Application effect of rapid recovery surgical concept in perioperative nursing of pediatric laparoscopic surgery
快速康复外科理念在儿科腔镜手术围术期护理中的应用效果

摘要

目的 探讨快速康复外科（ERAS）理念在儿科腔镜手术围术期护理中的应用效果，方法 选取2023年1月－2024年1月我院收治的120例行腹腔镜手术的患儿，随机分为对照组（常规护理）和观察组（ERAS理念护理），各60例。比较两组术后恢复指标、并发症发生率及家属满意度。结果 观察组术后首次进食时间（8.5±2.1h）、下床活动时间（12.3±3.2h）、住院时间（5.2±1.1d）均短于对照组（P<0.05）；并发症发生率（5.0%）低于对照组（18.3%）（P<0.05）；家属满意度评分（94.6±4.2）高于对照组（83.7±5.1）（P<0.05）。结论 ERAS理念可加速患儿术后康复，减少并发症，提升护理满意度。

Abstract

Objective This study investigated the application of the Enhanced Recovery After Surgery (ERAS) concept in perioperative nursing for pediatric laparoscopic surgery.
Methods A total of 120 pediatric patients undergoing laparoscopic procedures at our hospital between January 2023 and January 2024 were randomly assigned to a control group (conventional care) and an observation group (ERAS-based care), with 60 cases in each group. Postoperative recovery indicators, complication rates, and patient family satisfaction were compared.
Results The observation group showed shorter initial feeding time (8.5±2.1h), earlier ambulation time (12.3±3.2h), and shorter hospital stays (5.2±1.1d) than the control group (P<0.05). The ERAS-based care group had a lower complication rate (5.0%) compared to the control group (18.3%) (P<0.05), while family satisfaction scores (94.6±4.2) were significantly higher (83.7±5.1) (P<0.05).
Conclusion   The ERAS concept can accelerate postoperative recovery, reduce complications, and improve nursing satisfaction in pediatric patients.