Wang XH, Chen FF, Pan J, Jiang YF, Yao MY, Mao JL, Xu YF. Impact of fast-track surgery on perioperative care in patients undergoing hepatobiliary surgery. World J Gastrointest Surg 2024; 16(10): 3155-3162 [PMID: 39575282 DOI: 10.4240/wjgs.v16.i10.3155]
Corresponding Author of This Article
Ya-Feng Xu, BM BCh, Associate Chief Nurse, Department of General Surgery, Kecheng District People's Hospital, No. 172 Shuanggang Road, Kecheng District, Quzhou 324000, Zhejiang Province, China. 13002640208@163.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
Xiao-Hong Wang, Fang-Fang Chen, Jia Pan, Yun-Fei Jiang, Min-Yue Yao, Jia-Li Mao, Ya-Feng Xu, Department of General Surgery, Kecheng District People's Hospital, Quzhou 324000, Zhejiang Province, China
Co-first authors: Xiao-Hong Wang and Fang-Fang Chen.
Author contributions: Wang XH and Chen FF contributed equally to this work as co-first authors; Pan J, Jiang YF designed the research study; Jiang YF, Yao MY performed the primary literature and data extraction; Wang XH, Chen FF analyzed the data and wrote the manuscript; Wang XH, Chen FF were responsible for revising the manuscript for important intellectual content; all authors read and approved the final version.
Institutional review board statement: The study was reviewed and approved by Institutional Review Board of Kecheng District People's Hospital.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: The authors declare no conflicts of interest for this article.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at 13002640208@163.com. Participants gave informed consent for data sharing.
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: Ya-Feng Xu, BM BCh, Associate Chief Nurse, Department of General Surgery, Kecheng District People's Hospital, No. 172 Shuanggang Road, Kecheng District, Quzhou 324000, Zhejiang Province, China. 13002640208@163.com
Received: July 15, 2024 Revised: August 16, 2024 Accepted: August 22, 2024 Published online: October 27, 2024 Processing time: 74 Days and 16.5 Hours
Abstract
BACKGROUND
Fast-track surgery (FTS) is a modern nursing approach that has gained popularity in the perioperative phase of surgery.
AIM
To investigate the impact of FTS on perioperative care for hepatobiliary surgery.
METHODS
A retrospective analysis was performed on 98 patients who underwent hepatobiliary surgery and were admitted to our hospital from August 2021 to October 2023. They were divided into an observation group and a control group with 49 patients in each group according to different nursing directions. The control group was treated with standard nursing and the observation group was treated with FTS concept nursing. The length of hospital stay, visual analog scale (VAS) score, wound complications, nursing satisfaction, self-rating scale (SAS) score, and SF-36 quality of life (QoL) score were compared between the two groups before and after care.
RESULTS
The duration of hospitalization, hospitalization cost, operation time, first implantation time, exhaust time, and first defecation time were shorter than the observation group (P < 0.05). Additionally, the observation group showed a significant difference between the VAS and SAS scores on days 1, 3, and 7 (P < 0.05). The complication rate in the observation group was 4.05% was significantly lower than the 18.36% in the control group, and the comparison groups were statistically significant (χ2 = 5.018, P = 0.025). The observation group had a significantly higher level of nurse satisfaction (94.92%) than the control group (79.59%; χ2 = 6.078, P = 0.014). Both groups showed higher QoL scores after nursing care, with higher scores in the observation group than in the control group (P = 0.032).
CONCLUSION
FTS in patients undergoing hepatobiliary surgery can effectively improve negative mood, QoL, and nursing satisfaction; reduce wound complications; and accelerate patient rehabilitation.
Core Tip: Fast-track surgery (FTS) is a modern nursing approach that has gained popularity during the perioperative phase of surgery. In this study, we investigated the effect of FTS on the perioperative care of patients undergoing hepatobiliary surgery. The study showed that FTS in patients undergoing hepatobiliary surgery can effectively improve negative mood, quality of life, and nursing satisfaction, reduce wound complications, and accelerate patient rehabilitation.
