Chen SS, Gao YM, Yao XF, Zhang QQ, Yang KL, Xia Q, Ding J. Effect of rapid rehabilitation surgical nursing on patients' gastrointestinal function recovery and sleep quality after laparoscopic appendectomy. World J Gastrointest Surg 2025; 17(4): 102681 [DOI: 10.4240/wjgs.v17.i4.102681]
Corresponding Author of This Article
Jing Ding, Department of General Surgery, The Third People's Hospital of Xindu District, No. 468 Chongyiqiao Street, Dafeng Street, Chengdu 610005, Sichuan Province, China. 19136237043@163.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
Shan-Shan Chen, Xiao-Fang Yao, Qi-Qi Zhang, Kai-Long Yang, Jing Ding, Department of General Surgery, The Third People's Hospital of Xindu District, Chengdu 610005, Sichuan Province, China
Yi-Ming Gao, Department of Nursing, The Third People's Hospital of Xindu District, Chengdu 610005, Sichuan Province, China
Qiao Xia, Department of Emergency, The Third People's Hospital of Xindu District, Chengdu 610005, Sichuan Province, China
Co-first authors: Shan-Shan Chen and Yi-Ming Gao.
Author contributions: Chen SS, Gao YM was the guarantor and designed the study; Chen SS participated in the acquisition, analysis, and interpretation of the data, and drafted the initial manuscript; Yao XF, Zhang QQ, Yang KL, Xia Q, Ding J revised the article critically for important intellectual content. Chen SS and Gao YM contributed equally to this work as co-first authors.
Institutional review board statement: The study was reviewed and approved for publication by our Institutional Reviewer.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the Authors have no conflict of interest related to the manuscript.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: The original anonymous dataset is available on request from the corresponding author at 19136237043@163.com.
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: Jing Ding, Department of General Surgery, The Third People's Hospital of Xindu District, No. 468 Chongyiqiao Street, Dafeng Street, Chengdu 610005, Sichuan Province, China. 19136237043@163.com
Received: December 5, 2024 Revised: January 17, 2025 Accepted: February 26, 2025 Published online: April 27, 2025 Processing time: 113 Days and 21.7 Hours
Abstract
BACKGROUND
Appendicitis is a common acute abdominal pain disorder. Laparoscopic appendectomy, a commonly used modality, is associated with less trauma and faster recovery than traditional open appendectomy. However, postoperative recovery remains an important issue that affects rehabilitation quality and surgical results.
AIM
To explore the effects of rapid rehabilitation and surgical nursing care on gastrointestinal function recovery and sleep quality among patients undergoing laparoscopic appendectomy.
METHODS
A total of 120 patients who underwent laparoscopic appendectomy at our hospital between January 2019 and March 2024 and for whom complete clinical data were available were selected. Patients were randomly assigned to two groups (n = 60 each) using the random number table method. The control group received routine nursing care, while the experimental group received rapid rehabilitation surgical nursing care; all patients continued to receive nursing care until discharge. The recovery of gastrointestinal function, length of hospital stay, complications, Pittsburgh sleep quality index, and nursing satisfaction were compared between groups.
RESULTS
Following the implementation of effective nursing measures, the times to bowel sound recovery, first exhaust, first defecation, and first feeding were notably shorter in the study vs control group (P < 0.05). Additionally, the duration of the first postoperative activity and the length of hospital stay were significantly shorter in the study vs control group (P < 0.05). Furthermore, the study group exhibited better sleep quality than the control group (P < 0.05). The postoperative complication rate was significantly lower and the nursing satisfaction rate significantly higher in the study vs control group (P < 0.05).
CONCLUSION
Rapid rehabilitation surgical nursing interventions provided to patients after laparoscopic appendectomy can accelerate their postoperative recovery, reduce the occurrence of complications, and improve their sleep quality and nursing satisfaction.
Core Tip: To explore the effects of rapid rehabilitation surgical nursing on gastrointestinal function recovery and sleep quality in patients undergoing laparoscopic appendectomy. Rapid rehabilitation surgical nursing interventions provided to patients after laparoscopic appendectomy can accelerate their postoperative recovery, reduce the occurrence of complications, and improve their sleep quality and nursing satisfaction.
