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.	张黎, 刘洋, 黄明君, 等. 胸腔镜肺结节日间手术患者精细化管理效果研究. 华西医学, 2021, 36(2): 183-189.
7.	孙行, 王敏, 牛舒婕, 等. 单孔和双孔胸腔镜肺结节日间手术对患者术后疼痛和早期预后的影响. 实用医学杂志, 2024, 40(8): 1058-1062.
8.	车国卫. 加速康复外科: 肺癌手术日间化现状与策略. 中国肺癌杂志, 2020, 23(1): 1-4.
9.	廖若璇. 日间手术管理模式下肺结节手术术后康复治疗的效果研究. 基层医学论坛, 2024, 6(1): 76-78.
10.	王毅豪, 袁骏毅, 戴锦杰. 基于 SERVQUAL 模型的肺结节患者日间手术服务质量评价体系构建与应用. 中国卫生质量管理, 2023, 30(8): 46-50.
11.	史校铭, 焦子宸, 张子睿, 等. 集中管理日间手术模式下胸腔镜手术与普通住院手术模式治疗肺结节的疗效及安全性比较. 川北医学院学报, 2023, 38(6): 806-809.
12.	国家卫生健康委医院管理研究所肺癌手术日间化管理专家共识组. 肺癌手术日间化管理中国专家共识(2024 年版). 中国肺癌杂志, 2024, 27(6): 405-414.
13.	高庆丽, 丛平, 刘志强. 多元化健康教育结合呼吸专项训练在胸腔镜下肺癌切除术后康复中的应用效果. 中西医结合护理(中英文), 2023, 9(6): 88-90.
14.	杨秀梅, 樊文妤, 杨洁. 全程健康教育在电视胸腔镜下肺癌根治术的护理效果评价. 中国卫生产业, 2012, 9(17): 37.
15.	储云茜, 刘艺婧, 郭慧锦, 等. 围手术期视频宣教模式呼吸操对胸腔镜下肺癌手术患者的影响. 中国肿瘤外科杂志, 2020, 12(3): 207-210.
16.	张云云, 郭娜, 王建东, 等. 交互式视频健康宣教模式在老年急性单纯性肠梗阻患者围术期中的临床应用. 老年医学与保健, 2022, 28(6): 1329-1332, 1337.
17.	路红梅, 朱红芹, 邓媛丽, 等. 基于手机应用程序的健康宣教模式在宫颈癌围手术期患者中的应用. 中国药物与临床, 2019, 19(16): 2876-2877.
18.	申鑫, 王文鲜, 马张芳. 智能移动健康宣教系统在视网膜脱离日间手术病人围术期的应用. 护理研究, 2023, 37(12): 2239-2243.
19.	陆信燕, 瞿晶晶, 赵焕利. 术前微信视频宣教在结直肠癌患者术后加速康复中的应用. 中西医结合护理(中英文), 2024, 10(1): 103-105.
20.	王芹, 许勤. “123”健康教育模式对老年胸腔镜肺叶切除患者术后呼吸功能快速康复的影响. 安徽医学, 2016, 37(11): 1439-1441.
21.	赵志新, 王瑞霞, 侯志飞, 等. 互联网+微信群组健康教育对 HDP 患者产后自我管理能力及血压控制效果. 中国计划生育学杂志, 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间手术患者围术期的应用效果. 临床医学研究与实践, 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.	谢贞贞, 郑丽萍, 谢园园, 等. 微信公众平台在胸外科日间手术宣教中的应用效果. 广西医学, 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.	中华护理学会. 胸腔闭式引流护理: T/CNAS 25-2023. 北京: 中华护理学会, 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. 张黎, 刘洋, 黄明君, 等. 胸腔镜肺结节日间手术患者精细化管理效果研究. 华西医学, 2021, 36(2): 183-189.
7. 孙行, 王敏, 牛舒婕, 等. 单孔和双孔胸腔镜肺结节日间手术对患者术后疼痛和早期预后的影响. 实用医学杂志, 2024, 40(8): 1058-1062.
8. 车国卫. 加速康复外科: 肺癌手术日间化现状与策略. 中国肺癌杂志, 2020, 23(1): 1-4.
9. 廖若璇. 日间手术管理模式下肺结节手术术后康复治疗的效果研究. 基层医学论坛, 2024, 6(1): 76-78.
10. 王毅豪, 袁骏毅, 戴锦杰. 基于 SERVQUAL 模型的肺结节患者日间手术服务质量评价体系构建与应用. 中国卫生质量管理, 2023, 30(8): 46-50.
11. 史校铭, 焦子宸, 张子睿, 等. 集中管理日间手术模式下胸腔镜手术与普通住院手术模式治疗肺结节的疗效及安全性比较. 川北医学院学报, 2023, 38(6): 806-809.
12. 国家卫生健康委医院管理研究所肺癌手术日间化管理专家共识组. 肺癌手术日间化管理中国专家共识(2024 年版). 中国肺癌杂志, 2024, 27(6): 405-414.
13. 高庆丽, 丛平, 刘志强. 多元化健康教育结合呼吸专项训练在胸腔镜下肺癌切除术后康复中的应用效果. 中西医结合护理(中英文), 2023, 9(6): 88-90.
14. 杨秀梅, 樊文妤, 杨洁. 全程健康教育在电视胸腔镜下肺癌根治术的护理效果评价. 中国卫生产业, 2012, 9(17): 37.
15. 储云茜, 刘艺婧, 郭慧锦, 等. 围手术期视频宣教模式呼吸操对胸腔镜下肺癌手术患者的影响. 中国肿瘤外科杂志, 2020, 12(3): 207-210.
16. 张云云, 郭娜, 王建东, 等. 交互式视频健康宣教模式在老年急性单纯性肠梗阻患者围术期中的临床应用. 老年医学与保健, 2022, 28(6): 1329-1332, 1337.
17. 路红梅, 朱红芹, 邓媛丽, 等. 基于手机应用程序的健康宣教模式在宫颈癌围手术期患者中的应用. 中国药物与临床, 2019, 19(16): 2876-2877.
18. 申鑫, 王文鲜, 马张芳. 智能移动健康宣教系统在视网膜脱离日间手术病人围术期的应用. 护理研究, 2023, 37(12): 2239-2243.
19. 陆信燕, 瞿晶晶, 赵焕利. 术前微信视频宣教在结直肠癌患者术后加速康复中的应用. 中西医结合护理(中英文), 2024, 10(1): 103-105.
20. 王芹, 许勤. “123”健康教育模式对老年胸腔镜肺叶切除患者术后呼吸功能快速康复的影响. 安徽医学, 2016, 37(11): 1439-1441.
21. 赵志新, 王瑞霞, 侯志飞, 等. 互联网+微信群组健康教育对 HDP 患者产后自我管理能力及血压控制效果. 中国计划生育学杂志, 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间手术患者围术期的应用效果. 临床医学研究与实践, 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. 谢贞贞, 郑丽萍, 谢园园, 等. 微信公众平台在胸外科日间手术宣教中的应用效果. 广西医学, 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. 中华护理学会. 胸腔闭式引流护理: T/CNAS 25-2023. 北京: 中华护理学会, 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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