Nursing Measures | Traditional Care Group (n = 73) | ERAS Nursing Model Group (n = 87) |
---|---|---|
Education/Psychological Care | Notification of surgery and distribution of educational materials | Distribution of preoperative educational materials, guidance on use of commode and lung and postoperative exercises; dedicated care, with a focus on psychological support |
Fasting | 12 h for epidural, 8 h for water | 6 h for epidural, 2 h for water, clear fluid 250 mL given 2 h before surgery |
Pain Management | Analgesics as prescribed by the physician on a case-by-case basis | Celecoxib 0.2 g orally twice daily, PCA pump when necessary |
Oxygen Therapy | None | Oxygen administered 3 times daily for 30 min |
Warming Care | Single-layer cotton blanket transportation | Double-layer cotton blanket transportation, intraoperative warming blanket |
Antithrombotic Care | Injection of low molecular weight heparin calcium | Oral rivaroxaban |
Dietary Care | Fluid diet resumed 6 h postoperatively | Clear fluid 250 mL given 2 h postoperatively, fluid diet resumed based on patient’s response, dietitian-guided progression to normal diet |
Functional Exercise | Based on patient’s subjective willingness, nurse-guided activities | Guided gradual exercises according to standardized electronic exercise prescription mode, emphasis on humanistic care, family accompaniment, joint guidance by family |
Sleep Care | Mainly psychological care | Emphasis on sleep quality and duration, daily psychological care, administration of sleeping aids as prescribed when necessary |