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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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.	赵刚, 高峻, 冯大猛, 等. 局部麻醉下行日间腹股沟疝无张力修补术的临床应用[J]. 中华疝和腹壁外科杂志: 电子版, 2015, 9(1): 62-64.
5.	王洋洋, 王晓. 麻醉医师主导的快速康复技术在日间手术中的应用[J]. 华西医学, 2015, 30(5): 824-827.
6.	马洪升, 戴燕. 日间手术治疗模式国内外发展简述[J]. 中国医院管理, 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.	马洪升, 程南生, 朱涛, 等. 华西医院日间手术快速康复(ERAS)规范[J]. 中国胸心血管外科临床杂志, 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.	周红, 乔晓斐, 荚卫东, 等. 无痛病房规范化疼痛管理对肝癌患者术后疼痛控制的效果观察[J]. 实用肝脏病杂志, 2014, 17(6): 647-649.
13.	王伟, 黄君. 腹股沟疝修补技术的进展[J]. 西南军医, 2014, 16(3): 291-292.
14.	李志超, 庄磊雪, 马洪升, 等. 日间手术患者出院管理[J]. 重庆医学, 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, 马洪升. 日间手术护理发展现状[J]. 华西医学, 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. 赵刚, 高峻, 冯大猛, 等. 局部麻醉下行日间腹股沟疝无张力修补术的临床应用[J]. 中华疝和腹壁外科杂志: 电子版, 2015, 9(1): 62-64.
5. 王洋洋, 王晓. 麻醉医师主导的快速康复技术在日间手术中的应用[J]. 华西医学, 2015, 30(5): 824-827.
6. 马洪升, 戴燕. 日间手术治疗模式国内外发展简述[J]. 中国医院管理, 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. 马洪升, 程南生, 朱涛, 等. 华西医院日间手术快速康复(ERAS)规范[J]. 中国胸心血管外科临床杂志, 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. 周红, 乔晓斐, 荚卫东, 等. 无痛病房规范化疼痛管理对肝癌患者术后疼痛控制的效果观察[J]. 实用肝脏病杂志, 2014, 17(6): 647-649.
13. 王伟, 黄君. 腹股沟疝修补技术的进展[J]. 西南军医, 2014, 16(3): 291-292.
14. 李志超, 庄磊雪, 马洪升, 等. 日间手术患者出院管理[J]. 重庆医学, 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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