| Objective:This study aims to explore the difference between ERAS management model and traditional nursing model in Da Vinci robot-assisted laparoscopic radical cancer surgery.Based on clinical practice,the clinical comparative analysis between ERAS management model and traditional nursing model was deeply analyzed,so as to better help patients complete the operation and provide theoretical basis for promoting postoperative recovery of patients.Methods:A total of 100 patients with gastrointestinal and urinary cancer who met the inclusion and exclusion criteria were collected from January to November 2022 in a tertiary hospital.Firstly,40 patients from gastrointestinal surgery and 60 patients from urology surgery were included.Then the patients were randomly divided into the experimental group and the control group,with 50 cases in each group.The control group was treated with routine nursing mode,while the experimental group was treated with ERAS professional nursing team to provide high-level treatment,and the patients were treated with perioperative whole course nursing according to the ERAS management mode from admission to discharge.The quality of life,the degree of pain,the length of postoperative hospital stay,the time of catheter removal,the incidence of postoperative complications and nursing satisfaction were used as evaluation indicators to measure the therapeutic effect.SPSS 25.0 was used for precise statistical analysis of the data.Results:The sample size of this study was 50 patients in each group,with a total of100 patients.During the study,2 patients with missing key information,1 patient who withdrew from the study,and 1 patient who was converted to laparotomy were excluded.Finally,48 patients in the control group and 48 patients in the experimental group were included in the results analysis,with a total of 96 patients.⑴The chi-square test was used to analyze the general information of all subjects before the intervention,and the results showed that there were no significant differences between the two groups(P > 0.05),which were comparable.⑵There were no significant differences in the scores of EORTC QLQ-C30 scale between the two groups by using nonparametric rank sum test.There were no significant differences in the scores of each functional subscale,symptom subscale,overall health score,and six individual measures on the first day of hospitalization(P > 0.05),which were comparable.Compared with the control group,the experimental group had significantly higher scores in the functional subscale and global health score on the day before discharge,and higher scores in the symptom subscale indicated more severe symptoms.There were no significant differences in the three individual measures of constipation,shortness of breath,and financial difficulties(P > 0.05),while the scores of other items in the experimental group were significantly lower than those in the control group(P < 0.05).⑶The VAS scores of the experimental group were significantly lower than those of the control group at 1,3,and 7 days after surgery(P<0.05),with significant differences in time effects,between-group effects,and interaction effects(P<0.05).⑷The postoperative hospital stay did not obey the normal distribution,and the non-parametric rank sum test was used for statistical analysis of the postoperative hospital stay of the two groups.The results showed that compared with the experimental group,the control group had a significantly increased postoperative hospital stay,and the difference was statistically significant(P<0.001).⑸Compared with the experimental group,the control group had significantly longer catheter removal time(P<0.001).⑹The incidence of complications in the control group was significantly higher than that in the experimental group by using chi-square test.The difference was statistically significant(P =0.035).(7)The nursing satisfaction scores followed the normal distribution,and the two groups of patients’ nursing satisfaction were statistically analyzed by t-test.The results showed that the score of the control group was lower than that of the experimental group,and the difference was statistically significant(P<0.001).Conclusion : After research,we believe that ERAS management mode can effectively help Da Vinci robot-assisted laparoscopic cancer patients complete the entire surgical process.This model can improve the quality of life of patients,relieve postoperative pain,reduce the incidence of postoperative complications,shorten the postoperative recovery period,and improve nursing satisfaction,so as to promote the postoperative rehabilitation of patients and provide high-quality nursing services for patients.Therefore,we recommend that this model be extended to clinical use as a clinical practice. |
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