Volume 23 Issue 5
May  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(5): 886-889
LAI Liya, FAN Xufei, CHEN Jicai, WU Dazhou. Application of nursing intervention based on ERAS-MDT model in laparoscopic abdominal incision hernia surgery[J]. Chinese Journal of General Practice, 2025, 23(5): 886-889. doi: 10.16766/j.cnki.issn.1674-4152.004024
Citation: LAI Liya, FAN Xufei, CHEN Jicai, WU Dazhou. Application of nursing intervention based on ERAS-MDT model in laparoscopic abdominal incision hernia surgery[J]. Chinese Journal of General Practice, 2025, 23(5): 886-889. doi: 10.16766/j.cnki.issn.1674-4152.004024
shu

Application of nursing intervention based on ERAS-MDT model in laparoscopic abdominal incision hernia surgery

doi: 10.16766/j.cnki.issn.1674-4152.004024

  • Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 LY20H030003

 Y20220112

  • Received Date: 2024-11-10
    Available Online: 2025-08-14
    Abstract
  •   Objective  To investigate the effectiveness of ERAS combined with multidisciplinary collaboration (MDT) nursing intervention in improving postoperative outcomes in patients undergoing laparoscopic abdominal incision hernia surgery.  Methods  A total of 110 patients scheduled for laparoscopic patch repair of abdominal incision hernia at the First Affiliated Hospital of Wenzhou Medical University from January 2022 to January 2024 were enrolled. Patients were randomly divided into a control group and an observation group, with 55 cases in each group. The two groups were given routine nursing intervention and nursing intervention based on ERAS-MDT model, respectively. Postoperative recovery indexes, hospitalization costs, pain scores, anxiety, sleep quality, incidence of adverse events, and nursing satisfaction were compared between the two groups.  Results  In the observation group, the time of anal exhaust after operation [(6.99±1.11) h], the time of first feeding [(9.31±1.02) h], the time of getting out of bed [(9.45±1.24) h], and the time of hospitalization [(6.77±1.01) day] were shorter than those in the control group [(9.23±1.37) h, (11.45±1.34) h, (12.56±2.09) h, and (8.45±1.47) d, respectively (P < 0.05)]. The hospitalization cost was also lower than that in the control group (P < 0.05). The VAS scores at days 1, 3, and 5 after surgery were lower than those in the control group (P < 0.05). The scores of anxiety scale (SAI) and Pittsburgh sleep quality index (PSQI) were lower than those in the control group, respectively (P < 0.05). Additionally, the incidence of adverse events was lower than that in the control group (P < 0.05). While the nursing satisfaction score was higher than that in the control group (P < 0.05).  Conclusion  Nursing intervention based on ERAS-MDT model can relieve postoperative pain, improve anxiety and sleep quality of patients, reduce the risk of adverse events, reduce hospitalization costs, and promote early recovery of patients after laparoscopic abdominal incision hernia surgery.

     

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