Objective To explore the impact of an innovative nursing model based on the Enhanced Recovery After Surgery (ERAS) concept and empowerment theory on the quality of postoperative recovery in patients undergoing Single-Incision Laparoscopic Cholecystectomy (SILS). Methods A total of 100 SILS patients were randomly divided into an experimental group (innovative nursing model, n=50) and a control group (conventional nursing, n=50) using a random number table. The innovative nursing model included preoperative psychological counseling and education, intraoperative dynamic analgesia, postoperative early staged rehabilitation, and a complication prevention system, with interventions delivered through a “biological-psychological-behavioral” three-dimensional framework. The two groups were compared in terms of postoperative complication rates (incision infection, deep vein thrombosis, bile leakage, postoperative bleeding), related biomarkers [hemoglobin (Hb) , hematocrit (HCT), Procalcitonin, Bilirubin, Albumin, T helper cell 1/T helper cell 2(Th1/Th2)], recovery time (first ambulation time, intestinal recovery time, length of hospital stay), pain scores (Visual Analog Scale, VAS), anxiety scores (self-rating anxiety scale, SAS) and quality of life (36-item short form hHealth survey, SF-36). Results The incidence of postoperative complications in the experimental group was not significantly different from the control group. At 24 hours postoperatively, the levels of Hb, HCT, albumin and the ratio of Th1/Th2 in the experimental group were significantly higher than those in the control group, while the levels of procalcitonin and bilirubin were significantly lower than those in the control group. The average length of hospital stay in the experimental group was significantly shorter than that in the control group. VAS and SAS scores in the experimental group were significantly lower than those in the control group at 24 hours postoperatively. Additionally, SF-36 scores in the experimental group were significantly better than the control group. Conclusion The innovative nursing model can effectively promote physical function recovery, reduce the risk of complications, and improve treatment experience in SILS patients, making it worthy of clinical promotion.
Key words
single-incision laparoscopic cholecystectomy /
innovative nursing /
dynamic analgesia /
staged rehabilitation /
biomarkers
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