Psychological care combined with enhanced recovery after surgery management in perioperative nursing care of andrological patients: A randomized controlled study.
- Author:
Hong-Mei ZHANG
1
;
Qiu-Han WANG
1
;
Si-Te XU
1
;
Ming-Ming HU
1
;
Xiao-Tong XIN
1
;
Jian-Fang SONG
1
;
Lei LIU
1
;
Pei-Tao WANG
1
;
Tao JING
1
Author Information
1. Department of Andrology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, China .
- Publication Type:Randomized Controlled Trial
- Keywords:
andrological patient;
enhanced recovery after surgery;
perioperative nursing care;
psychological care
- MeSH:
Enhanced Recovery After Surgery;
Humans;
Length of Stay;
Male;
Perioperative Nursing;
Postoperative Complications;
Postoperative Period;
Urologic Surgical Procedures, Male/psychology*
- From:National Journal of Andrology
2020;26(10):917-921
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the validity of psychological care combined with enhanced recovery after surgery (PC+ERAS) management in perioperative nursing care of andrological patients.
METHODS:A total of 300 male patients undergoing andrological surgery were included in this study, 150 given PC+ERAS and the other 150 receiving routine nursing care as controls. We evaluated anxiety and depression of all the patients on admission and discharge using Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS), and compared post-operative hospital days, off-bed time, first passage of flatus, Visual Analog Scale (VAS) score and satisfaction with nursing care between the two groups of patients.
RESULTS:On discharge, significant improvement was observed in SAS and SDS scores in the PC+ERAS group compared with the baseline, even more significant than in the control group (P < 0.01), but no obvious improvement was seen in the controls (P > 0.05). The patients in the PC+ERAS group also achieved a significantly shorter post-operative hospital stay, earlier post-operative off-bed time and passage of flatus, lower VAS score, and higher satisfaction with nursing care than those in the control group (P < 0.05).
CONCLUSIONS:Psychological care combined with ERAS management deserves wide application in the perioperative nursing care of andrological patients, which can significantly improve the patients' anxiety and depression, shorten post-operative hospital stay, reduce VAS score, and increase their satisfaction with nursing care.
