Xu Xiaoxiao, Huang Meili, Chen Zhiqiang, Yue Feng, Yang Rong
Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine Hangzhou 310020, Zhejiang, China.
National Regiona Medical Center, Sir Run Run Shaw Hospital, Alaer Hospital, Zhejiang University School of Medicine China.
Am J Transl Res. 2024 Sep 15;16(9):4950-4958. doi: 10.62347/QRPV6582. eCollection 2024.
To investigate the application of Enhanced Recovery After Surgery (ERAS) in the nursing care of patients undergoing Thulium laser prostatectomy and analyze the factors affecting postoperative complications.
This retrospective study analyzed the clinical data of 108 patients who underwent Thulium Laser Prostatectomy in the Zhejiang University Sir Run Run Shaw Alaer Hospital from July 2022 to October 2023. Among them, 58 patients who received nursing care based on the concept of ERAS from January 2023 to October 2023 were assigned to the study group, while the other 50 patients who received conventional nursing care from July 2022 to December 2022 were assigned to the control group. Postoperative recovery indicators, satisfaction with nursing care services, and postoperative complications were analyzed. Logistic regression analysis was used to identify factors affecting complications after Thulium laser prostatectomy.
The study group showed significantly shorter time to first flatus, lower pain scores on the first day after surgery, shorter time to first out-of-bed activity, and shorter hospital stay than the control group (all P < 0.0001). Compared with the control group, the study group expressed notably higher nursing care satisfaction (P=0.0151) and showed a significantly lower incidence of postoperative complications (P=0.0236). Logistic regression analysis identified disease duration and nursing care intervention as independent risk factors affecting patient complications.
For patients undergoing Thulium Laser Prostatectomy, ERAS contributes to good postoperative recovery and patient satisfaction and less complications. Disease duration and nursing care intervention were identified as independent factors impacting post-operative complications.
探讨加速康复外科（ERAS）在钬激光前列腺切除术患者护理中的应用，并分析影响术后并发症的因素。
本回顾性研究分析了2022年7月至2023年10月在浙江大学医学院附属邵逸夫阿拉尔医院接受钬激光前列腺切除术的108例患者的临床资料。其中，2023年1月至10月接受基于ERAS理念护理的58例患者被分配到研究组，而2022年7月至12月接受传统护理的另外50例患者被分配到对照组。分析术后恢复指标、对护理服务的满意度及术后并发症。采用Logistic回归分析确定影响钬激光前列腺切除术后并发症的因素。
研究组首次排气时间明显短于对照组，术后第一天疼痛评分更低，首次下床活动时间更短，住院时间更短（均P<0.0001）。与对照组相比，研究组对护理的满意度明显更高（P=0.0151），术后并发症发生率明显更低（P=0.0236）。Logistic回归分析确定病程和护理干预为影响患者并发症的独立危险因素。
对于接受钬激光前列腺切除术的患者，ERAS有助于术后良好恢复、提高患者满意度并减少并发症。病程和护理干预被确定为影响术后并发症的独立因素。
