Jing He; Da Ma; Huijuan Jiang; Huijuan Tang; Qian Mi; Renli Cheng
Volume 26, Issue 1 , 2024
Abstract
Background: Laparoscopic cholecystectomy is widely used in clinical treatment for gallbladder diseases. Rapid rehabilitation surgical nursing can significantly reduce the incidence of postoperative complications and shorten the hospital stay of patients. Moreover, it is supported by evidence-based ...
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Background: Laparoscopic cholecystectomy is widely used in clinical treatment for gallbladder diseases. Rapid rehabilitation surgical nursing can significantly reduce the incidence of postoperative complications and shorten the hospital stay of patients. Moreover, it is supported by evidence-based medicine and has been widely used in clinical nursing. Nonetheless, there are few studies analyzing the influence of rapid rehabilitation surgical nursing on patients undergoing laparoscopic cholecystectomy.
Objective: This study aimed to assess the clinical use of rapid rehabilitation surgical nursing on laparoscopic cholecystectomy patients.
Methods: This study was performed on patients who underwent laparoscopic cholecystectomy in Suzhou Hospital of Anhui Medical University, Suzhou, China between June 2021 and July 2022. The participants were divided into a research group (RG) and a control group (CG) based on different nursing plans, with 51 cases in each group. A routine nursing plan was implemented for CG patients while rapid rehabilitation surgical nursing was implemented for RG patients.
Results: The bowel sound recovery time, the first time of anal exhaust and getting out of bed, as well as the length of hospital stay in the RG decreased, in contrast to the CG. Prior to nursing, no significance was found in visual analog scale (VAS) scores, interleukin 6 (IL-6) and C-reactive protein (CRP) levels, as well as World Health Organization Quality of Life Scale (WHOQOL-BREF) scores of both groups. After nursing, VAS scores decreased in both groups, and the scores of RG were lower, compared to those of CG. The IL-6 and CRP levels increased in both groups, but those in the RG were lower, in comparison with those in the CG. The WHOQOL-BREF scores of all dimensions increased in both groups, compared to the baseline, and those in the RG were higher, relative to the CG. Additionally, the total occurrence of complications in the RG decreased, compared to the CG. Besides, the total nursing satisfaction in the RG was elevated, relative to the CG (P<0.05).
Conclusion: Application of rapid rehabilitation surgical nursing can expedite postoperative rehabilitation, reduce pain and stress response, promote quality of life, and lessen complications in patients undergoing laparoscopic cholecystectomy, thereby, increasing nursing satisfaction, which is worthy of promotion.
