Development and application of a non-pharmacological nursing intervention program based on enhanced recovery after surgery and wrist-ankle acupuncture for postoperative nausea and vomiting in gynecological laparoscopic surgery
10.3760/cma.j.cn115682-20250717-03807
- VernacularTitle:基于加速康复外科与腕踝针的妇科腔镜术后恶心呕吐非药物护理干预方案的构建与应用
- Author:
Xiao WANG
1
;
Ling MEI
1
;
Jian WANG
1
;
Liping YU
1
Author Information
1. 上海中医药大学附属曙光医院麻醉科，上海 201203
- Publication Type:Journal Article
- Keywords:
Postoperative nausea and vomiting;
Laparoscopic surgery;
Enhanced recovery after surgery;
Wrist-ankle acupuncture;
Non-pharmacological intervention
- From:
Chinese Journal of Modern Nursing
2025;31(33):4578-4583
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop a non-pharmacological nursing intervention program based on enhanced recovery after surgery (ERAS) and wrist-ankle acupuncture for postoperative nausea and vomiting (PONV) in gynecological laparoscopic surgery, and to evaluate its effectiveness.Methods:Through systematic literature retrieval, evidence screening, and expert consultation, a non-pharmacological intervention program for PONV based on ERAS and wrist-ankle acupuncture was established. Patients undergoing gynecological laparoscopic surgery in Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from January to May 2025 were selected using convenience sampling. The observation group received the ERAS and wrist-ankle acupuncture-based intervention program, while the control group received sham acupuncture on the basis of routine nursing care. The Rhodes Index of Nausea, Vomiting, and Retching (R-INVR) , the Postoperative Patient Comfort Scale (PPCS) , adverse event incidence, and patient satisfaction were used to evaluate intervention effects.Results:A total of 96 patients completed the study, including 49 in the observation group and 47 in the control group. After the intervention, 13 patients in the observation group and 23 in the control group had R-INVR scores ≥4, with a statistically significant difference between groups ( P<0.05) . The PPCS score was (70.76±16.11) in the observation group and (61.09±12.24) in the control group, with a significant difference ( t=3.321, P<0.05) . Patient satisfaction was higher in the observation group than in the control group ( P<0.05) . During the treatment period, all patients had stable vital signs, and no serious adverse reactions or allergic responses to drugs or acupuncture were observed. Conclusions:The ERAS and wrist-ankle acupuncture-based non-pharmacological nursing intervention program is reasonable and effective. From the perspective of patient safety, it can reduce the severity of PONV in gynecological laparoscopic surgery and improve patient comfort and satisfaction.
