Application of enhanced recovery after surgery techniques in gastrointestinal surgery patients

Table 1 Comparison of postoperative outcomes between the enhanced recovery after surgery group and the control group

	ERAS group (n = 53)	Control group (n = 62)	t	P value
Time to first ambulation post-surgery (days)	1.21	3.18	19.64	< 0.05a
Time to first feeding post-surgery (days)	1.65	5.38	19.09	< 0.05a
Duration of abdominal drain placement post-surgery (days)	4.29	5.04	3.67	< 0.05a
Duration of urinary catheter placement post-surgery (days)	1.38	2.28	8.14	< 0.05a
Length of hospital stay post-surgery (days)	6.90	10.28	9.13	< 0.05a
Total hospitalization cost (in ten thousand yuan)	4.6	4.9	4.02	< 0.05a
Readmission rate (%)	1.9	3.2	0.202	0.653

^aP < 0.05.

ERAS: Enhanced recovery after surgery.

Table 2 Comparison of cost-related indicators between the enhanced recovery after surgery group and the control group

	Control group (yuan)	ERAS group (yuan)	Growth (%)
Average cost per hospitalization	49232	46372	-5.81%
Average medical service income per hospitalization	14665.32	15936.72	8.67%
Average surgical cost per hospitalization	9010.35	9613.8	6.70%
Average treatment cost per hospitalization	1986.28	2118.14	6.64%
Average nursing cost per hospitalization	1268.65	1266.68	-0.11%
Average bed fee per hospitalization	920.75	712.65	-22.6%
Average non-medical service income per hospitalization	34369.82	30508.67	-11.23%
Average medication cost per hospitalization	8719.95	6917.35	-20.67%
Average consumable cost per hospitalization	19236.87	17383.43	-9.63%
Average examination cost per hospitalization	2753.63	1955.18	-29.00%
Average laboratory cost per hospitalization	3589.14	3216.62	-10.38%

ERAS: Enhanced recovery after surgery.

Table 3 Comparison of nursing satisfaction between two groups of patients, n (%)

	Very satisfied	Basically satisfied	Dissatisfied	Overall satisfaction
ERAS group (n = 53)	29 (54.72)	21 (39.62)	3 (5.66)	50 (94.34)
Control group (n = 62)	21 (33.87)	27 (43.55)	14 (22.58)	48 (77.42)
χ2				6.494
P value				0.011

ERAS: Enhanced recovery after surgery.

Table 4 Univariate analysis of the awareness of eras among healthcare personnel

	High (n)	Low (n)	χ2/t	P value
Occupation			1.433	0.231
Doctor	9	11
Nurse	6	16
Education			9.091	0.028
Doctor	1	0
Master	10	8
Bachelor	4	14
Junior college	0	5
Working period			12.435	0.001
≥ 10 years	9	8
5-10 years	4	8
≤ 5 years	2	11
ERAS training			8.849	0.003
Yes	11	7
No	4	20
Title			1.167	0.558
Senior	5	7
Intermediate	7	17
Junior	3	3

ERAS: Enhanced recovery after surgery.

Table 5 Survey of barriers to the implementation of enhanced recovery after surgery

Factors	Agree	Neutrality	Disagree
The safety and efficacy of accelerated recovery require further validation	36	4	2
Multidisciplinary collaboration is lacking within the hospital	22	5	15
Implementation is primarily driven by physicians, with other personnel playing supportive roles	16	10	16
Deeply ingrained traditional beliefs causes difficulty for healthcare staff to change their perspectives in the short term	32	5	5
Variability in individual patient conditions complicates the uniform application of accelerated recovery protocols	37	3	2
Concerns on postoperative complications may lead to disputes between patients and healthcare providers	31	10	1
Patients may struggle to effectively understand and cooperate with the accelerated recovery process	26	9	7
Policy support for the advancement of ERAS is insufficient	8	11	23

ERAS: Enhanced recovery after surgery.