Abstract:
Objective
To evaluate the safety and feasibility of early feeding after operation under general anesthesia for children with urology based on the guidance of enhanced recovery after surgery （ERAS） concept.
Methods
382 children undergoing general anesthesia surgery in the urological department of Shanghai Children's Medical Center Affiliated to Medical College of Shanghai Jiaotong University from January 2022 to February 2022 were selected and divided into the intervention group and the control group.The children after general anesthesia surgery in January 2022 were set as the control group （185 cases）， which were given a routine food feeding program； and the children after general anesthesia surgery in February 2022 were set as the intervention group （197 cases）， which were given a parental participatory early postoperative food feeding program based on the concept of ERAS. The average initial postoperative feeding and taking food time， the incidence of nausea， vomiting and abdominal distension within 24 h， the thirst， hunger and pain score within 6 h after operation and parental satisfaction were compared between the two groups.
Results
In the intervention group， the initial postoperative feeding and taking food time was significantly shorter than that in the control group （P＜0.001）； the scores of thirst， hunger and pain within 6 h after operation were significantly lower than those in the control group（P＜0.001）； the satisfaction of parents was higher than that in the control group （P＜0.001）. There was no significant difference in the incidence of nausea， vomiting and abdominal distension 24 h after operation between two groups （P＞0.05）.
Conclusion
Parental participatory early postoperative food feeding program based on the concept of ERAS is safe and feasible， which can relieve the children's thirst and hunger， reduce their discomfort， and promote their early recovery， promote communication and cooperation between parents and nurses， reduce parents' anxiety， and improve parents' satisfaction.
Key words:
Enhanced recovery after surgery （ERAS）,
Pediatric，urology,
Diet,
Nutrition,
Postoperative
Huiping Gu, Yuqi Cen, Qianping Zhang, Liyan Niu, Min Xu, Yingping Chen, Xiangyu Zou, Sheng Feng. A study on parents' participation in early feeding after surgery in pediatric urology[J]. Chinese Journal of Endourology(Electronic Edition), 2025, 19(01): 53-57.