The influence of enhanced recovery after surgery nursing on the time to get out of bed and pain score of patients undergoing laparoscopic cholecystectomy
加速康复护理对腹腔镜胆囊切除患者术后下床时间及疼痛评分的影响

摘要

本研究旨在评估加速康复护理（ERAS）对腹腔镜胆囊切除术患者术后康复的影响，特别是对术后下床时间、疼痛评分、住院时长及并发症发生率的改善效果。采用前瞻性随机对照研究，60例腹腔镜胆囊切除术患者随机分为ERAS组与常规护理组，每组30人。ERAS组接受术前教育、优化麻醉、术后早期下床及个性化疼痛管理等干预；对照组实施常规护理。主要观察指标包括术后首次下床时间、疼痛评分、住院时间及并发症发生率。结果显示ERAS组患者术后下床时间显著缩短，疼痛评分较对照组更低，住院时间较对照组明显减少，并发症发生率也较低。结论是ERAS护理模式显著改善了腹腔镜胆囊切除术患者的术后康复效果，能够缩短恢复时间，减轻疼痛、降低并发症、具有重要的临床应用价值。

Abstract

This study aims to evaluate the impact of enhanced Recovery after Surgery (ERAS) care on the postoperative rehabilitation of patients undergoing laparoscopic cholecystectomy, especially the improvement effects on postoperative time to get out of bed, pain score, length of hospital stay, and the incidence of complications. A prospective randomized controlled study was conducted. Sixty patients undergoing laparoscopic cholecystectomy were randomly divided into the ERAS group and the conventional care group, with 30 patients in each group. The ERAS group received interventions such as preoperative education, optimized anesthesia, early postoperative getting out of bed, and personalized pain management; The control group received routine care. The main observation indicators include the time of first getting out of bed after surgery, pain score, length of hospital stay and incidence of complications. The results showed that the postoperative time to get out of bed in the ERAS group was significantly shortened, the pain score was lower than that in the control group, the hospital stay was significantly reduced compared with the control group, and the incidence of complications was also lower. The conclusion is that the ERAS nursing model significantly improves the postoperative rehabilitation effect of patients undergoing laparoscopic cholecystectomy, can shorten the recovery time, relieve pain, reduce complications, and has important clinical application value.