Effects of evidence-based enhanced recovery in surgical nursing in patients undergoing radical gastrectomy for gastric cancer

Objective To explore the application effects of bundle care strategy to enhanced recovery after surgery (ERAS) based on evidence-based nursing practice for patients with gastric cancer during perioperative period. Methods From July 2017 to June 2018, a total of 100 patients undergoing radical gastrectomy in Ningbo First Hospital were selected and divided into control group and observation group according to admission time, with 50 cases in each group. The control group received routine enhanced recovery nursing based on guidelines. Bundles of care was determined and implemented in the observation group based on the embodiment of ERAS after literature review combined with expert consultation. The first anal exhaust time, defecation time, ambulation time, hospitalization days, ADL score on the third day after operation, pain score at 24 and 48 hours after operation, and complications of infection were compared between the two groups. Results The first anal exhaust time, defecation time and ambulation time of the observation group were 66 (53, 78) h, 88 (76, 100) h and 29 (24, 36) h, which were all lower than those of the control group [72 (60, 90) h, 96 (82, 120) h and 36 (24, 48) h] , and the differences were statistically significant (P 0.05) . Conclusions Bundle care strategy of enhanced recovery after surgery for patients with gastric cancer can promote postoperative gastrointestinal function recovery, improve postoperative self-care ability and shorten postoperative hospital stay. Key words: Gastric neoplasms; Perioperative nursing; Enhanced recovery after surgery; Bundles of care; Evidence-based Nursing; Radical gastrectomy