Five-in-one nursing management promotes rapid recovery of patients after thoracic surgery.

Zhou, Fen; Yu, Minghong

OBJECTIVE To explore the application effect of five-in-one nursing management in the rapid recovery of patients undergoing thoracic surgery. METHODS This prospective study included 45 patients admitted to thoracic surgery before the implementation of five-in-one nursing as the control group and 40 patients admitted during the implementation as the test group. The patients in the control group were nursed by conventional nursing plan, whole those in the test group received the five-in-one nursing management. The perioperative indicators, mental state, postoperative rehabilitation, surgical complications, and nursing satisfaction were compared between the two groups. RESULTS Compared with the control group, the time of extubation, the time of getting out of bed for the first time, the recovery time of bowel sounds, the time of the first defecation, and the length of hospital stay in the experimental group were significantly shortened (P<0.05). At 24 h after surgery, MTL and GAS levels of patients in the test group were significantly higher than those of the control group (P<0.001). Moreover, the test group had lower visual analogue score (VAS) at different times after the operation, as well as lower the Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) scores after nursing than the control group (P<0.001). The total incidence of postoperative complications in the experimental group was significantly reduced, while nursing satisfaction was significantly increased (P<0.001) when compared with the control group. CONCLUSION The five-in-one nursing management effectively promoted the rapid recovery of patients after thoracic surgery, shortened the length of hospital stay, and improved nursing satisfaction.