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
ARTICLE HIGHLIGHTS
Research 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.

Research motivation

The main topics of this study is postoperative nursing of patients with general anesthesia in digestive surgery. Clinical need to explore a more effective nursing method to improve the prognosis of digestive surgery patients with general anesthesia. The significance of this study is that it confirms the effectiveness of new nursing methods for patients with general anesthesia in the department of gastroenterology, encourages the clinical team to continuously explore nursing methods with better nursing effects for patients with general anesthesia in the department of gastroenterology, and promotes the improvement and innovation of nursing programs.

Research objectives

Comparison of nursing effects of different nursing methods, to observe the advantages of very early enteral nutrition based on enhanced recovery after surgery (ERAS) theory over conventional care. The very early enteral nutrition nursing based on ERAS theory showed better improvement in recovery quality, gastrointestinal function, enteral nutrition and immune function in digestive surgery patients with general anesthesia, which confirmed that this nursing method has a good nursing effect. The significance of realizing these objectives for future research is to provide a new reference for perioperative nursing of digestive surgery patients with general anesthesia in the future.

Research methods

Clinical data of patients were retrospectively analyzed and grouped according to nursing methods. Then, independent sample t test, paired sample t test and χ2 test were used to statistically analyze the general data of the two groups, related indexes of recovery period, restiness during recovery period, gastrointestinal function recovery, postoperative nutritional status, stress indexes before and after surgery, immune function indexes before and after surgery, anesthesia-related adverse reactions. The characteristic of retrospective study is to explore the cause through the results, and case data is more easily obtained.

Research results

The routine nursing of early postoperative enteral nutrition based on ERAS theory has remarkable effects, with good improvements in wake recovery, wake agitation, gastrointestinal function recovery, postoperative nutritional status, stress, immune function and other aspects, which provides a new nursing method for postoperative nursing of patients with general anesthesia in digestive surgery and needs further prospective exploration.

Research conclusions

Post-stress will affect the length of hospital stay in gastrointestinal surgery patients with general anesthesia, so we should pay attention to the influence of nursing methods on post-operative stress. The effect of early postoperative enteral nutrition nursing based on ERAS theory is better, and the nursing plan with better effect should be preferred in clinic.

Research perspectives

Nursing can improve the physiological indicators of patients, and its influence on the psychological state of patients can be further explored.