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| Construction and empirical study of enhanced recovery after surgery－clinical nursing pathway during perioperative period of gynecological single hole laparoscopic surgery |
| Chongqing People's Hospital, Chongqing, 400000 |
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Abstract To analyze the necessity and clinical significance of constructing the enhanced recovery after surgery-clinical nursing pathway (ERAS-CNP) model during perioperative period of gynecological single hole laparoscopic surgery. Methods: 231 patients who wanted gynecological single hole laparoscopic surgery were selected and divided into the group A (102 cases with ERAS-CNP model) and group B (129 cases with routine model) according to different enrollment time and perioperative nursing methods from April 2021 to April 2022. The physiological evaluation indexes, such as complications and anal ventilation, the score of visual analog scale (VAS), the evaluation indicators of nursing service quality, such as nursing satisfaction evaluated by patient, and the benefit evaluation indexes, such as operation time, intraoperative blood loss, time of getting out bed, and hospitalization days of the patients in the two groups were observed. Results: The complication rate (7.8%) of the patients in group A was significantly lower than that (19.4%) of the patients in group B, and the most common of which was abdominal pain. The anal exhaust time (14.6±6.5h) of the patients in group A was significantly shorter than that (21.5±5.8h) of the patients in group B. The VAS score (2.4±0.4) of the patients in group A was significantly lower than that (5.2±0.8) of the patients in group B. The rate of satisfaction (96.1%) of the patients in group A was significantly higher than that (70.5%) of the patients in group B. The operative time (72.5±12.5min), the hospital stay (4.2±0.8d), the duration of bed stay (10.2±3.6h), and the amount of blood loss (43.5±11.5ml) of the patients in group A were significantly lower than those (96.5±13.6 min, 7.6±0.9d, 15.9±3.4 h, and 71.2±10.9 ml) of the patients in group B (all P＜0.05). Conclusion: The application of ERAS-CNP nursing concept for single hole laparoscopic surgery of the patients can effectively improve the perioperative surgical indicator, reduce the complications, and improve the postoperative recovery and satisfaction of the patients.
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