Research on the Application of High-quality Nursing Based on ERAS in the Perioperative Period of TAPP
Objective:To explore the effect of high-quality nursing based on enhanced recovery after surgery(ERAS)on perioperative patients undergoing laparoscopic transabdominal preperitoneal herniorrhaph(TAPP).Method:A total of 100 TAPP patients from January 2021 to October 2023 who were admitted in Changshu First People's Hospital were selected,and randomly divided into the intervention group(50 cases,high-quality care based on ERAS)and the control group(50 cases,routine care).Both groups were intervened until the patients were discharged.The perioperative indicators,emotional status,self-care ability,and quality of life in both groups were compared.Result:The first exhaust and postoperative ambulation in the intervention group were earlier than those in the control group,and the hospitalization time was shorter than that in the control group,the differences were statistically significant(P<0.05).After intervention,Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)scores in both group were decreased,and in comparision of the control group,the intervention group were lower,with statistically significant differences(P<0.05).After intervention,the exercise of self-care ability scale(ESCA)all dimensions scores in both groups were increased,and in comparision of those in the control group,those in the intervention group were higher,with statistically significant differences(P<0.05).After intervention,the WHO quality of life-BREF scale(WHOQOL-BREF)all dimensions scores in both groups were increased,and in comparision of those in the control group,those in the intervention group were higher,with statistically significant difference(P<0.05).Conclusion:The application of high-quality nursing based on ERAS in TAPP perioperative patients can shorten the recovery time,improve emotional state,enhance self-care ability and quality of life.
Enhanced recovery after surgeryHigh quality careLaparoscopic transabdominal preperitoneal herniorrhaphPerioperative period