ERAS-Based Refined Nursing Enhances Early Mobilization After Lung Cancer Surgery
Overview
This retrospective cohort study of 136 lung cancer surgery patients demonstrated that ERAS-guided refined nursing significantly accelerated early postoperative mobilization, improved functional recovery, and reduced complications compared to conventional nursing. Patients receiving ERAS-based care ambulated earlier, had better exercise capacity, and experienced shorter hospital stays with fewer adverse events.
Background
Lung cancer surgery patients are at risk of postoperative complications such as pulmonary infections, thromboembolism, and muscle deconditioning, especially when ambulation is delayed. Enhanced Recovery After Surgery (ERAS) protocols emphasize early mobilization to mitigate these risks and promote faster recovery. Despite evidence supporting ERAS benefits, variability in nursing implementation and mobilization targets persists. Refined nursing within ERAS frameworks offers individualized, structured interventions to optimize early postoperative activity and outcomes.
Specific Complications (Pulmonary infection, DVT, Arrhythmia)
More frequent
Less frequent
Significant
Nursing Compliance and Patient Satisfaction
Lower
Higher
Significant
Key Findings
ERAS-based refined nursing led to significantly earlier first ambulation post lung cancer surgery (P < 0.001).
Patients in the ERAS group achieved greater ambulation distances at 24 and 48 hours and improved functional capacity measured by TUG and Barthel Index scores.
Postoperative recovery was enhanced with earlier gastrointestinal function return, reduced drainage and catheterization duration, and shorter hospital length of stay.
There was a significant reduction in postoperative pain levels and analgesic pump usage in the ERAS group.
The incidence of overall postoperative complications, particularly pulmonary infections, deep venous thrombosis, and arrhythmias, was lower with ERAS nursing.
Nursing compliance and patient satisfaction were significantly higher in the ERAS-guided refined nursing cohort.
Clinical Implications
Implementing ERAS-based refined nursing protocols can facilitate earlier mobilization and improve functional recovery after lung cancer surgery. Tailored nursing interventions focusing on early ambulation, pain control, and patient education may reduce complications and shorten hospital stays, enhancing overall patient outcomes and satisfaction.
Conclusion
ERAS-informed refined nursing practices significantly improve early postoperative mobilization, accelerate recovery, and reduce complications following lung cancer surgery, underscoring the value of structured nursing strategies within ERAS pathways.
References
Study Authors 2024 -- Influence of ERAS-Informed Nursing Practices on Early Mobilization Following Lung Cancer Surgery
