Application evidence-based accelerated rehabilitation surgery nursing in the perioperative period of open abdominal gastrointestinal perforation repair: Retrospective analysis

Table 1 Intergroup comparison of baseline demographic and clinical characteristics, n (%)/mean ± SD

Observation items	Observation group (n = 50)	Control group (n = 50)	t/χ2	P value
Demographic data
Age (years)	45.34 ± 12.67	46.21 ± 11.89	0.354	0.724
Gender			0.170	0.680
Male	32 (64.00)	30 (60.00)
Female	18 (36.00)	20 (40.00)
BMI (kg/m2)	21.15 ± 1.42	21.27 ± 1.18	0.460	0.647
Preoperative clinical data
Etiology of perforation			0.229	0.973
Gastroduodenal ulcer perforation	35 (70.00)	33 (66.00)
Colorectal cancer perforation	8 (16.00)	9 (18.00)
Traumatic perforation	4 (8.00)	5 (10.00)
Others	3 (6.00)	3 (6.00)
Time from perforation to surgery (hours)	8.45 ± 2.21	8.56 ± 2.05	0.151	0.881
Preoperative septic shock	7 (14.00)	9 (18.00)	0.298	0.585
Intraoperative conditions
Perforation site			0.105	0.949
Stomach/duodenum	36 (72.00)	35 (70.00)
Jejunum and ileum	5 (10.00)	6 (12.00)
Colon and rectum	9 (18.00)	9 (18.00)
Degree of peritoneal contamination (by SAPS classification)			0.220	0.896
Grade I (mild)	15 (30.00)	13 (26.00)
Grade II (moderate)	25 (50.00)	27 (54.00)
Grade III (severe)	10 (20.00)	10 (20.00)

BMI: Body mass index; SAPS: Simplified Acute Physiology Score.

Table 2 Intergroup comparison of intraoperative indicators and perioperative rehabilitation outcomes, mean ± SD

Group	Time to first postoperative ambulation (hour)	Time to first postoperative flatus (hour)	Time to first postoperative oral liquid diet (hour)	Postoperative length of hospital stay (day)	NRS score on the 3rd postoperative day (points)	Operation duration (minute)	Intraoperative blood loss (mL)
Observation group (n = 50)	12.36 ± 4.15	42.18 ± 10.22	20.54 ± 6.33	7.25 ± 1.86	2.45 ± 0.87	115.34 ± 25.67	85.56 ± 20.12
Control group (n = 50)	26.85 ± 8.74	65.43 ± 15.67	48.72 ± 12.41	10.83 ± 2.95	4.62 ± 1.23	118.45 ± 28.91	88.23 ± 25.44
t	10.590	8.788	14.303	7.259	10.185	0.569	0.582
P value	0.000	0.000	0.000	0.000	0.000	0.571	0.562

NRS: Numerical Rating Scale.

Table 3 Intergroup comparison of postoperative complication rates, n (%)

Group	Incision infection	Peritoneal infection/abscess	Pulmonary infection	Intestinal obstruction	Anastomotic leakage	Total complications
Observation group (n = 50)	3 (6.00)	1 (2.00)	1 (2.00)	1 (2.00)	0 (0.00)	6 (12.00)
Control group (n = 50)	8 (16.00)	5 (10.00)	4 (8.00)	3 (6.00)	1 (2.00)	17 (34.00)
χ2	-	-	-	-	-	6.832
P value	-	-	-	-	-	0.009

Table 4 Intergroup comparison of preoperative and postoperative inflammatory and nutritional parameters, mean ± SD

Indicator	Group	Preoperative	Postoperative day 1	Postoperative day 3	Intragroup F/P value	Intergroup interaction F/P value
WBC (× 109/L)	Observation group	12.35 ± 3.21	13.88 ± 3.75	9.12 ± 2.54	28.76/< 0.001	5.34/0.023
	Control group	12.89 ± 3.54	15.67 ± 4.12	11.45 ± 3.33	18.92/< 0.001	-
CRP (mg/L)	Observation group	25.43 ± 15.67	68.54 ± 22.31	35.21 ± 18.76	67.89/< 0.001	8.91/0.004
	Control group	26.12 ± 16.05	85.79 ± 30.45	52.67 ± 25.43	59.34/< 0.001	-
Serum albumin (g/L)	Observation group	38.45 ± 4.12	32.15 ± 3.78	35.86 ± 3.95	31.45/< 0.001	4.56/0.036
	Control group	37.89 ± 4.33	30.02 ± 4.21	32.45 ± 4.10	25.78/< 0.001	-

WBC: White blood cell; CRP: C-reactive protein.

Table 5 Intergroup comparison of nursing care satisfaction, mean ± SD

Group	Health education	Psychological care	Technical skills	Care environment	Overall subjective evaluation
Observation group (n = 50)	8.14 ± 0.67	8.05 ± 0.75	8.18 ± 0.84	8.07 ± 0.77	8.23 ± 0.76
Control group (n = 50)	7.64 ± 1.15	7.64 ± 1.07	7.53 ± 1.29	7.55 ± 1.24	7.43 ± 1.74
t	2.656	2.219	2.986	2.519	2.979
P value	0.009	0.029	0.004	0.013	0.004