目的：探究基于循证证据构建预康复管理体系对胸腔镜肺癌手术患者快速康复的影响。方法：将2023年5月至2023年10月采取基于循证证据构建的预康复管理体系干预的55例拟行胸腔镜肺癌手术的患者纳入预康复组,同时按1∶1比例将2022年7月至2022年12月接受常规护理的55例拟行胸腔镜肺癌手术的患者纳入对照组。比较两组患者肺功能、康复情况、营养状况、并发症发生情况以及患者满意度。结果：术后1周两组第1秒用力呼气容积（forced expiratory volume in one second,FEV1）/用力肺活量（forced vital capacity,FVC）、每分钟最大通气量（minute ventilation volume,MVV）均较入院时、术前下降,但预康复组FEV1/FVC、MVV高于对照组;预康复组患者首次下床时间、拔胸管时间以及术后住院时长均短于对照组;术前、术后1周预康复组主观整体营养状况评定量表（scored patient-generated subjective global assessment,PG-SGA）自评和他评量表评分较入院时升高,且预康复组术前、术后1周PG-SGA自评和他评量表评分均高于对照组;预康复组并发症总发生率低于对照组;预康复组术前、术后1周H医院患者满意度调查问卷评分均高于对照组。结论：基于循证证据构建的预康复管理体系有利于促进胸腔镜肺癌手术患者术后快速康复,对改善患者术后肺功能和术前、术后营养状况,降低患者并发生发生率,提升患者护理满意度均有积极意义。

Objective To explore the influence of pre-rehabilitation management system constructed by evidence-based proof on rapid rehabilitation of patients undergoing thoracoscopic lung cancer surgery. Methods From May to October 2023, 55 patients scheduled for thoracoscopic lung cancer surgery and received evidence-based proof-constructed pre-rehabilitation management system intervention and were designated as the pre-rehabilitation group. Additionally, 55 patients with thoracoscopic lung cancer surgery who received routine nursing from July 2022 to December 2022 were selected as the control group in a 1: 1 ratio. The pulmonary function, rehabilitation status, nutritional status, occurrence of complications and patient satisfaction were compared between groups. Results At 1 week after surgery, the forced expiratory volume in one second/forced vital capacity (FEV1/FVC) and maximum ventilation volume per minute (MVV) in the two groups were reduced compared with those at admission and before surgery, but FEV1/FVC and MVV in pre-rehabilitation group were higher than those in control group (P<0.05). The first ambulation time, thoracic tube removal time and postoperative hospital stay in pre-rehabilitation group were shorter compared to control group (P<0.05). The scores of PG-SGA self-assessment and peer assessment in pre-rehabilitation group before surgery and at 1 week after surgery were risen than those at admission, and the scores in pre-rehabilitation group before surgery and at 1 week after surgery were higher than those in control group. The total incidence rate of complications was lower in pre-rehabilitation group than that in control group. Before surgery and at 1 week after surgery, the score of patient satisfaction questionnaire of H hospital in pre-rehabilitation group was higher compared to control group. Conclusion Pre-rehabilitation management system constructed by evidence-based proof is conducive to promoting the postoperative rapid rehabilitation of patients with thoracoscopic lung cancer surgery, and has positive significance in improving the postoperative lung function and preoperative and postoperative nutritional status, reducing the incidence rates of patients and enhancing the nursing satisfaction of patients.