Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2023; 15(9): 1932-1940
Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.1932
Application of multidisciplinary collaborative nursing with family care for enhanced recovery after surgery in children with inguinal hernia
Xiu-Mei Wang, Qiang Hou
Xiu-Mei Wang, Department of Pediatric Surgery, The Second Affiliated Hospital of Shandong First Medical University, Taian 271000, Shandong Province, China
Qiang Hou, Department of Burns, The Second Affiliated Hospital of Shandong First Medical University, Taian 271000, Shandong Province, China
Author contributions: Wang XM were responsible for the research design, conducting the experiments, and data acquisition; Hou Q were responsible for the investigation, data analysis, writing, and revising the manuscript; Both authors contributed to the completion of this paper.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of the Second Affiliated Hospital of Shandong First Medical University.
Informed consent statement: As the study used anonymous and pre-existing data, the requirement for the informed consent from patients was waived.
Conflict-of-interest statement: The authors have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qiang Hou, MM, Doctor, Department of Burns, The Second Affiliated Hospital of Shandong First Medical University, No. 366 Taishan Street, Taian 271000, Shandong Province, China. hqtyfy@163.com
Received: May 9, 2023
Peer-review started: May 9, 2023
First decision: May 25, 2023
Revised: June 30, 2023
Accepted: July 19, 2023
Article in press: July 19, 2023
Published online: September 27, 2023
Processing time: 136 Days and 9 Hours
Abstract
BACKGROUND

Perioperative nursing can reduce the stress reaction and improve the prognosis of children.

AIM

To elucidate the influence of multidisciplinary collaborative nursing for enhanced recovery after surgery (ERAS) with family care in perioperative nursing children with an inguinal hernia and its impact on the prognosis.

METHODS

The data of 100 children with inguinal hernia were retrospectively analyzed. The participants were divided into three groups according to different nursing methods: Groups A (n = 38), B (n = 32), and C (n = 30). Group A received multidisciplinary collaborative ERAS nursing combined with family care nursing; Group B received multidisciplinary collaborative nursing for ERAS; and Group C received routine nursing. The postoperative recovery results of the three groups were compared, including intraoperative blood loss and postoperative feeding time, time of getting out of bed, hospitalization time, and defecation time. Furthermore, the incidence of common complications was also compared between the three groups.

RESULTS

There was less intraoperative blood loss in Groups A and B than in Group C (P < 0.05), and the time of getting out of bed and postoperative hospitalization and defecation times were also decreased in Group C (P < 0.05). There was no significant difference in postoperative feeding time among the three groups (P > 0.05). Each index had no statistical significance between Groups A and B (P > 0.05). The incidence of urinary retention, infection, hematoma, and hernia recurrence in Group A was less than that in Group C (P < 0.05). No significant difference was observed in the overall complication rate between Groups A and B and between Groups B and C (P > 0.05).

CONCLUSION

The application of multidisciplinary collaborative nursing combined with family care in the perioperative care of children with an inguinal hernia for ERAS may promote postoperative rehabilitation for children and reduce the incidence of complications.

Keywords: Multidisciplinary collaborative; Enhanced recovery after surgery; Family care; Perioperative nursing; Prognosis; Postoperative complications

Core Tip: This study integrates the concept of multidisciplinary collaborative enhanced recovery after surgery, and integrates and re-innovates the previous application of rapid rehabilitation surgical nursing. In view of the special status of children, kinship care is very necessary. The purpose of this study was to compare the effects of routine perioperative nursing, multidisciplinary collaborative rapid rehabilitation surgical nursing, and multidisciplinary collaborative rapid rehabilitation surgical nursing combined with kinship care nursing. The results showed that multidisciplinary collaborative rapid rehabilitation surgical nursing combined with kinship care nursing has good nursing effects.