Application of goal management combined with enhanced recovery after surgery nursing in the perioperative period of children with Hirschsprung's disease
Objective To explore the application effect of goal management combined with enhanced recovery after surgery nursing on postoperative rehabilitation in children with Hirschsprung's disease(HD).Methods A total of 150 children with HD admitted to the hospital from June 2020 to October 2022 were selected as the research subjects.They were divided into a control group and an observation group,with 75 cases in each group,based on the principle of balanced and comparable baseline data between groups.The control group implemented routine nursing care during the perioperative period,while the observation group implemented goal management combined with enhanced recovery after surgery nursing.The differences in the postoperative recovery,Screening Tool for the Assessment of Malnutrition in Pediatrics(STAMP)scores,surgical complications,scores of Wong-Baker Faces Pain Scale Revision(FPS-R),serum inflammatory factor indicators,and immune function indicators between the two groups of children were compared.Results After the implementation of goal management combined with enhanced recovery after surgery nursing,the postoperative hospital stays,total hospital stays,the time to first bowel movement,and the time to remove anal tube,gastric tube,and urinary catheter of the children in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).After intervention,the STAMP score in the observation group was lower than that in the control group,the incidence of complications was lower than that in the control group,and the differences were statistically significant(P<0.05).The FPS-R scores of the children in the observation group were lower than those of the control group on 1 day after surgery and 3 days after surgery,and the differences were statistically significant(P<0.05).After the intervention,the interleukin(IL-6)and C-reactive protein(CRP)levels of the children in the observation group were lower than those of the control group,the immune function IgA,IgM,and IgG indicators were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Goal management combined with enhanced recovery after surgery nursing achieved satisfactory outcomes in the perioperative care of children with HD.This approach led to a shorter recovery time,improved their nutritional status,reduced the incidence of complications,alleviated postoperative pain and inflammation,and minimized the impact on the children's immune function indicators.
Targeted managementEnhanced recovery after surgeryEarly nutritional nursingHirschsprung's diseasePostoperative rehabilitationComplications
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