Expert consensus on perioperative health education for patients undergoing thoracoscopic pulmonary nodule day surgery_West China Medical Journal

Authors：

ZHANG Jiani ^1,2 , JIANG Qiuxin ^1,2 ,  LAI Xiaoqin ^2,3 , Day Surgery Nursing Committee of Sichuan Tianfu New Area Medical Association

1. Department of Thoracic Surgery, West China Hospital, 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：

Pulmonary nodule; day surgery; health education; expert consensus

DOI：

10.7507/1002-0179.202412290

Video：

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As the popularity of thoracoscopic day surgery for pulmonary nodules increases, there is a growing demand among patients for information about the surgical approach, process, and recovery. To enhance patients’ understanding of the surgery, alleviate anxiety, facilitate postoperative recovery, and improve patient satisfaction, the Day Surgery Nursing Committee of Sichuan Tianfu New Area Medical Association has convened experts in the field to discuss the health education model and content for the perioperative period of thoracoscopic pulmonary nodule day surgery, reaching an expert consensus. The consensus underscores the importance of leveraging hospital intelligent information systems and integrating diverse educational methods to provide patients with comprehensive and individualized health education.

Citation： ZHANG Jiani, JIANG Qiuxin, LAI Xiaoqin, Day Surgery Nursing Committee of Sichuan Tianfu New Area Medical Association. Expert consensus on perioperative health education for patients undergoing thoracoscopic pulmonary nodule day surgery. West China Medical Journal, 2025, 40(2): 183-187. doi: 10.7507/1002-0179.202412290 Copy

1.	Zhang H, Chen W, Wang J, et al. Real-world study on the application of enhanced recovery after surgery protocol in video-assisted thoracoscopic day surgery for pulmonary nodule resection. BMC Surg, 2024, 24(1): 288.
2.	Chen Z, Liang P, Xu H, et al. Screening for viruses in lung adenocarcinoma in China. Chin Med J Pulm Crit Care Med, 2024, 2(3): 197-199.
3.	Jiang B, Han D, van der Aalst CM, et al. Lung cancer volume doubling time by computed tomography: a systematic review and meta-analysis. Eur J Cancer, 2024, 212: 114339.
4.	Shen C, Che G. Thoracic day surgery versus thoracic inpatient surgery for treatment of patients with lung cancer: a systematic review and meta-analysis. J Cardiothorac Surg, 2023, 18(1): 341.
5.	Han J, Zhu R, Ding C, et al. Feasibility and applicability of pulmonary nodule day surgery in thoracic surgery. Front Surg, 2022, 9: 1013830.
6.	張黎, 劉洋, 黃明君, 等. 胸腔鏡肺結節日間手術患者精細化管理效果研究. 華西醫學, 2021, 36(2): 183-189.
7.	孫行, 王敏, 牛舒婕, 等. 單孔和雙孔胸腔鏡肺結節日間手術對患者術后疼痛和早期預后的影響. 實用醫學雜志, 2024, 40(8): 1058-1062.
8.	車國衛. 加速康復外科: 肺癌手術日間化現狀與策略. 中國肺癌雜志, 2020, 23(1): 1-4.
9.	廖若璇. 日間手術管理模式下肺結節手術術后康復治療的效果研究. 基層醫學論壇, 2024, 6(1): 76-78.
10.	王毅豪, 袁駿毅, 戴錦杰. 基于 SERVQUAL 模型的肺結節患者日間手術服務質量評價體系構建與應用. 中國衛生質量管理, 2023, 30(8): 46-50.
11.	史校銘, 焦子宸, 張子睿, 等. 集中管理日間手術模式下胸腔鏡手術與普通住院手術模式治療肺結節的療效及安全性比較. 川北醫學院學報, 2023, 38(6): 806-809.
12.	國家衛生健康委醫院管理研究所肺癌手術日間化管理專家共識組. 肺癌手術日間化管理中國專家共識(2024 年版). 中國肺癌雜志, 2024, 27(6): 405-414.
13.	高慶麗, 叢平, 劉志強. 多元化健康教育結合呼吸專項訓練在胸腔鏡下肺癌切除術后康復中的應用效果. 中西醫結合護理(中英文), 2023, 9(6): 88-90.
14.	楊秀梅, 樊文妤, 楊潔. 全程健康教育在電視胸腔鏡下肺癌根治術的護理效果評價. 中國衛生產業, 2012, 9(17): 37.
15.	儲云茜, 劉藝婧, 郭慧錦, 等. 圍手術期視頻宣教模式呼吸操對胸腔鏡下肺癌手術患者的影響. 中國腫瘤外科雜志, 2020, 12(3): 207-210.
16.	張云云, 郭娜, 王建東, 等. 交互式視頻健康宣教模式在老年急性單純性腸梗阻患者圍術期中的臨床應用. 老年醫學與保健, 2022, 28(6): 1329-1332, 1337.
17.	路紅梅, 朱紅芹, 鄧媛麗, 等. 基于手機應用程序的健康宣教模式在宮頸癌圍手術期患者中的應用. 中國藥物與臨床, 2019, 19(16): 2876-2877.
18.	申鑫, 王文鮮, 馬張芳. 智能移動健康宣教系統在視網膜脫離日間手術病人圍術期的應用. 護理研究, 2023, 37(12): 2239-2243.
19.	陸信燕, 瞿晶晶, 趙煥利. 術前微信視頻宣教在結直腸癌患者術后加速康復中的應用. 中西醫結合護理(中英文), 2024, 10(1): 103-105.
20.	王芹, 許勤. “123”健康教育模式對老年胸腔鏡肺葉切除患者術后呼吸功能快速康復的影響. 安徽醫學, 2016, 37(11): 1439-1441.
21.	趙志新, 王瑞霞, 侯志飛, 等. 互聯網+微信群組健康教育對 HDP 患者產后自我管理能力及血壓控制效果. 中國計劃生育學雜志, 2024, 32(3): 595-599.
22.	王卓, 蔡月明. 基于信息化手段的健康宣教在日間手術患者圍術期的應用效果. 臨床醫學研究與實踐, 2023, 8(14): 105-108.
23.	Liu J, Zheng X, Zhang X, et al. The evidence and future potential of WeChat in providing support for chinese parents of pediatric patients undergoing herniorrhaphy. J Transcult Nurs, 2020, 31(2): 114-120.
24.	謝貞貞, 鄭麗萍, 謝園園, 等. 微信公眾平臺在胸外科日間手術宣教中的應用效果. 廣西醫學, 2019, 41(14): 1852-1854.
25.	Fecher-Jones I, Grimmett C, Ainsworth B, et al. Systematic review and narrative description of the outcomes of group preoperative education before elective major surgery. BJA Open, 2024, 10: 100286.
26.	Sun W, Wu F, Du Y, et al. Construction of the whole-process nursing service system for day surgery patient based on the Kano model: a pilot cluster randomized controlled trial. Digit Health, 2024, 10: 20552076241286799.
27.	Spalluto LB, Lewis JA, Samuels LR, et al. Association of rurality with annual repeat lung cancer screening in the veterans health administration. J Am Coll Radiol, 2022, 19(1 Pt B): 131-138.
28.	Cheng C, Zhang W, Jin B, et al. Knowledge, attitude, and practice (KAP) towards pulmonary nodules among Chinese adults: a mediation analysis. Sci Rep, 2024, 14(1): 28950.
29.	Yuan J, Xu F, Sun Y, et al. Shared decision-making in the management of pulmonary nodules: a systematic review of quantitative and qualitative studies. BMJ Open, 2024, 14(7): e079080.
30.	Zhang LH, Ying YF, Yin J, et al. Effect of pre-admission “quasi-collective” education on health education for patients with ophthalmic day surgery. Technol Health Care, 2024, 32(2): 1177-1184.
31.	中華護理學會. 胸腔閉式引流護理: T/CNAS 25-2023. 北京: 中華護理學會, 2023.
32.	Talec P, Gaujoux S, Samama CM. Early ambulation and prevention of post-operative thrombo-embolic risk. J Visc Surg, 2016, 153(6S): S11-S14.

1. Zhang H, Chen W, Wang J, et al. Real-world study on the application of enhanced recovery after surgery protocol in video-assisted thoracoscopic day surgery for pulmonary nodule resection. BMC Surg, 2024, 24(1): 288.
2. Chen Z, Liang P, Xu H, et al. Screening for viruses in lung adenocarcinoma in China. Chin Med J Pulm Crit Care Med, 2024, 2(3): 197-199.
3. Jiang B, Han D, van der Aalst CM, et al. Lung cancer volume doubling time by computed tomography: a systematic review and meta-analysis. Eur J Cancer, 2024, 212: 114339.
4. Shen C, Che G. Thoracic day surgery versus thoracic inpatient surgery for treatment of patients with lung cancer: a systematic review and meta-analysis. J Cardiothorac Surg, 2023, 18(1): 341.
5. Han J, Zhu R, Ding C, et al. Feasibility and applicability of pulmonary nodule day surgery in thoracic surgery. Front Surg, 2022, 9: 1013830.
6. 張黎, 劉洋, 黃明君, 等. 胸腔鏡肺結節日間手術患者精細化管理效果研究. 華西醫學, 2021, 36(2): 183-189.
7. 孫行, 王敏, 牛舒婕, 等. 單孔和雙孔胸腔鏡肺結節日間手術對患者術后疼痛和早期預后的影響. 實用醫學雜志, 2024, 40(8): 1058-1062.
8. 車國衛. 加速康復外科: 肺癌手術日間化現狀與策略. 中國肺癌雜志, 2020, 23(1): 1-4.
9. 廖若璇. 日間手術管理模式下肺結節手術術后康復治療的效果研究. 基層醫學論壇, 2024, 6(1): 76-78.
10. 王毅豪, 袁駿毅, 戴錦杰. 基于 SERVQUAL 模型的肺結節患者日間手術服務質量評價體系構建與應用. 中國衛生質量管理, 2023, 30(8): 46-50.
11. 史校銘, 焦子宸, 張子睿, 等. 集中管理日間手術模式下胸腔鏡手術與普通住院手術模式治療肺結節的療效及安全性比較. 川北醫學院學報, 2023, 38(6): 806-809.
12. 國家衛生健康委醫院管理研究所肺癌手術日間化管理專家共識組. 肺癌手術日間化管理中國專家共識(2024 年版). 中國肺癌雜志, 2024, 27(6): 405-414.
13. 高慶麗, 叢平, 劉志強. 多元化健康教育結合呼吸專項訓練在胸腔鏡下肺癌切除術后康復中的應用效果. 中西醫結合護理(中英文), 2023, 9(6): 88-90.
14. 楊秀梅, 樊文妤, 楊潔. 全程健康教育在電視胸腔鏡下肺癌根治術的護理效果評價. 中國衛生產業, 2012, 9(17): 37.
15. 儲云茜, 劉藝婧, 郭慧錦, 等. 圍手術期視頻宣教模式呼吸操對胸腔鏡下肺癌手術患者的影響. 中國腫瘤外科雜志, 2020, 12(3): 207-210.
16. 張云云, 郭娜, 王建東, 等. 交互式視頻健康宣教模式在老年急性單純性腸梗阻患者圍術期中的臨床應用. 老年醫學與保健, 2022, 28(6): 1329-1332, 1337.
17. 路紅梅, 朱紅芹, 鄧媛麗, 等. 基于手機應用程序的健康宣教模式在宮頸癌圍手術期患者中的應用. 中國藥物與臨床, 2019, 19(16): 2876-2877.
18. 申鑫, 王文鮮, 馬張芳. 智能移動健康宣教系統在視網膜脫離日間手術病人圍術期的應用. 護理研究, 2023, 37(12): 2239-2243.
19. 陸信燕, 瞿晶晶, 趙煥利. 術前微信視頻宣教在結直腸癌患者術后加速康復中的應用. 中西醫結合護理(中英文), 2024, 10(1): 103-105.
20. 王芹, 許勤. “123”健康教育模式對老年胸腔鏡肺葉切除患者術后呼吸功能快速康復的影響. 安徽醫學, 2016, 37(11): 1439-1441.
21. 趙志新, 王瑞霞, 侯志飛, 等. 互聯網+微信群組健康教育對 HDP 患者產后自我管理能力及血壓控制效果. 中國計劃生育學雜志, 2024, 32(3): 595-599.
22. 王卓, 蔡月明. 基于信息化手段的健康宣教在日間手術患者圍術期的應用效果. 臨床醫學研究與實踐, 2023, 8(14): 105-108.
23. Liu J, Zheng X, Zhang X, et al. The evidence and future potential of WeChat in providing support for chinese parents of pediatric patients undergoing herniorrhaphy. J Transcult Nurs, 2020, 31(2): 114-120.
24. 謝貞貞, 鄭麗萍, 謝園園, 等. 微信公眾平臺在胸外科日間手術宣教中的應用效果. 廣西醫學, 2019, 41(14): 1852-1854.
25. Fecher-Jones I, Grimmett C, Ainsworth B, et al. Systematic review and narrative description of the outcomes of group preoperative education before elective major surgery. BJA Open, 2024, 10: 100286.
26. Sun W, Wu F, Du Y, et al. Construction of the whole-process nursing service system for day surgery patient based on the Kano model: a pilot cluster randomized controlled trial. Digit Health, 2024, 10: 20552076241286799.
27. Spalluto LB, Lewis JA, Samuels LR, et al. Association of rurality with annual repeat lung cancer screening in the veterans health administration. J Am Coll Radiol, 2022, 19(1 Pt B): 131-138.
28. Cheng C, Zhang W, Jin B, et al. Knowledge, attitude, and practice (KAP) towards pulmonary nodules among Chinese adults: a mediation analysis. Sci Rep, 2024, 14(1): 28950.
29. Yuan J, Xu F, Sun Y, et al. Shared decision-making in the management of pulmonary nodules: a systematic review of quantitative and qualitative studies. BMJ Open, 2024, 14(7): e079080.
30. Zhang LH, Ying YF, Yin J, et al. Effect of pre-admission “quasi-collective” education on health education for patients with ophthalmic day surgery. Technol Health Care, 2024, 32(2): 1177-1184.
31. 中華護理學會. 胸腔閉式引流護理: T/CNAS 25-2023. 北京: 中華護理學會, 2023.
32. Talec P, Gaujoux S, Samama CM. Early ambulation and prevention of post-operative thrombo-embolic risk. J Visc Surg, 2016, 153(6S): S11-S14.

West China Medical Journal

Expert consensus on perioperative health education for patients undergoing thoracoscopic pulmonary nodule day surgery

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