Effects of evidence-based enhanced recovery in surgical nursing in patients undergoing radical gastrectomy for gastric cancer
10.3760/cma.j.issn.1674-2907.2019.02.004
- VernacularTitle:基于循证的加速康复外科护理在胃癌根治术患者中的应用效果
- Author:
Zejun CAI
1
;
Haofen XIE
;
Yiping LI
;
Qinhong XU
;
Hong ZHU
;
Hui FEI
;
Jianshuai JIANG
Author Information
1. 浙江省宁波市第一医院胃肠外科 315010
- Keywords:
? Gastric neoplasms;
? Perioperative nursing;
? Enhanced recovery after surgery;
? Bundles of care;
? Evidence-based Nursing;
? Radical gastrectomy
- From:
Chinese Journal of Modern Nursing
2019;25(2):146-150
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the application effects of bundle care strategy to enhanced recovery after surgery (ERAS) based on evidence-based nursing practice for patients with gastric cancer during perioperative period. Methods? From July 2017 to June 2018, a total of 100 patients undergoing radical gastrectomy in Ningbo First Hospital were selected and divided into control group and observation group according to admission time, with 50 cases in each group. The control group received routine enhanced recovery nursing based on guidelines. Bundles of care was determined and implemented in the observation group based on the embodiment of ERAS after literature review combined with expert consultation. The first anal exhaust time, defecation time, ambulation time, hospitalization days, ADL score on the third day after operation, pain score at 24 and 48 hours after operation, and complications of infection were compared between the two groups. Results? The first anal exhaust time, defecation time and ambulation time of the observation group were 66 (53,78) h, 88 (76,100) h and 29 (24,36) h, which were all lower than those of the control group [72 (60,90) h, 96 (82,120) h and 36 (24,48) h], and the differences were statistically significant (P＜0.05). The ADL score on the third day after operation was (65.88±14.37), which was higher than that of the control group (59.18±14.31), and the difference was statistically significant (P＜0.05). The hospitalization duration of the observation group was 11 (10,12) days, which was shorter than that of the control group 12 (11,13) days, and the difference was statistically significant (P＜0.05). There was no statistical significance in the difference in the pain score at 24 and 48 hours after operation and the complications of infection between the two groups (P＞0.05). Conclusions? Bundle care strategy of enhanced recovery after surgery for patients with gastric cancer can promote postoperative gastrointestinal function recovery, improve postoperative self-care ability and shorten postoperative hospital stay.
