【摘要】目的：探讨五联综合预康复模式对肺癌患者术后整体康复进程及肺功能的改善效果。方法：研究对象选择2023年6月~2025年6月至我院行胸腔镜肺癌根治术治疗的100例非小细胞肺癌（NSCLC）患者，基于随机数字表法将入组患者分别列为常规组、试验组，每组50例。常规组实施三联预康复干预（运动疗法+心理干预+营养支持），试验组实施五联综合预康复干预（运动疗法+营养支持+心理干预+呼吸训练+疼痛干预），比较两组患者的身心状态，康复进程及肺部并发症发生情况，护理后随访半年，比较两组患者肺功能康复情况。结果：干预后，试验组的视觉模拟疼痛量表（VAS）评分、医院焦虑抑郁量表（HADS）均低于常规组，一般自我效能感量表（GSES）评分高于常规组（t=4.748，4.077，4.252；P＜0.05）。试验组的术后恢复排气时间、首次下床时间、首次有效排痰时间、引流管拔除时间、住院时间分别为（22.52±5.33）h、（25.49±5.16）h、（1.33±0.42）d、（2.05±0.31）d、（6.19±1.44）d，均低于常规组[（30.46±6.25）h、（35.62±6.45）h、（2.21±0.36）d、（2.96±0.45）d、（9.04±1.35）d]（t=6.835，8.672，11.249，11.776，10.210；P＜0.05）。试验组的肺部并发症发生率6.00%（3/50）低于常规组20.00%（10/50）（x2=24.018；P＜0.05）。截至随访结束时，试验组的第一秒用力呼气容积百分比（FEV1）、最大吸气压（MIP）、最大摄氧量（VO2max）、6min步行试验距离（6MWD）分别为（85.45±6.41）%、（89.44±6.29）cmH2O、（20.49±4.26）mL/kg/min、（470.35±42.29）m，均高于常规组[（80.29±5.33）%、（84.35±5.47）cmH2O、（17.33±3.15）mL/kg/min、（435.27±40.36）m]（t=4.377，4.318，4.218，4.242；P＜0.05）。结论：五联综合预康复模式有利于改善NSCLC患者术后身心状态并加快康复进程，对降低肺部并发症发生风险并促进肺功能康复均有积极影响
[Abstract]Objective:To explore the improvement effect of the five-component comprehensive prehabilitation model on the overall rehabilitation process and lung function of lung cancer patients after surgery.Methods:The research subjects selected 100 NSCLC patients who underwent thoracoscopic radical resection for lung cancer in our hospital from June 2023 to June 2025. Based on the random number table method, the enrolled patients were divided into a control group and an experimental group, with 50 patients in each group. The control group implemented triple prehabilitation intervention (exercise therapy+psychological intervention+nutritional support), while the experimental group implemented five-component comprehensive prehabilitation intervention (exercise therapy+nutritional support+psychological intervention+respiratory training+pain intervention). The physical and mental status, rehabilitation process, and incidence of pulmonary complications of the two groups of patients were compared. After nursing, a six-month follow-up was conducted to compare the pulmonary function recovery of the two groups of patients.Results:After intervention, the VAS score and HADS of the experimental group were lower than the control group, and the GSES score was higher than the control group (t=4.748，4.077，4.252; P<0.05). The postoperative recovery time, first time out of bed, first effective sputum evacuation time, drainage tube removal time, and hospitalization time of the experimental group were (22.52 ± 5.33) hours, (25.49 ± 5.16) hours, (1.33 ± 0.42) days, (2.05 ± 0.31) days, and (6.19 ± 1.44) days,lower than the control group [(30.46 ± 6.25) hours, (35.62 ± 6.45) hours, (2.21 ± 0.36) days, (2.96 ± 0.45) days, and (9.04 ± 1.35) days] (t=6.835，8.672，11.249，11.776，10.210; P<0.05). The incidence of pulmonary complications in the experimental group was 6.00% (3/50) lower than the control group 20.00% (10/50) (x2=24.018; P<0.05). As of the end of follow-up, the FEV1, MIP, VO2max, and 6MWD of the experimental group were (85.45 ± 6.41)%, (89.44 ± 6.29) cmH2O, (20.49 ± 4.26) mL/kg/min, and (470.35 ± 42.29) m, higher than the control group [(80.29 ± 5.33)%, (84.35 ± 5.47) cmH2O, (17.33 ± 3.15) mL/kg/min, and (435.27 ± 40.36) m](t=4.377，4.318，4.218，4.242; P<0.05).Conclusion:The five-component comprehensive prehabilitation model is beneficial for improving the physical and mental state of NSCLC patients after surgery and accelerating the rehabilitation process. It has a positive impact on reducing the risk of pulmonary complications and promoting lung function recovery.
