Objective: To explore the effects of enhanced recovery after surgery nursing intervention on the quality of life of lung cancer patients after thoracoscopic surgery, and to construct and verify a risk prediction model. Methods: A total of 141 lung cancer patients underwent single-port thoracoscopic surgery in the Department of Thoracic Surgery in a tertiary level-A general hospital in Nanjing from January to November 2022. All subjects carried out the nursing interventions of enhanced recovery after surgery. Scores of sleep quality, pain, anxiety, and depression were collected. Results: Based on multiple linear regression model, the results showed that preoperative pre-rehabilitation nursing duration(abdominal breathing, lip girdle expiration, cough training, psychological support and health education), postoperative pulmonary rehabilitation nursing duration(abdominal breathing, deep breathing, ACBT and correct cough), and early bedside activity nursing duration(raised head, sitting position, bedside sitting position, walking training, active joint movement and health education) had statistically significant effects on thoracoscopic postoperative symptoms of lung cancer patients. The nomogram suggested that correct cough, abdominal breathing, and preoperative abdominal breathing nursing intervention significantly affected pain, anxiety, depression, and decreased sleep quality after thoracoscopic surgery. The area under the ROC curve was 0.731(95%CI:0.546-0.916), 0.865(95%CI:0.789-0.940), 0.800(95%CI:0.691-0.909) and 0.865(95%CI:0.776-0.921), respectively. Bootstrap internal validation of the above models showed that the prediction model was relatively stable. Conclusions： The predictive models constructed in this study are efficient, suggesting that rapid rehabilitation care concept interventions can effectively improve patients' risk of post-operative pain, anxiety, depression, and decreased sleep quality. |
