Research on the application effect of rapid recovery surgical concept in perioperative nursing of patients undergoing hepatobiliary and pancreatic surgery
快速康复外科理念在肝胆胰手术患者围手术期护理中的应用效果研究

摘要

目的 探讨快速康复外科（ERAS）理念在肝胆胰手术患者围手术期护理中的应用效果。方法 选取华中科技大学同济医学院附属同济医院2025年1月至2025年10月收治的肝胆胰手术患者120例，随机分为观察组和对照组。对照组（60例）实施围手术期常规护理，观察组（60例）在常规护理基础上应用ERAS理念开展综合护理干预。对两组患者术后恢复指标及并发症发生率进行比较。术后恢复指标包括：首次排气时间、首次排便时间、下床活动时间以及住院天数。结果 观察组术后首次排气、排便、下床及住院时间均短于对照组，并发症发生率低于对照组，护理满意度高于对照组，差异均有统计学意义（P<0.05）。结论 在肝胆胰围手术期实施ERAS理念指导下的护理干预，可有效加快患者术后康复进程，降低并发症发生率，提升护理满意度，具有较高的临床推广价值。

Abstract

Objective To explore the application effect of the rapid recovery surgical concept in the perioperative nursing of patients undergoing hepatobiliary and pancreatic surgery.
Methods A total of 120 patients who underwent hepatobiliary and pancreatic surgery at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology from January 2025 to October 2025 were selected and randomly divided into the observation group and the control group. The control group (60 cases) received routine perioperative nursing, while the observation group (60 cases) implemented comprehensive nursing intervention based on the ERAS concept. The postoperative recovery indicators and complication rates of the two groups were compared. Postoperative recovery indicators included: the time of first flatus, first defecation, time of getting out of bed, and hospital stay.
Results The postoperative time of first flatus, first defecation, getting out of bed, and hospital stay in the observation group were shorter than those in the control group, and the complication rate was lower than that in the control group. The nursing satisfaction was higher than that in the control group, and the differences were statistically significant (P < 0.05).
Conclusion   Implementing ERAS concept-guided nursing intervention during the perioperative period of hepatobiliary and pancreatic surgery can effectively accelerate the postoperative recovery process of patients, reduce the complication rate, improve nursing satisfaction, and has high clinical promotion value.