Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2023; 15(9): 1910-1918
Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.1910
Application of early enteral nutrition nursing based on enhanced recovery after surgery theory in patients with digestive surgery
Yan-Ru Shao, Xia Ke, Li-Hua Luo, Jin-Dong Xu, Li-Qian Xu
Yan-Ru Shao, Xia Ke, Li-Hua Luo, Jin-Dong Xu, Li-Qian Xu, Department of Anesthesiology, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510062, Guangdong Province, China
Author contributions: Shao YR, Ke X and Xu JD designed the research study; Luo LH, Xu JD and Xu LQ performed the research; Xue JZ, Luo LH and Ke X contributed new reagents and analytic tools; Shao YR and Xu LQ analyzed the data and wrote the manuscript; and all authors have read and approve the final manuscript.
Institutional review board statement: This study was approved by the Ethics Committee of the Guangdong Provincial People’s Hospital.
Informed consent statement: The informed consent statement was waived by the Ethics Committee.
Conflict-of-interest statement: The author declares no competing interests.
Data sharing statement: The labeled dataset used to support the findings of this study are available from the corresponding author upon request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li-Qian Xu, BSc, Nurse, Department of Anesthesiology, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, No. 106 Zhongshan Second Road, Yuexiu District, Guangzhou 510062, Guangdong Province, China. xu.liqian0706@163.com
Received: May 9, 2023
Peer-review started: May 9, 2023
First decision: May 25, 2023
Revised: June 25, 2023
Accepted: August 2, 2023
Article in press: August 2, 2023
Published online: September 27, 2023
Abstract
BACKGROUND

Postoperative nursing can improve the restlessness and gastrointestinal function of patients with tracheal intubation under general anesthesia in digestive surgery. Wide application of various nursing methods and routine nursing in perioperative nursing of patients with general anesthesia in digestive surgery.

AIM

To investigate the impact of early postoperative enteral nutrition nursing based on the enhanced recovery after surgery (ERAS) theory on postoperative agitation and gastrointestinal recovery in patients undergoing general anesthesia that experienced tracheal intubation.

METHODS

The data of 126 patients with digestive surgery from May 2019 to February 2022 were retrospectively analyzed. According to different nursing methods, they were divided into control group and observation group, with 63 cases in observation group and 63 cases in control group. The patients in the control group had standard perioperative nursing care, whereas those in the observation group got enteral nourishment as soon as possible after surgery in accordance with ERAS theory. Both the rate and quality of gastrointestinal function recovery were compared between the two groups after treatment ended. Postoperative anesthesia-related adverse events were tallied, patients' nutritional statuses were monitored, and the Riker sedation and agitation score (SAS) was used to measure the incidence of agitation.

RESULTS

When compared to the control group, the awake duration, spontaneous breathing recovery time, extubation time and postoperative eye-opening time were all considerably shorter (P < 0.05). There was no significant difference in the recovery time of orientation force between the two groups (P > 0.05); however, the observation group had a lower SAS score than the control group (P < 0.05). The recovery time for normal intestinal sounds, the time it took to have the first postoperative exhaust, the time it took to have the first postoperative defecation, and the time it took to have the first postoperative half-fluid feeding were all faster in the observation group than in the control group (P < 0.05); Fasting blood glucose was lower in the observation group compared to the control group (P < 0.05), while the albumin and hemoglobin levels were higher on the first and third postoperative days; however, there was no statistically significant difference in the incidence of anesthesia-related adverse reactions between the two groups (P > 0.05).

CONCLUSION

The extremely early postoperative enteral nutrition nursing based on ERAS theory can reduce the degree of agitation, improve the quality of recovery, promote the recovery of gastrointestinal function, and improve the nutritional status of patients in the recovery period after tracheal intubation under general anesthesia.

Keywords: Enhanced recovery after surgery, Extremely early postoperative enteral nutrition nursing, Gastrointestinal surgery, Tracheal intubation under general anesthesia, Agitation during recovery, Recovery of gastrointestinal function

Core Tip: All the gastrointestinal surgery patients included in this study were gastrointestinal cancer patients. Postoperative enhanced recovery after surgery nursing and postoperative extreme nutritional induction nursing were widely used in gastrointestinal cancer nursing alone. This study integrated the concept of postoperative enhanced recovery after surgery into early enteral nutrition nursing, and integrated and re-innovative previous nursing methods. The purpose of this study is to compare the nursing effect of this nursing method with that of traditional nursing method. This study found that the enhanced recovery after surgery theory based on the very early postoperative enteral nutrition intervention nursing effect is good.