Tong Yulan, Qin Xiaolei
Department of Nursing, Danyang City People's Hospital Gynecology, Danyang, Jiangsu Province, China.
Medicine (Baltimore). 2025 Jul 25;104(30):e43290. doi: 10.1097/MD.0000000000043290.
This study aimed to evaluate the effectiveness of nursing interventions based on the enhanced recovery after surgery (ERAS) concept in the perioperative management of patients with gynecological malignancies. A retrospective analysis was performed on 101 patients who underwent surgery for gynecological malignancies at our hospital from January 2023 to June 2024. Propensity score matching was used to balance baseline characteristics, resulting in 41 patients in the ERAS intervention group and 41 patients in the conventional care group. Logistic regression analysis was applied to significant variables to control for confounders. After propensity score matching, the ERAS group (59.3 ± 9.1 years) and the conventional care group (60.5 ± 8.6 years) had no significant differences in baseline age (P = .45). The ERAS group demonstrated significantly better outcomes compared to the conventional care group. The ERAS group had a higher proportion of patients who resumed oral intake (95.1% vs 65.0%, P < .01) and ambulated within 24 hours (92.7% vs 58.3%, P < .001). The length of hospital stay was shorter in the ERAS group (5.3 ± 1.2 days vs 6.8 ± 1.5 days, P < .001), and the overall complication rate was lower (12.2% vs 28.3%, P < .05). Pulmonary infection and deep vein thrombosis occurred less frequently in the ERAS group (4.9% vs 12.5%, P < .05 and 2.4% vs 8.3%, P < .05, respectively). On postoperative day 7, psychological health scores were significantly better in the ERAS group (10.2 ± 3.1 vs 14.5 ± 4.2, P < .001). ERAS-based nursing interventions significantly improve postoperative recovery, reduce complications, shorten hospital stays, and enhance psychological well-being in patients with gynecological malignancies. Further research is needed to validate long-term outcomes.
本研究旨在评估基于术后加速康复（ERAS）理念的护理干预措施在妇科恶性肿瘤患者围手术期管理中的有效性。对2023年1月至2024年6月在我院接受妇科恶性肿瘤手术的101例患者进行回顾性分析。采用倾向评分匹配法平衡基线特征，最终ERAS干预组和传统护理组各有41例患者。对显著变量进行逻辑回归分析以控制混杂因素。倾向评分匹配后，ERAS组（59.3±9.1岁）和传统护理组（60.5±8.6岁）的基线年龄无显著差异（P = 0.45）。与传统护理组相比，ERAS组的结局明显更好。ERAS组术后恢复经口进食的患者比例更高（95.1%对65.0%，P < 0.01），24小时内可下地行走的患者比例更高（92.7%对58.3%，P < 0.001）。ERAS组的住院时间更短（5.3±1.2天对6.8±1.5天，P < 0.001），总体并发症发生率更低（12.2%对28.3%，P < 0.05）。ERAS组肺部感染和深静脉血栓形成的发生率更低（分别为4.9%对12.5%，P < 0.05和2.4%对8.3%，P < 0.05）。术后第7天，ERAS组的心理健康评分明显更好（10.2±3.1对14.5±4.2，P < 0.001）。基于ERAS的护理干预措施可显著改善妇科恶性肿瘤患者的术后恢复情况，减少并发症，缩短住院时间，并提高心理健康水平。需要进一步研究以验证长期结局。
