Application of multi-perspective nursing based on the whole-course ERAS concept during laparoscopic fundoplication in patients with PPI-dependent gastroesophageal reflux disease.

Abstract

Background: To examine the impact of a multi-perspective nursing approach using the whole-course Enhanced Recovery After Surgery concept on laparoscopic fundoplicationoutcomes for patients with proton pump inhibitor-dependent gastroesophageal reflux disease.

Methodology: This study was a randomized controlled trial. 98 proton pump inhibitor -dependent gastroesophageal reflux disease patients who underwent aparoscopic fundoplication in our hospital from Jan 2020 to Dec 2022 were randomly divided into two groups using a random number table. Group A (n=49) received multi-perspective nursing based on the gastroesophageal reflux disease concept in addition to routine nursing intervention, while Group B (n=49) received only routine aparoscopic fundoplication perioperative nursing intervention. The groups were compared in terms of first postoperative anal exhaust time, feeding time, time out of bed, hospital stay, Visual Analogue Scale scores before and after surgery, Hamilton Anxiety Scale and Hamilton Depression Scale scores, nursing satisfaction, and complications.

Results: Group A showed significant improvements in various postoperative outcomes compared to Group B, including shorter anal exhaust time, feeding time, time out of bed, and hospital stay (P<0.05). Group A also had lower VAS pain scores, lower Hamilton Anxiety Scale and Hamilton Depression Scale scores, and higher nursing satisfaction scores than Group B (P<0.05).

Conclusion: Multi-perspective nursing with Enhanced Recovery After Surgery can improve gastroesophageal reflux disease patients' recovery, pain relief, and nursing satisfaction post- aparoscopic fundoplication.