Abstract:

Objective To explore the feasibility of applying the enhanced recovery after surgery (ERAS) concept to the rehabilitation treatment plan for early postoperative activities of daytime laparoscopic cholecystectomy (LC) patients. Method Randomly enrolled 100 patients undergoing LC in Deyang People's Hospital from January 2018 to January 2021, according to different nursing methods, they were divided into control group and ERAS group, with 50 cases in each group. Patients in ERAS group were treated with the concept of daytime ward ERAS for perioperative management, and patients in control group were treated with traditional perioperative management in general ward. The intraoperative and postoperative related indexes of the two groups and the effect of ERAS concept on the early postoperative activities of the patients were compared. Result The earliest time of getting out of bed in ERAS group was 6.8h and the latest was 26.3h, The average time of getting out of bed was

(8.2 ± 0.8) h, including 90% within 12 hours and 6% within 12 ～ 24 hours, which were significantly higher than those in the control group (P ＜ 0.05); 88.0% (44/50) of patients in ERAS group had the intention of early activities, the satisfaction rate of first getting out of bed activities was 84.0% (42/50), and the rehabilitation self-efficacy score was (70.22 ± 5.32), which was significantly higher than that in the control group (P ＜ 0.05); The eating time and postoperative gastrointestinal ventilation time in ERAS group were significantly shorter than those in the control group, the pain score at 6h and 12h after operation was lower, and the incision healing time was shorter, the difference was significant (P ＜ 0.05). There were no complications such as bleeding, urinary retention, hematoma in the two groups. Only 1 patients developed nausea in ERAS group, and 1 patients had abdominal distension, the incidence of adverse reactions was significantly lower than that of the control group (P ＜ 0.05). Conclusion It is feasible to apply the ERAS concept to the rehabilitation treatment plan for early postoperative activities of LC patients in the day ward, which is conducive to the postoperative rehabilitation of the patients and improves the prognosis of the patients.

Key words: Enhanced recovery after surgery concept, Day ward, Laparoscopic cholecystectomy, Early postoperative activity