Abstract
PurposeTo explore the application effect of fast track surgery (FTS) care combined with continuous care after discharge in patients with laparoscopic cholecystectomy (LC).MethodsTwo hundred patients treated with LC in our hospital from May 2020 to September 2021 were selected and divided into the routine group receiving routine care (n = 100) and the combined group receiving FTS care combined with continuous care after discharge (n = 100) according to their care methods. We observed the care effect, surgical stress levels [epinephrine, cortisol, Hamilton anxiety scale (HAMA)], postoperative recovery (time to first exhaust, time to first meal, time to first getting out of bed, time to hospitalization), complications, SF-36 scores after discharge, and care satisfaction in both groups.ResultsThe total efficiency of care in the combined group was better than that in the routine group (P < 0.05). At 1 d after surgery, the levels of epinephrine and cortisol in both groups were significantly higher than those at 1 h before surgery, and the HAMA scores were significantly lower than those at 1 h before surgery, and the combined group was lower than the routine group (P < 0.05). The time to first exhaustion, time to first meal, time to first getting out of bed, and time to hospitalization were shorter in the combined group than in the routine group (P < 0.05). The overall complication rate in the combined group was lower than that in the routine group (P < 0.05). The each item of SF-36 scores after discharge were higher in the combined group than in the routine group (P < 0.05). The total satisfaction with care was higher in the combined group than in the routine group (P < 0.05).ConclusionThe implementation of FTS care combined with continuous care after discharge in LC patients is ideal, which can significantly reduce the level of surgical stress, accelerate the recovery process, and reduce the occurrence of complications, and improve the postoperative quality of life of patients significantly, and with high satisfaction, which is worthy of application.
Highlights
With the improvement of material living standard and the change of diet structure, the prevalence of gallbladder disease in China is increasing year by year
At 1 d after surgery, the levels of epinephrine and cortisol in both groups were significantly higher than those at 1 h before surgery, and the Hamilton anxiety scale (HAMA) scores were significantly lower than those at 1 h before surgery, and the combined group was lower than the routine group (P < 0.05) (Figure 2)
fast track surgery (FTS) care combined with continuous care after discharge was applied to laparoscopic cholecystectomy (LC) patients, and the results showed that the total efficiency of care in the combined group was better than that in the routine group (P < 0.05)
Summary
With the improvement of material living standard and the change of diet structure, the prevalence of gallbladder disease in China is increasing year by year. For the intervention of gallbladder disease, the clinical treatment of surgical resection of lesions can benefit every patient, but the perioperative stress associated with surgery inevitably affects the patient’s recovery and is closely related to postoperative complications [3, 4]. How to effectively control surgery-related stress and reduce postoperative complications to accelerate patient recovery has become a hot topic of current research. The fast track surgery (FTS) care concept suggests that the blocking of stress in surgical patients should include preoperative care of the patient’s physical and mental health, care to reduce the stress of therapeutic measures, and care to block afferent nerve conduction stress signals [8, 9].
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