Clinical effect of enhanced recovery after surgery based on multidisciplinary collaboration model in postoperative gastric cancer surgery

Abstract

BACKGROUND

Surgical resection is the primary treatment for gastric cancer, but it often leads to slow recovery, high complications, and poor psychological health. The effectiveness of enhanced recovery after surgery (ERAS) as a new nursing model post-surgery remains uncertain.

AIM

To investigate the clinical effect of accelerated recovery nursing program based on multidisciplinary collaboration model in gastric cancer surgery.

METHODS

A total of 120 patients who underwent radical gastrectomy at our hospital from January 2023 to December 2024 were included in the study. They were divided into two groups of 60 each: The control group, which received routine care, and the study group, which received ERAS based on multidisciplinary collaboration. Both groups received care until discharge. We compared gastrointestinal recovery, psychological status, Short Form 36 Health Survey scores, Pittsburgh Sleep Quality Index, complications, and nursing satisfaction between the two groups.

RESULTS

The study group had significantly shorter defecation time, bowel sound recovery time, and flatus time compared to the control group (P < 0.05). The Hamilton Anxiety Scale and Hamilton Depression Rating Scale scores were also significantly lower in the study group (P < 0.05). Additionally, the study group reported better sleep quality (P < 0.05) and had fewer postoperative complications. Their Short Form 36 Health Survey scores and nursing satisfaction were higher than those of the control group, with all differences being statistically significant (P < 0.05).

CONCLUSION

The ERAS based on multidisciplinary collaboration in patients undergoing radical gastrectomy can accelerate postoperative recovery, reduce the occurrence of complications, and improve psychological state, quality of life, sleep quality and nursing satisfaction.

Keywords: Radical gastrectomy for gastric cancer; Multidisciplinary collaboration; Enhanced recovery after surgery; Gastrointestinal function recovery; Quality of life; Nursing satisfaction

Core Tip: This study evaluates the clinical effects of an enhanced recovery after surgery program based on a multidisciplinary collaboration model in gastric cancer patients undergoing radical gastrectomy. A total of 120 patients were divided into a control group receiving routine care and a study group receiving enhanced recovery after surgery. Results showed that the study group had significantly shorter recovery times for defecation, bowel sounds, and flatus, along with lower anxiety and depression scores, improved sleep quality, fewer complications, and higher Short Form 36 Health Survey scores and nursing satisfaction, indicating enhanced postoperative recovery and overall well-being.