Enhanced recovery nursing and mental health education on postoperative recovery and mental health of laparoscopic liver resection

Table 1 Comparison of general data of two groups, n (%)

General information	Control group (n = 57)	Observation group (n = 63)	χ2/t	P value
Gender			0.063	0.802
Male	41 (71.93)	44 (69.84)
Female	16 (28.07)	19 (30.16)
Age [ (mean ± SD), age]	57.79 ± 9.28	56.70 ± 11.27	0.57	0.57
BMI [ (mean ± SD), kg/m2]	23.43 ± 3.73	23.17 ± 3.06	0.433	0.666
Type of disease			0.02	0.887
Rectal cancer	21 (36.84)	24 (38.10)
Colon cancer	36 (63.16)	39 (61.90)
Maximum diameter of metastatic lesion [(mean ± SD), cm]	3.46 ± 0.94	3.39 ± 0.98	0.398	0.691
Number of liver metastatic lesions
1	20 (35.09)	23 (36.51)	0.036	0.982
2	19 (33.33)	21 (33.33)
≥ 3	18 (31.58)	19 (30.16)
Surgical program [n (%)]			0.3	0.956
Partial hepatectomy	21 (36.84)	24 (38.10)
Segmentectomy	16 (28.07)	15 (23.81)
Lobectomy	14 (24.56)	17 (26.98)
Other	6 (10.53)	7 (11.11)

BMI: Body mass index.

Table 2 Comparison of postoperative recovery between two groups (mean ± SD)

Group	n	Exhaust time (hour)	Defecation time (hour)	Eating time (day)	Drainage time (day)	Postoperative hospital stay (day)
Control group	57	42.56 ± 10.23	66.36 ± 15.23	1.96 ± 0.27	8.25 ± 1.63	14.12 ± 3.13
Observation group	63	31.54 ± 8.67	49.93 ± 9.77	1.48 ± 0.32	6.58 ± 1.44	12.03 ± 2.87
t		6.384	7.1	8.831	5.959	3.816
P value		0	0	0	0	0

Table 3 Comparison of T lymphocyte subsets between the two groups (mean ± SD)

Group	n	CD3+ (μL)		CD4+ (μL)		CD8+ (μL)		CD4+/CD8+
		Preoperative	3 d after operation	Preoperative	3 d after operation	Preoperative	3 d after operation	Preoperative	3 d after operation
Control group	57	1214.36 ± 256.36	1108.33 ± 241.25a	859.63 ± 210.36	778.52 ± 189.69a	658.52 ± 187.25	736.33 ± 214.05a	1.36 ± 0.25	1.07 ± 0.36a
Observation group	63	1197.68 ± 267.33	1163.69 ± 287.11	867.44 ± 225.59	842.52 ± 200.13a	647.96 ± 193.24	665.36 ± 204.78	1.34 ± 0.28	1.28 ± 0.34a
t		0.348	1.137	0.196	1.793	0.303	1.856	0.411	3.286
P value		0.728	0.258	0.845	0.076	0.762	0.066	0.682	0.001

^aP < 0.05, compared with preoperative.

Table 4 Comparison of medical coping style scores between two groups [ (mean ± SD), fraction]

Group	n	Face		Avoid		Yield
		Before intervention	After intervention	Before intervention	After intervention	Before intervention	After intervention
Control group	57	18.36 ± 3.23	21.04 ± 3.34a	20.36 ± 3.15	16.89 ± 2.44a	14.96 ± 2.77	11.25 ± 1.93a
Observation group	63	17.78 ± 3.26	24.15 ± 2.06a	21.05 ± 3.34	14.12 ± 2.05a	15.12 ± 2.16	10.01 ± 1.27a
t		0.978	6.202	1.161	6.754	0.355	4.195
P value		0.33	0	0.248	0	0.724	0

^aP < 0.05, compared with before intervention.

Table 5 Comparison of the life function index scale scores between two groups [ (mean ± SD), fraction]

Group	n	Good body		Psychologically sound		Difficulty due to cancer
		Before intervention	After intervention	Before intervention	After intervention	Before intervention	After intervention
Control group	57	40.58 ± 3.96	41.35 ± 4.23	24.02 ± 3.36	25.26 ± 3.07a	12.23 ± 2.09	12.75 ± 2.26
Observation group	63	41.07 ± 3.75	46.96 ± 3.87a	23.87 ± 3.41	26.89 ± 3.31a	12.14 ± 2.28	12.83 ± 2.07
t		0.696	7.587	0.242	2.788	0.225	0.202
P value		0.488	0	0.809	0.006	0.823	0.84
Group	n	Good society		Nausea		Total score of FLIC
		Before intervention	After intervention	Before intervention	After intervention	Before intervention	After intervention
Control group	57	10.26 ± 1.38	10.87 ± 1.47	3.05 ± 1.14	3.11 ± 1.05	81.89 ± 4.56	93.34 ± 5.16a
Observation group	63	10.19 ± 1.44	12.68 ± 1.51a	2.97 ± 1.21	3.23 ± 1.11	80.74 ± 4.61	102.96 ± 6.44a
t		0.271	6.64	0.372	0.607	1.372	8.869
P value		0.787	0	0.711	0.545	0.173	0

^aP < 0.05, compared with before intervention.

FLIC: The life function index scale.

Table 6 Comparison of complications between the two groups, n (%)

Group	n	Incision infection	Pleural effusion	Intestinal obstruction	Celiac hemorrhage	Cumulative
Control group	57	3 (5.26)	3 (5.26)	1 (1.75)	1 (1.75)	8 (14.04)
Observation group	63	1 (1.59)	1 (1.59)	0 (0.00)	0 (0.00)	2 (3.17)
χ2						4.621
P value						0.032

Table 7 Comparison of nursing satisfaction between the two groups, n (%)

Group	n	discontent	satisfied	Very satisfied	Satisfaction rate
Control group	57	11 (19.30)	23 (40.36)	23 (40.36)	46 (80.70)
Observation group	63	4 (6.35)	29 (46.03)	30 (47.62)	59 (93.65)
χ2					6.666
P value					0.01