Influence of IDEAS Preoperative Visit Mode on Postoperative Rehabilitation of Patients Undergoing Laparoscopic Cholecystectomy: A Randomized Clinical Trial.

Abstract

Purpose: The IDEAS model was used to investigate and analyze the preoperative visit needs of patients with LC, establish the preoperative visit plan, and confirm the impact of preoperative visit on the rapid postoperative recovery of patients with LC, providing strong evidence for the application and promotion of new forms of preoperative visit.

Design: Randomized controlled clinical trial.

Method: In this study, 176 patients with LC in the Department of Hepatobiliary Surgery of a top-3 hospital in Inner Mongolia from June 2023 to December 2023 were included. The control group (88 routine visits) were enrolled according to the order of admission. The experimental group (88 collaborative routine supervision) using visual analog scale (Visual Analogue Scale/Score, VAS),postoperative rehabilitation related index were analyzed.

Findings: The pain scores of the experimental group at 0, 4, 12, and 24 hours after intervention were lower than those of the control group (P < .01), and there was no significant difference in the time of first feeding and first defecation between the 2 groups (P > .05). The first exhaust, the first getting out of bed and the length of hospital stay in the experimental group were shorter than those in the control group (P < .01), and the complication rate between the 2 groups was not statistically significant (P > .05).

Conclusions: The construction of IDEAS model for preoperative visit plan can achieve pre-emptive analgesia, reduce postoperative pain, promote rapid postoperative recovery of patients, meet the development needs of rapid rehabilitation medical treatment, and provide strong evidence for the application and promotion of new forms of preoperative visit, which has clinical application value.