1.Psychological care combined with enhanced recovery after surgery management in perioperative nursing care of andrological patients: A randomized controlled study.
Hong-Mei ZHANG ; Qiu-Han WANG ; Si-Te XU ; Ming-Ming HU ; Xiao-Tong XIN ; Jian-Fang SONG ; Lei LIU ; Pei-Tao WANG ; Tao JING
National Journal of Andrology 2020;26(10):917-921
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.
Enhanced Recovery After Surgery
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Humans
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Length of Stay
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Male
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Perioperative Nursing
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Postoperative Complications
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Postoperative Period
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Urologic Surgical Procedures, Male/psychology*