Application of fast-track surgery concept in the perioperative nursing care of andrological patients: A randomized controlled study / 中华男科学杂志

ABSTRACT

<p><b>Objective</b>To evaluate the application of the fast-track surgery (FTS) concept in the nursing care of andrological patients during the perioperative period.</p><p><b>METHODS</b>A total of 200 males to be treated by andrological surgery were included in a control group and another 200 in an observation group, the former received conventional perioperative nursing care, while the latter underwent an FTS nursing care procedure including a variety of proven effective methods to reduce surgical stress and achieve a quick recovery during the perioperative period. Comparisons were made between the two groups of patients in the postoperative enterokinesia time, anal exhaust time, eating time, off-bed time, defecating time, bowel preparation complications, and degree of comfort and satisfaction.</p><p><b>RESULTS</b>Compared with the controls, the patients in the observation group showed significantly earlier postoperative enterokinesia time (［5.8±0.9］ vs ［4.4±1.4］ h, P<0.01), anal exhaust time (［10.8±1.8］ vs ［7.7±2.0］ h, P<0.01), eating time (［12.9±0.7］ vs ［6.3±0.7］ h, P<0.01), off-bed time ［14.3±2.7］ vs ［8.2±1.4］ h, P<0.01), and defecating time (［49.2±2.6］ vs ［39.6±2.5］ h, P<0.01), a lower incidence of bowel preparation complications (P<0.01), and a higher degree of comfort (P<0.01) and satisfaction (［97.5±0.7］% vs ［99.4±+0.3］ %, P<0.01).</p><p><b>CONCLUSIONS</b>The FTS concept can be safely and effectively applied to the perioperative nursing care of andrological patients to achieve a faster recovery and higher degree of comfort and satisfaction postoperatively.</p>