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Chinese Journal of Endourology(Electronic Edition) ›› 2024, Vol. 18 ›› Issue (03): 266-270. doi: 10.3877/cma.j.issn.1674-3253.2024.03.012

• Clinical Research • Previous Articles    

Research on the application of the medical nursing cooperation of enhanced recovery model in the perioperative period of single-hole laparoscopic urinary tract reconstruction

Hui Xia1, Hui Liao1, Yanping Dai1, Junping Wu1, Cheng Yang1, Jianxiong Li1, Cundong Liu1,()   

  1. 1. Department of Urology, the Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China
  • Received:2024-01-26 Online:2024-06-01 Published:2024-05-27
  • Contact: Cundong Liu

Abstract:

Objective

To explore the clinical effect of the medical nursing cooperation of enhanced recovery model in the perioperative period of single port laparoscopic urinary tract reconstruction.

Methods

Fifty patients who underwent single port laparoscopic upper urinary tract reconstruction surgery at the Third Affiliated Hospital of Southern Medical University from January 2021 to January 2022 were selected as the study subjects. They were randomly divided into a control group and an observation group, with 25 cases in each group. The control group patients underwent routine rehabilitation during the perioperative period, while the observation group mainly underwent a perioperative medical nursing cooperation of enhanced recovery model. Evaluate the postoperative recovery, incidence of complications, satisfaction with nursing work, and postoperative quality of life of two groups of patients.

Results

In terms of rehabilitation indicators, the observation group had earlier first time out of bed and anal exhaust time after surgery than the control group (P<0.05); In terms of hospitalization time and expenses, the observation group was better than the control group (P<0.05); There was no statistically significant difference in the incidence of postoperative complications such as urinary tract infection, bleeding, anastomotic fistula, and anastomotic stenosis between the observation group and the control group (P>0.05). The satisfaction level of nursing work and the quality of life score after discharge in the observation group were higher than those in the control group (P<0.05).

Conclusions

Enhanced recovery after surgery can effectively shorten the first time out of bed activity and anal exhaust time of patients undergoing single port laparoscopic upper urinary tract reconstruction surgery during the perioperative period, thereby reducing hospitalization time and costs, increasing patients' confidence in rehabilitation, satisfaction with nursing work, and improving their postoperative quality of life, which is worthy of clinical promotion.

Key words: Enhanced recovery after surgery, Single-port laparoscopy, Upper urinary tract reconstruction, Medical nursing cooperation, Perioperative period

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