Abstract:

Objective To study the effect of perioperative implementation of enhanced recovery after surgery (ERAS) precision nursing in patients with colorectal cancer and its impact on patients’ stress response and psychological state. Method A total of 110 patients with colorectal cancer who received surgical treatment in the Central Hospital of Bao’an District in Shenzhen from January 2024 to April 2025 were selected and randomly divided into experimental group and control group, with 55 cases in each group. The control group received perioperative routine nursing intervention, and the experimental group received perioperative eras precise nursing. The postoperative recovery, inflammatory index level, negative emotions and nursing satisfaction of the two groups were compared. Result The time of exhaust, defecation, getting out of bed, eating liquid food and hospitalization in the experimental group were shorter than those in the control group, and the differences were significant (P＜0.001). There was no significant difference in the scores of serum C-reactive protein, interleukin-6, self-rating anxiety scale and self-rating depression scale between the two groups one day before operation (P ＞ 0.05); The levels of serum C reactive protein and interleukin-6 at 1d, 3d and 5d after operation in the two groups were lower than those at 1d before operation, and the levels of serum C reactive protein and interleukin-6 in the experimental group were lower than those in the control group (P ＜ 0.001); The SAS and SDS scores of the two groups at 3 days after operation were lower than those before operation, and the experimental group was lower than that of the control group (P ＜ 0.001). The nursing satisfaction of the experimental group was 98.18% (54/55), which was significantly higher than 87.27% (48/55) of the control group (P ＜ 0.05). Conclusion The implementation of ERAS precision nursing in the perioperative period of colorectal cancer patients is more effective, which can effectively improve the stress response of patients and optimize their psychological state.

Key words: Colorectal cancer, Perioperative period, Enhanced recovery after surgery, Precision, Nursing