Volume 23 Issue 4
Apr.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(4): 704-707
LAI Liya, FAN Xufei, CHEN Jicai, WU Dazhou. Application of the navigation nurse management model based on ERAS concept in the perioperative period of daytime surgery for adult inguinal hernia[J]. Chinese Journal of General Practice, 2025, 23(4): 704-707. doi: 10.16766/j.cnki.issn.1674-4152.003984
Citation: LAI Liya, FAN Xufei, CHEN Jicai, WU Dazhou. Application of the navigation nurse management model based on ERAS concept in the perioperative period of daytime surgery for adult inguinal hernia[J]. Chinese Journal of General Practice, 2025, 23(4): 704-707. doi: 10.16766/j.cnki.issn.1674-4152.003984
shu

Application of the navigation nurse management model based on ERAS concept in the perioperative period of daytime surgery for adult inguinal hernia

doi: 10.16766/j.cnki.issn.1674-4152.003984

  • Department of Hernia and Abdominal Wall Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 LY20H030003

 Y20220112

  • Received Date: 2024-04-16
    Available Online: 2025-06-30
    Abstract
  •   Objective  With the increase of the number of day surgery, the quality of day surgery nursing service is also concerned. Based on the concept of ERAS, this study constructs a pilot nurse management model for adult inguinal hernia surgery during the day, providing reference for the standardized management of day surgery.  Methods  A total of 97 patients with inguinal hernia day surgery in the First Affiliated Hospital of Wenzhou Medical University from January to December 2023 were randomly divided into control group (49 cases) and navigation nurse management group (48 cases). The control group was given routine management of day surgery, and the navigation nurse management group gave navigation nurse management based on ERAS concept. All patients were followed up for 3 months to compare the preoperative preparation and completion, temporary surgical cancellation rate, preoperative waiting time, awareness of disease and surgical knowledge, and nursing satisfaction.  Results  The preoperative preparation defect rate in the navigation nurse management group was 29.17% (14/48), which was lower than the control group [59.18% (29/49), χ2=8.853, P=0.003]. The temporary surgical cancellation rate was 4.17% (2/48), which was lower than 18.37% (9/49) of the control group (χ2=4.863, P=0.027). Preoperative waiting time was (65.22±10.23) min, which was shorter than the control group [(90.34±8.17) min, t=13.377, P < 0.001]. Disease and surgical knowledge awareness score was higher than the control group (P < 0.05). The nursing satisfaction score was higher than the control group (P < 0.05).  Conclusion  The navigation nurse management mode based on ERAS concept is positive for improving preoperative preparation, reducing the temporary cancellation rate, shortening preoperative waiting time, and improving patient awareness and nursing satisfaction.

     

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    • References(18)
  • [1]
    江圣洁, 甘露. 国内外日间手术管理模式的探讨[J]. 中国卫生产业, 2023, 20(10): 220-223.

    JIANG S J, GAN L. Exploration of day surgery management models at home and abroad[J]. China Health Industry, 2023, 20(10): 220-223.
    [2]
    吴新雁, 韩丁, 王煜, 等. 舒适化护理对日间手术儿童术前焦虑和术后早期转归的影响[J]. 中华全科医学, 2022, 20(12): 2156-2159. doi: 10.16766/j.cnki.issn.1674-4152.002792

    WU X Y, HAN D, WANG Y, et al. Effects of comfort nursing on preoperative anxiety and postoperative early outcomes in children undergoing day surgery[J]. Chinese Journal of General Practice, 2022, 20(12): 2156-2159. doi: 10.16766/j.cnki.issn.1674-4152.002792
    [3]
    李思华, 陈武朝, 陆泳卓, 等. 基于激励相容理论的三级综合医院日间手术管理实践[J]. 中华医院管理杂志, 2023, 39(11): 821-825.

    LI S H, CHEN W Z, LU Y Z, et al. Practice of daytime surgery management at a tertiary general hospital based on the incentive compatibility theory[J]. Chinese Journal of Hospital Administration, 2023, 39(11): 821-825.
    [4]
    杨剑, 陈杰, 黄培雯, 等. 导航护士主导的三级质控在胸腔镜肺癌切除术患者加速康复中的应用[J]. 护理学杂志, 2022, 37(16): 12-15.

    YANG J, CHEN J, HUANG P W, et al. Application nurse-navigator-led 3-level quality control inspection in ERAS program for lung cancer patients undergoing thoracoscopic resection[J]. Journal of Nursing Science, 2022, 37(16): 12-15.
    [5]
    BARKER C S, CHUNG C W, MUKHERJEE R, et al. The impact of nurse navigation on timeliness to treatment for benign high-risk breast pathology[J]. Breast Cancer Res Treat, 2023, 202(1): 129-137. doi: 10.1007/s10549-023-07049-0
    [6]
    陈德键, 缪传文, 沈浩, 等. 并存病院前预处置体系在腹股沟疝日间手术中的应用[J]. 中国医院管理, 2022, 42(12): 43-46.

    CHEN D J, MIAO C W, SHEN H, et al. Application of pre-hospital pretreatment system for comorbidities in ambulatory inguinal hernia surgery[J]. Chinese Hospital Management, 2022, 42(12): 43-46.
    [7]
    陈凛, 陈亚进, 董海龙, 等. 加速康复外科中国专家共识及路径管理指南(2018版)[J]. 中国实用外科杂志, 2018, 38(1): 1-20.

    CHEN L, CHEN Y J, DONG H L, et al. Chinese consensus and clinical guidelines for enhanced recovery after surgery (2018 editon)[J]. Chinese Journal of Practical Surgery, 2018, 38(1): 1-20.
    [8]
    中国医师协会外科医师分会疝和腹壁外科学组, 中华医学会外科学分会疝与腹壁外科学组, 全国卫生产业企业管理协会疝和腹壁外科产业及临床研究分会, 等. 腹股沟疝日间手术规范化流程专家共识(2020版)[J]. 中华消化外科杂志, 2020, 19(7): 714-719.

    Hernia and Abdominal Wall Surgery Group of Surgeons Branch of Chinese Medical Doctor Association, Hernia and Abdominal Wall Surgery Group of Surgery Branch of Chinese Medical Association, Hernia and Abdominal Wall Surgery Industry and Clinical Research Branch of National Health Industry Enterprise Management Association, et al. Expert consensus on standard process of ambulatory surgery for inguinal hernia (2020 edition)[J]. Chinese Journal of Digestive Surgery, 2020, 19(7): 714-719.
    [9]
    曹晖, 陈亚进, 顾小萍, 等. 中国加速康复外科临床实践指南(2021版)[J]. 中国实用外科杂志, 2021, 41(9): 961-992.

    CAO H, CHEN Y J, GU X P, et al. Clinical practice guidelines for enhanced recovery after surgery in China (2021 edition)[J]. Chinese Journal of Practical Surgery, 2021, 41(9): 961-992.
    [10]
    肖颜, 陶广华. 择期手术患者术前焦虑状态及其影响因素分析[J]. 护理实践与研究, 2023, 20(1): 37-40.

    XIAO Y, TAO G H. Analysis of preoperative anxiety state and the influencing factors in elective operation patients[J]. Nursing Practice and Research, 2023, 20(1): 37-40.
    [11]
    夏静, 杨小蕾, 郑静静. 脊柱外科日间手术病人术前焦虑状况及影响因素分析[J]. 循证护理, 2023, 9(4): 685-689.

    XIA J, YANG X L, ZHENG J J. Analysis of the status quo and influencing factors of preoperative anxiety in patients undergoing daytime spinal surgery[J]. Chinese Evidence-Based Nursing, 2023, 9(4): 685-689.
    [12]
    李燕, 徐莹, 杨悦来, 等. 口腔颌面日间手术当日取消的原因分析及对策建议[J]. 上海口腔医学, 2023, 32(3): 328-331.

    LI Y, XU Y, YANG Y L, et al. Analysis of reasons and countermeasures for cancellation of oral and maxillofacial day surgery[J]. Shanghai Journal of Stomatology, 2023, 32(3): 328-331.
    [13]
    杨小晓, 马张芳, 刘敬花, 等. 回顾性调查眼科日间手术取消原因及改进措施[J]. 河北医药, 2023, 45(8): 1254-1258.

    YANG X X, MA Z F, LIU J H, et al. A retrospective analysis on the causes of canceling ophthalmic day surgery and improvement measures[J]. Hebei Medical Journal, 2023, 45(8): 1254-1258.
    [14]
    徐鉥, 林洁, 周奂奂. 集中收治分散管理日间手术管理模式在腹腔镜胆囊切除术中的应用[J]. 国际护理学杂志, 2023, 42(10): 1872-1875.

    XU S, LIN J, ZHOU H H. Application of decentralized day operation management mode in laparoscopic cholecystectomy[J]. International Journal of Nursing, 2023, 42(10): 1872-1875.
    [15]
    奚春花, 施东婧, 李芸慧, 等. 非白内障眼科日间手术当日取消率及原因分析[J]. 中华医学杂志, 2022, 102(21): 1608-1613.

    XI C H, SHI D J, LI Y H, et al. Analysis of the incidence and reasons of the same-day cancellation of non-cataract ophthalmic ambulatory surgery[J]. National Medical Journal of China, 2022, 102(21): 1608-1613.
    [16]
    刘茜, 张晗, 辜玉飞, 等. 日间手术临时取消率的Meta分析[J]. 华西医学, 2024, 39(2): 222-228.

    LIU Q, ZHANG H, GU Y F, et al. A meta-analysis of ambulatory surgery cancellation rates[J]. West China Medical Journal, 2024, 39(2): 222-228.
    [17]
    汤莹. 日间手术患者满意度影响因素[J]. 实用临床医学, 2023, 24(5): 95-97.

    TANG Y. Influencing factors of patient satisfaction in day surgery[J]. Practical Clinical Medicine, 2023, 24(5): 95-97.
    [18]
    江宁宁, 吕莉, 王传宝, 等. 老年脊柱手术患者术后护理需求和满意度现况调查及影响因素分析[J]. 中华现代护理杂志, 2023, 29(24): 3333-3338.

    JIANG N N, LYU L, WANG C B, et al. Current status and influencing factors of postoperative nursing needs and satisfaction in elderly patients undergoing spinal surgery[J]. Chinese Journal of Modern Nursing, 2023, 29(24): 3333-3338.
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