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| Application of evidence recovery after surgery nursing in patients with scoliosis during perioperative period |
| WANG Jing1 WU Qunfang2 ZHANG Peipei3 ZHAO Huili1▲ |
1.Department of Nursing, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China;
2.Spinal Center, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China;
3.Operating Room, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China |
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Abstract Objective To explore the effect of evidence recovery after surgery (ERAS) nursing in patients with scoliosis during perioperative period. Methods A prospective selection of 74 patients with scoliosis who underwent surgical treatment at Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from January 2019 to June 2020 were divided into control group and observation group by random number table method, with 37 cases in each group. The control group used conventional ERAS nursing, and the observation group used evidence-based ERAS nursing. The related indicators of postoperative recovery were compared between the two groups; the visual analogue scoring method (VAS) was used to assess the pain levels of the two groups at 6, 12, 24 h and 48 h after surgery; the incidence of complications during the postoperative hospital stay was compared between the two groups. Results The time of drainage, drainage tube removal, first anal exhaust and postoperative hospitalization in the observation group were lower than those in the control group, and the differences were statistically significant (P ＜ 0.05). The difference between the two groups in VAS scores at different time points, time and interaction between groups were statistically significant (P ＜ 0.05). The VAS scores of the two groups at 12, 24 h, and 48 h after surgery were lower than that at 6 h after surgery, and the VAS scores of the observation group were lower than those of the control group at all time points, and the differences were statistically significant (P ＜ 0.05). There was no statistically significant difference in the total incidence of complications between the two groups (P ＞ 0.05). Conclusion The implementation of evidence-based ERAS nursing intervention for scoliosis patients during perioperative period is more conducive to promote postoperative recovery and reduce postoperative pain of patients than conventional ERAS nursing.
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