Application of ERAS Model Based on Medical and Nursing Integration in the Perioperative Period of Patients Undergoing Thoracoscopic Esoph-ageal Cancer Resection
Yuan Yuan
Zhu Min
Wu Chuanqin
Abstract：Objective:To explore the effect of enhanced recovery after surgery(ERAS)model based on medical and nursing integration in the perioperative period of patients undergoing thoracoscopic and laparoscopic esophageal cancer resection.Methods:A total of 428 pa-tients who underwent thoracoscopic esophageal cancer resection from February 1,2021 to February 28,2023 were divided into the observa-tion group and the control group of 214 cases each according to the random number table method.The control group received routine nurs-ing intervention,the observation group used the ERAS model based on medical and nursing integration for intervention.Surgery-related in-dicators,fatigue symptoms using the cancer caused fatigue rating(CRF),quality of life instruments for cancer patients-head and neck canc-er(QLICP-HN),nursing satisfaction and incidence of complications were compared between the two groups.Results:After intervention,the postoperative extubation time,total hospitalization time,first postoperative meal time,and postoperative first ambulation time in the observa-tion group were shorter than those in the control group(P<0.05).After intervention,the CRF scores in both groups were shorter than those before intervention(P<0.05),and those in the observation group were lower than those in the control group(P<0.05).After intervention,the QLICP-HN scores in both groups were higher than those before the intervention(P<0.05),and those in the observation group were higher than those in the control group(P<0.05).After intervention,the nursing satisfaction in the observation group was higher than that in the control group(P<0.05),and the incidence of complications was lower than that in the control group(P<0.05).Conclusion:Applica-tion of the ERAS model based on the integration of medical and nursing care in the perioperative care of patients undergoing thoracoscopic and laparoscopic esophageal cancer resection can shorten the patient's postoperative recovery time,reduce cancer-related fatigue,and im-prove the patient's quality of life and nursing satisfaction,and reduce complications.
Keywords：Esophageal cancerThoraco-laparoscopic surgeryEsophageal cancer resectionIntegrated medical careRapid recovery surgery
Publication Date：2024-01-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 5-8 )