Application of multidisciplinary collaborative nursing with family care for enhanced recovery after surgery in children with inguinal hernia

Table 1 Comparison of postoperative rehabilitation progress of the three groups

Group	Intraoperative blood loss in mL	Postoperative feeding time in h	Time of getting out of bed after the operation in d	Postoperative hospitalization time in d	Postoperative defecation time in h
A, n = 38	7.55 ± 1.02c	4.87 ± 1.80	0.94 ± 0.29c	1.86 ± 0.29c	17.55 ± 7.28c
B, n = 32	7.59 ± 0.79c	4.31 ± 1.38	0.97 ± 0.29c	1.92 ± 0.33c	18.25 ± 7.31c
C, n = 30	11.51 ± 3.16	5.07 ± 1.48	1.31 ± 0.24	2.58 ± 0.47	39.13 ± 13.56
F value	45.641	1.929	17.340	27.637	51.482
P value	< 0.001	0.151	< 0.001	< 0.001	< 0.001

Data are presented as mean ± SD.

^cP < 0.05 vs Group C.

Table 2 Comparison of facial expression scoring scores at 4, 12, and 24 h after surgery in the three groups

Group	4 h after surgery	12 h after surgery	24 h after surgery
A, n = 38	7.16 ± 1.60	4.05 ± 1.41b,c	2.45 ± 0.98b,c
B, n = 32	7.22 ± 1.26	4.97 ± 0.90c	3.56 ± 0.84c
C, n = 30	7.60 ± 1.25	5.77 ± 1.14	4.20 ± 1.00
F value	0.938	17.733	30.452
P value	0.395	< 0.001	< 0.001

Data are presented as mean ± SD.

^bP < 0.05 vs Group B.

^cP < 0.05 vs Group C.

Table 3 Comparison of stress indexes among the three groups

Group	HR in beats/min		SBP in mmHg		DBP in mmHg		NE in ng/L		Cor in mg/L
	Before surgery	1 h after surgery	Before surgery	1 h after surgery	Before surgery	1 h after surgery	Before surgery	1 h after surgery	Before surgery	1 h after surgery
A, n = 38	102.01 ± 6.34	118.93 ± 11.48a,b,c	95.87 ± 6.47	106.86 ± 7.66a,c	84.25 ± 6.70	96.83 ± 6.65a,b,c	139.64 ± 7.84	159.95 ± 12.07a,b,c	133.78 ± 4.30	151.07 ± 12.27a,b,c
B, n = 32	98.96 ± 6.68	125.27 ± 11.91a,c	95.88 ± 6.28	110.99 ± 8.60a,c	83.91 ± 7.23	109.73 ± 8.20a,c	139.29 ± 9.45	171.00 ± 11.23a,c	134.14 ± 6.41	159.80 ± 13.35a,c
C, n = 30	101.63 ± 7.53	132.69 ± 11.89a	98.15 ± 7.81	119.39 ± 10.27a	85.17 ± 7.16	114.20 ± 10.11a	143.40 ± 6.97	182.86 ± 16.30a	135.42 ± 7.92	180.74 ± 18.69a
F value	1.963	11.529	1.161	17.241	0.268	41.032	2.438	25.158	0.619	34.682
P value	0.146	< 0.001	0.318	< 0.001	0.766	< 0.001	0.093	< 0.001	0.54	< 0.001

Data are presented as mean ± SD.

^aP < 0.05 vs before operation.

^bP < 0.05 vs Group B.

^cP < 0.05 vs Group C. Cor: Cortisol; DBP: Diastolic blood pressure; HR: Heart rate; NE: Noradrenaline; SBP: Systolic blood pressure.

Table 4 Comparison of complications among the three groups

Group	Urinary retention	Infection	Hematoma	Hernia recurrence	Overall complication rate
A, n = 38	0 (0.00)	1 (2.63)	0 (0.00)	1 (2.63)	2 (5.26)c
B, n = 32	1 (3.13)	0 (0.00)	1 (3.13)	1 (3.13)	3 (9.38)
C, n = 30	2 (6.67)	3 (10.00)	1 (3.33)	2 (6.67)	8 (26.67)
Fisher’s exact probability value					0.032

Data are presented as n (%).

^cP < 0.05 vs Group C.

Table 5 Comparison of satisfaction among the three groups

Group	Health education	Nursing attitude	Nursing quality	Psychological nursing
A, n = 38	91.37 ± 5.58b,c	93.21 ± 4.13b,c	87.53 ± 7.12b,c	92.37 ± 7.12b,c
B, n = 32	85.66 ± 5.68c	86.91 ± 7.15c	79.53 ± 8.53c	86.22 ± 7.25c
C, n = 30	77.87 ± 9.84	82.43 ± 6.91	71.60 ± 9.19	80.10 ± 6.05
F value	29.911	26.934	31.491	26.899
P value	< 0.001	< 0.001	< 0.001	< 0.001

Data are presented as mean ± SD.

^bP < 0.05 vs Group B.

^cP < 0.05 vs Group C.