臨床實踐指南(2021 版). 中國實用外科雜志, 2021, 41(9): 961-992.
7. 車國衛. 加速康復外科需要與時俱進. 山東大學學報(醫學版), 2022, 60(11): 17-22.
8. 車國衛, 李為民, 劉倫旭. 快速肺康復需要圍手術期流程優化. 中國胸心血管外科臨床雜志, 2016, 23(3): 216-220.
9. 余協媛, 李敏, 蘇艷光. 加速康復外科理念在肺癌患者圍手術期護理中的應用研究進展. 當代護士, 2024, 31(8): 22-27.
10. 中共中央國務院印發《“健康中國 2030”規劃綱要》. 中華人民共和國國務院公報, 2016(32): 1.
11. 國務院關于實施健康中國行動的意見(國發〔2019〕13 號). 中華人民共和國國務院公報, 2019(21): 17-21.
12. 劉玨, 李蔚東, 么鴻雁, 等. 主動健康研究進展與展望. 中國預防醫學雜志, 2023, 24(7): 750-752.
13. 張倩倩, 金花, 史曉曉, 等. 我國主動健康的實施現狀及對各責任主體實施策略的建議. 中國全科醫學, 2022, 25(31): 3923-3927, 3932.
14. 尹媛媛, 沈誠, 張杰, 等. 胸腔鏡肺癌切除術后患者重返工作智謀水平及對工作投入的影響. 中國胸心血管外科臨床雜志. (2025-07-31)[2025-09-17].
15. 韓丁培, 嚴越, 曹羽欽, 等. 加速康復外科理念在胸外科臨床實踐指導的瑞金醫院專家共識. 山東大學學報(醫學版), 2022, 60(11): 11-16.
16. 夏萍, 殷柳梅, 袁玲, 等. 術前預康復護理方案在肺癌胸腔鏡手術患者中的應用研究. 重慶醫學, 2023, 52(2): 245-249.
17. Carli F, Bousquet-Dion G, Awasthi R, et al. Effect of multimodal prehabilitation vs postoperative rehabilitation on 30-day postoperative complications for frail patients undergoing resection of colorectal cancer: a randomized clinical trial. JAMA Surg, 2020, 155(3): 233-242.
18. 車國衛, 劉倫旭, 石應康. 加速康復外科臨床應用現狀與思考. 中國胸心血管外科臨床雜志, 2016, 23(3): 211-215.
19. 劉丹, 黃燕, 周清華, 等. 肺結節/肺癌患者全程管理模式的設計與應用. 中國肺癌雜志, 2020, 23(5): 299-305.
20. 張婷, 姜龍. 主動健康理念在機器人外科術后社區康復的應用前景. 機器人外科學雜志(中英文), 2022, 3(4): 325-328.
21. 沈誠, 常帥, 周坤, 等. 加速康復外科和日間手術模式在胸外科中的應用現狀及發展前景. 中國肺癌雜志, 2020, 23(9): 800-805.
22. 朱亞靜, 劉陸, 吳京, 等. 肺癌患者單孔電視胸腔鏡手術術后早期下床活動的現狀及影響因素分析. 中國腫瘤臨床與康復, 2023, 30(9): 569-576.
23. 周靜, 唐漢元, 韓焱楠, 等. 基于肺部超聲對肺癌根治術后出現肺部并發癥的預測效能. 中國超聲醫學雜志, 2025, 41(6): 635-639.
24. 廣東省護理學會肺癌個案管理專業委員會, 廣東省醫學會肺部腫瘤學分會. 肺癌術后并發皮下氣腫患者護理規范管理專家共識. 中華臨床醫師雜志(電子版), 2025, 19(3): 180-187.
25. 董均明, 茹義福, 邵明亮, 等. 基于分位數回歸模型的肺癌患者住院費用影響因素研究. 中國病案, 2025, 26(8): 33-36.
26. 周婷婷, 沈琰蕾, 呂玲娜. 早期階段性肺功能康復訓練對肺癌胸腔鏡術后患者康復效果觀察. 浙江醫學, 2025, 47(12): 1308-1310.
27. Codima A, das Neves Silva W, de Souza Borges AP, et al. Exercise prescription for symptoms and quality of life improvements in lung cancer patients: a systematic review. Support Care Cancer, 2021, 29(1): 445-457.
28. 朱天祎, 吳瑋, 施宏, 等. 肺癌手術患者預康復的研究進展. 臨床麻醉學雜志, 2025, 41(3): 314-318.
29. 洪祎純, 謝澤鋒. 加速康復外科在肺癌手術患者中的應用效果. 中外醫藥研究, 2025, 4(8): 30-32.
30. 科技部, 國家衛生計生委, 體育總局科技部, 等. 國家衛生計生委體育總局食品藥品監管總局國家中醫藥管理局中央軍委后勤保障部關于印發《“十三五”衛生與健康科技創新專項規劃》的通知(國科發社〔2017〕147 號). (2017-06-14)[2022-07-09].

West China Medical Journal

Effectiveness of enhanced recovery after surgery combined with active health concept in nursing care for lung cancer patients

Abstract Full text Figures/Tables Video References Cited by

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