Application of Nursing Measures Based on the Concept of Enhanced Recovery after Surgery for Patients Undergoing Day Surgery of Inguinal Hernia Repair_West China Medical Journal

Authors：

 ZhuangLeixue ¹ , ZhangYuchen ² ,  DaiYan ²

1. Department of General Practice, West China Hospital; Sichuan University; Chengdu, Sichuan 610041, P. R. China;
2. Department of Day Surgery Center, West China Hospital; Sichuan University; Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

DaiYan, Email: 1846703501@qq.com

Keywords：

Day surgery; Enhanced recovery after surgery; Inguinal hernia repair; Perioperative period; Nursing intervention

DOI：

10.7507/1002-0179.201600165

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the clinical efficacy of nursing measures based on the concept of enhanced recovery after surgery (ERAS) for patients undergoing day surgery of inguinal hernia repair. Methods A total of 120 patients scheduled for day surgery of inguinal hernia repair between January and June 2015 were randomized into ERAS group (n=60) and control group (n=60). Patients in the ERAS group received nursing optimized by the idea of ERAS during the perioperative period, while those in the control group received traditional routine nursing intervention. Postoperative visual analogue scale (VAS) scores, adverse responses, early ambulation, influence of pain on patients’ sleep, satisfaction of the patients and prolonged hospital stay rate were analyzed and compared between the two groups. Results VAS scores during hours 0-2, 2-4, 4-8, and 8-12 in the ERAS group were significantly lower than those in the control group (P < 0.05). Between hour 12 and 24, the VAS sco res were not significantly different between the two groups of patients (P > 0.05). Early postoperative ambulation, influence of pain on the sleep, and patients’ satisfaction on pain control and nursing care in the ERAS group were all significantly better than those in the control group (P <0.05). Conclusion Based on the concept of ERAS nursing intervention model, we can effectively reduce postoperative complications after inguinal hernia repair, accelerate patients’ postoperative rehabilitation, and increase patients’ satisfaction.

Citation： ZhuangLeixue, ZhangYuchen, DaiYan. Application of Nursing Measures Based on the Concept of Enhanced Recovery after Surgery for Patients Undergoing Day Surgery of Inguinal Hernia Repair. West China Medical Journal, 2016, 31(4): 607-610. doi: 10.7507/1002-0179.201600165 Copy

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3.	Amato B, Compagna R, Fappiano F, et al. Day-surgery inguinal hernia repair in the elderly: single centre experience[J]. BMC Surg, 2013, 13(Suppl 2): S28.
4.	趙剛, 高峻, 馮大猛, 等. 局部麻醉下行日間腹股溝疝無張力修補術的臨床應用[J]. 中華疝和腹壁外科雜志: 電子版, 2015, 9(1): 62-64.
5.	王洋洋, 王曉. 麻醉醫師主導的快速康復技術在日間手術中的應用[J]. 華西醫學, 2015, 30(5): 824-827.
6.	馬洪升, 戴燕. 日間手術治療模式國內外發展簡述[J]. 中國醫院管理, 2012, 32(1): 47-48.
7.	Philip BK. Day care surgery: the United States model of health care [J]. Ambul Surg, 2012, 17(4): 81-82.
8.	Ng L, Mercer-Jones M. Day case surgery guidelines[J]. Surgery (Oxford), 2014, 32(2): 73-78.
9.	Markovic M, Bandyopadhyay M, Manderson L, et al. Day surgery in Australia qualitative research report[J]. J Sociol, 2004, 40(1): 74-84.
10.	馬洪升, 程南生, 朱濤, 等. 華西醫院日間手術快速康復(ERAS)規范[J]. 中國胸心血管外科臨床雜志, 2016, 23(2): 104-106.
11.	Schug SA, Chong C. Pain management after ambulatory surgery[J]. Curr Opin Anaesthesiol, 2009, 22(6): 738-743.
12.	周紅, 喬曉斐, 莢衛東, 等. 無痛病房規范化疼痛管理對肝癌患者術后疼痛控制的效果觀察[J]. 實用肝臟病雜志, 2014, 17(6): 647-649.
13.	王偉, 黃君. 腹股溝疝修補技術的進展[J]. 西南軍醫, 2014, 16(3): 291-292.
14.	李志超, 莊磊雪, 馬洪升, 等. 日間手術患者出院管理[J]. 重慶醫學, 2015, 44(27): 3858-3860.
15.	Johansson P, Oleni M, Fridlund B. Patient satisfaction with nursing care in the context of health care: a literature study[J]. Scand J Caring Sci, 2002, 16(4): 337-344.

1. ?戴燕, 馬洪升. 日間手術護理發展現狀[J]. 華西醫學, 2015, 30(5): 801-803.
2. Ansaloni L, Coccolini F, Fortuna D, et al. Assessment of 126, 913 inguinal hernia repairs in the Emilia-Romagna region of Italy: analysis of 10 years[J]. Hernia, 2014, 18(2): 261-267.
3. Amato B, Compagna R, Fappiano F, et al. Day-surgery inguinal hernia repair in the elderly: single centre experience[J]. BMC Surg, 2013, 13(Suppl 2): S28.
4. 趙剛, 高峻, 馮大猛, 等. 局部麻醉下行日間腹股溝疝無張力修補術的臨床應用[J]. 中華疝和腹壁外科雜志: 電子版, 2015, 9(1): 62-64.
5. 王洋洋, 王曉. 麻醉醫師主導的快速康復技術在日間手術中的應用[J]. 華西醫學, 2015, 30(5): 824-827.
6. 馬洪升, 戴燕. 日間手術治療模式國內外發展簡述[J]. 中國醫院管理, 2012, 32(1): 47-48.
7. Philip BK. Day care surgery: the United States model of health care [J]. Ambul Surg, 2012, 17(4): 81-82.
8. Ng L, Mercer-Jones M. Day case surgery guidelines[J]. Surgery (Oxford), 2014, 32(2): 73-78.
9. Markovic M, Bandyopadhyay M, Manderson L, et al. Day surgery in Australia qualitative research report[J]. J Sociol, 2004, 40(1): 74-84.
10. 馬洪升, 程南生, 朱濤, 等. 華西醫院日間手術快速康復(ERAS)規范[J]. 中國胸心血管外科臨床雜志, 2016, 23(2): 104-106.
11. Schug SA, Chong C. Pain management after ambulatory surgery[J]. Curr Opin Anaesthesiol, 2009, 22(6): 738-743.
12. 周紅, 喬曉斐, 莢衛東, 等. 無痛病房規范化疼痛管理對肝癌患者術后疼痛控制的效果觀察[J]. 實用肝臟病雜志, 2014, 17(6): 647-649.
13. 王偉, 黃君. 腹股溝疝修補技術的進展[J]. 西南軍醫, 2014, 16(3): 291-292.
14. 李志超, 莊磊雪, 馬洪升, 等. 日間手術患者出院管理[J]. 重慶醫學, 2015, 44(27): 3858-3860.
15. Johansson P, Oleni M, Fridlund B. Patient satisfaction with nursing care in the context of health care: a literature study[J]. Scand J Caring Sci, 2002, 16(4): 337-344.

West China Medical Journal

Application of Nursing Measures Based on the Concept of Enhanced Recovery after Surgery for Patients Undergoing Day Surgery of Inguinal Hernia Repair

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