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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2024, Vol. 18 ›› Issue (03): 331-335. doi: 10.3877/cma.j.issn.1674-392X.2024.03.019

• Original Article • Previous Articles    

Application of enhanced recovery after surgery concept in perioperative period of inguinal hernia

Zilin Cheng1, Ming Dai1, Jianhua Li1, Liang Ma2,()   

  1. 1. Operating Room, Lianyungang First People's Hospital, Lianyungang, Jiangsu 222000, China
    2. Nursing Department, Lianyungang First People's Hospital, Lianyungang, Jiangsu 222000, China
  • Received:2023-12-28 Online:2024-06-18 Published:2024-06-24
  • Contact: Liang Ma

Abstract:

Objective

To explore the application of the enhanced recovery after surgery (ERAS) concept in the perioperative period of pediatric inguinal hernia.

Methods

A total of 110 children with inguinal hernia undergoing laparoscopic high ligation of the hernia sac in Lianyungang First People's Hospital were enrolled as research subjects between January and October 2021. According to the random number table method, they were divided into groups A (55 cases) and B (55 cases). Group A was given routine perioperative nursing, while group B was additionally given ERAS concept nursing. The perioperative indexes, pain response, treatment compliance, mental health status, parental nursing satisfaction and occurrence of complications were compared between the two groups before and after intervention.

Results

The recovery time of bowel sound, the first eating time, leaving bed time, and hospitalization time in group B were shorter than those in group A (P<0.05). The scores of the FLACC pain degree and mental health scale for children and adolescents (MHS-CA) in group B were lower than those in group A, and the score of the Frankl compliance scale (FCS) was higher than that in group A (P<0.05). The scores of parental nursing satisfaction in group B were significantly higher than those in group A (P<0.05). The total incidence of postoperative complications in group B was lower than that in group A (10.90% vs 25.46%), but the difference was not statistically significant between the two groups (P>0.05).

Conclusion

The nursing intervention based on the ERAS concept can effectively alleviate perioperative pain, improve treatment compliance, mental health status and parental nursing satisfaction in children with inguinal hernia.

Key words: Enhanced recovery after surgery, Nursing, Child, Hernia, inguinal, Perioperative period

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