Effects of preoperative multi-dimensional pre-rehabilitation on postoperative recovery and psychological state in the patients with gastrointestinal surgery
10.3969/j.issn.1671-8283.2025.07.007
- VernacularTitle:术前多维度预康复对胃肠道术后患者恢复及心理状态的影响
- Author:
Jie ZHENG
1
;
Chunming MA
1
;
Yujie CHEN
1
Author Information
1. 十堰市太和医院康复前移科,湖北 十堰,442000
- Publication Type:Journal Article
- Keywords:
gastrointestinal surgery;
concept of enhanced recovery after surgery;
preoperative;
multidimensional pre-rehabilitation;
recovery;
mental status
- From:
Modern Clinical Nursing
2025;24(7):54-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of preoperative multidimensional pre-rehabilitation based on the concept of accelerated rehabilitation surgery(ERAS)on postoperative gastrointestinal function and psychological status in patients who received gastrointestinal surgery.Methods A total of 110 patients who underwent gastrointestinal surgery in our hospital from January 2022 to January 2024 were enrolled in this study.Patients who underwent gastrointestinal surgery from January 2022 to June 2023(n=55)were assigned into control group and offered with routine intervention,while patients from July 2023 to January 2024(n=55)were assigned into trial group and offered with postoperative multidimensional rehabilitation interventions based on ERAS.The two groups were compared in terms of recovery of gastrointestinal function,psychological state,cognitive function and the incidence of postoperative complication.Results The trial group demonstrated earlier recovery of bowel sound,flatus passage,first defecation,off-bed ambulation and nasogastric extubation than that of the control group.The trial group had significantly higher difference values of total protein,prealbumin and albumin of blood test between day-3 after surgery and the day of admission(all P<0.001).The trial group exhibited significantly difference values of scores on the patient health questionnaire-9(PHQ-9)and higher scores on the mini-mental state examination(MMSE)between day-3 after surgery and the day of admission than those in the control group(all P<0.001).The trial group was significantly lower than that of the control group(P<0.001).Conclusion Multi-dimensional pre-rehabilitation based on the ERAS can promote a rapid recovery of gastrointestinal function,improve mental status and cognitive function,and reduce complications in the patients with gastrointestinal surgery.
