Application observation of Enhanced Recovery after Surgery (ERAS) nursing model in perioperative care of patients undergoing transsphenoidal pituitary tumor resection
加速康复外科护理模式在经鼻蝶垂体瘤切除术患者围手术期中的应用观察

摘要

目的 探讨加速康复外科（ERAS）护理模式在经鼻蝶垂体瘤切除术患者围手术期中的应用效果。方法 选取2024年3月-2025年3月在我院神经外科行经鼻蝶垂体瘤切除术的患者70例，按随机数字表法分为观察组（n=35）和对照组（n=35）。对照组采用常规围手术期护理，观察组实施ERAS护理模式。比较两组患者的术后恢复指标、并发症发生率、护理满意度及心理状态评分。结果 观察组术后首次下床时间、肛门排气时间、住院时间均显著短于对照组（P＜0.05）；观察组并发症总发生率（8.57%）显著低于对照组（28.57%）（P＜0.05）；观察组纽卡斯尔护理满意度量表（NSNS）评分显著高于对照组（P＜0.05）；观察组疾病不确定感量表（MUIS）评分显著低于对照组，医学应对方式问卷（MCMQ）中面对维度评分显著高于对照组（P＜0.05）。结论 ERAS护理模式可有效促进经鼻蝶垂体瘤切除术患者术后恢复，降低并发症发生率，提高护理满意度，改善患者心理状态，值得临床推广应用。

Abstract

Objective To investigate the efficacy of the Enhanced Recovery After Surgery (ERAS) nursing model in perioperative care for patients undergoing transsphenoidal pituitary tumor resection.
Methods A total of 70 patients who underwent transsphenoidal pituitary tumor resection in our neurosurgery department between March 2024 and March 2025 were enrolled and randomly assigned into an observation group (n=35) and a control group (n=35) using a random number table. The control group received conventional perioperative nursing care, while the observation group was managed with the ERAS nursing protocol. Postoperative recovery indicators, complication rates, nursing satisfaction, and psychological status scores were compared between the two groups.
Results Compared with the control group, the observation group demonstrated significantly shorter time to first ambulation, earlier flatus passage, and reduced length of hospital stay (all P<0.05). The overall complication rate in the observation group (8.57%) was significantly lower than that in the control group (28.57%) (P<0.05). Nursing satisfaction, as assessed by the Newcastle Satisfaction with Nursing Scale (NSNS), was significantly higher in the observation group (P<0.05). Furthermore, the observation group exhibited significantly lower scores on the Mishel Uncertainty in Illness Scale (MUIS) and significantly higher scores on the "Confrontive Coping" subscale of the Medical Coping Modes Questionnaire (MCMQ) (both P<0.05).
Conclusion   The ERAS nursing model effectively promotes postoperative recovery, reduces complications, enhances nursing satisfaction, and improves psychological well-being in patients undergoing transsphenoidal pituitary tumor resection, demonstrating strong potential for clinical application and broader implementation.