Tang Yan-Hua, Zhang Jie
Department of Gastroenterology, Wuhan Wuchang Hospital, Wuhan 430080, Hubei Province, China.
World J Gastrointest Surg. 2025 Jul 27;17(7):105387. doi: 10.4240/wjgs.v17.i7.105387.
Surgical resection is the primary treatment for gastric cancer, but it often leads to slow recovery, high complications, and poor psychological health. The effectiveness of enhanced recovery after surgery (ERAS) as a new nursing model post-surgery remains uncertain.
To investigate the clinical effect of accelerated recovery nursing program based on multidisciplinary collaboration model in gastric cancer surgery.
A total of 120 patients who underwent radical gastrectomy at our hospital from January 2023 to December 2024 were included in the study. They were divided into two groups of 60 each: The control group, which received routine care, and the study group, which received ERAS based on multidisciplinary collaboration. Both groups received care until discharge. We compared gastrointestinal recovery, psychological status, Short Form 36 Health Survey scores, Pittsburgh Sleep Quality Index, complications, and nursing satisfaction between the two groups.
The study group had significantly shorter defecation time, bowel sound recovery time, and flatus time compared to the control group ( < 0.05). The Hamilton Anxiety Scale and Hamilton Depression Rating Scale scores were also significantly lower in the study group ( < 0.05). Additionally, the study group reported better sleep quality ( < 0.05) and had fewer postoperative complications. Their Short Form 36 Health Survey scores and nursing satisfaction were higher than those of the control group, with all differences being statistically significant ( < 0.05).
The ERAS based on multidisciplinary collaboration in patients undergoing radical gastrectomy can accelerate postoperative recovery, reduce the occurrence of complications, and improve psychological state, quality of life, sleep quality and nursing satisfaction.
手术切除是胃癌的主要治疗方法，但它常常导致恢复缓慢、并发症多以及心理健康状况不佳。术后加速康复（ERAS）作为一种新的术后护理模式，其有效性仍不确定。
探讨基于多学科协作模式的加速康复护理方案在胃癌手术中的临床效果。
选取2023年1月至2024年12月在我院接受根治性胃切除术的120例患者纳入研究。将他们分为两组，每组60例：对照组接受常规护理，研究组接受基于多学科协作的ERAS。两组均接受护理直至出院。比较两组患者的胃肠功能恢复情况、心理状态、36项简明健康调查量表得分、匹兹堡睡眠质量指数、并发症及护理满意度。
与对照组相比，研究组的排便时间、肠鸣音恢复时间和排气时间明显缩短（<0.05）。研究组的汉密尔顿焦虑量表和汉密尔顿抑郁量表得分也显著更低（<0.05）。此外，研究组报告睡眠质量更好（<0.05），术后并发症更少。其36项简明健康调查量表得分和护理满意度高于对照组，所有差异均有统计学意义（<0.05）。
对于接受根治性胃切除术的患者，基于多学科协作的ERAS可加速术后恢复，减少并发症的发生，并改善心理状态、生活质量、睡眠质量及护理满意度。
