Application of enhanced recovery after surgery concept in postoperative nursing of gastrointestinal surgery
加速康复理念在胃肠术后护理中的应用

摘要

目的 探究加速康复理念在胃肠术后护理中的应用效果，为优化临床护理方案提供依据。方法 选取2023年1月至2025年4月我院收治的100例胃肠手术患者，随机分为对照组和实验组，每组50例。对照组采用常规术后护理，包括基础生命体征监测、常规饮食指导、术后活动安排等；实验组在常规护理基础上，融入加速康复理念，通过术前健康宣教、优化麻醉与手术方式、术后早期进食与活动指导、疼痛精准管理等多维度干预措施实施护理。结果 在首次排气时间方面，实验组平均为（23.5±3.2）小时，对照组为（32.1±4.5）小时，经t检验，t=9.87，P＜0.01；在住院时间上，实验组平均住院（7.2±1.5）天，对照组为（10.5±2.3）天，t=7.65，P＜0.01；并发症发生率方面，实验组为8%，对照组为24%，经χ2检验，χ2=5.92，P＜0.05。结论 加速康复理念应用于胃肠术后护理，能有效缩短患者术后首次排气时间和住院时长，降低并发症发生率，提升护理质量与患者康复效果。

Abstract

Objective To explore the application effect of the enhanced recovery after surgery(ERAS)concept in postoperative nursing of gastrointestinal surgery, and provide a basis for optimizing clinical nursing programs.
Methods A total of 100 patients who underwent gastrointestinal surgery in our hospital from January 2023 to April 2025 were selected and randomly divided into a control group and an experimental group, with 50 cases in each group. The control group received routine postoperative nursing, including basic vital signs monitoring, routine dietary guidance, and postoperative activity arrangement. The experimental group integrated the ERAS concept on the basis of routine nursing, and implemented nursing through multi-dimensional intervention measures such as preoperative health education, optimization of anesthesia and surgical methods, postoperative early feeding and activity guidance, and precise pain management.
Results In terms of the first exhaust time, the average time in the experimental group was (23.5±3.2) hours, while that in the control group was (32.1±4.5) hours. By t-test, t=9.87, P<0.01.In terms of hospital stay, the average hospital stay in the experimental group was (7.2±1.5) days, while that in the control group was (10.5±2.3) days, t=7.65,P<0.01.In terms of the complication rate, the complication rate in the experimental group was 8%, and that in the control group was 24%.By chi-square test, χ2=5.92, P<0.05.
Conclusion   The application of the ERAS concept in postoperative nursing of gastrointestinal surgery can effectively shorten the first exhaust time and hospital stay after surgery, reduce the complication rate, and improve the nursing quality and patients' rehabilitation effect.