Volume 23 Issue 9
Sep.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(9): 1610-1613
ZHU Minli, WANG Lanyun, TANG Shuting. Research on the development and application of a clustered diet and activity nursing program for perioperative cesarean section under the ERAS concept[J]. Chinese Journal of General Practice, 2025, 23(9): 1610-1613. doi: 10.16766/j.cnki.issn.1674-4152.004188
Citation: ZHU Minli, WANG Lanyun, TANG Shuting. Research on the development and application of a clustered diet and activity nursing program for perioperative cesarean section under the ERAS concept[J]. Chinese Journal of General Practice, 2025, 23(9): 1610-1613. doi: 10.16766/j.cnki.issn.1674-4152.004188
shu

Research on the development and application of a clustered diet and activity nursing program for perioperative cesarean section under the ERAS concept

doi: 10.16766/j.cnki.issn.1674-4152.004188

  • Department of Obstetrics, the First Hospital of Bengbu Medical University, Bengbu, Anhui 233004, China

Funds:

 SK2021A0436

 2021byzd246sk

  • Received Date: 2024-11-02
    Available Online: 2025-11-17
    Abstract
  •   Objective  To develop a perioperative clustered dietary activity nursing program under the ERAS concept and to evaluate the clinical effect of this program on women who have had caesarean sections.  Methods  Sixty women undergoing elective caesarean section from December 2023 to February 2024 were selected as the control group and were given regular diet and exercise advice; 60 women undergoing elective caesarean section from March 2024 to May 2024 were selected as the intervention group. The intervention group used a bundled nutritional care plan based on the ERAS concept. Comparison of preoperative fasting time and postoperative water intake time between two groups; preoperative thirst, hunger and fluid replacement rate; incidence of gastrointestinal reactions and aspiration during and after surgery; postoperative urinary catheter removal and time to first getting out of bed, time to flatulence and incidence of abdominal bloating.  Results  The preoperative fasting and water intake times were shorter in the intervention group than in the control group [(8.38±1.02) h vs. (11.96±2.16) h, (3.58±0.70) h vs. (8.76±1.08) h], the incidence of thirst and hunger before surgery was lower than that of the control group, the postoperative water intake time, postoperative urinary catheter removal and first time out of bed were earlier than those of the control group, and the postoperative exertion time was shorter than that of the control group, the incidence of abdominal distension was lower in the intervention group than in the control group, and the differences were statistically significant (P < 0.05); There was no statistically significant difference in the incidence of preoperative fasting time, preoperative fasting time, intraoperative and postoperative nausea, vomiting, and aspiration rates between the two groups (P>0.05).  Conclusion  Based on the concept of accelerated rehabilitation surgery, the bundled nutrition-activity care plan developed for caesarean section in the perioperative period is a safe, feasible and scientific care model. It can shorten the fasting time, the postoperative water intake time, reduce maternal thirst and hunger discomfort, shorten the time of urinary catheter removal, the first time of getting out of bed after surgery, and the time of gas expiration, reduce the occurrence of abdominal distention, and does not increase the incidence of gastrointestinal reactions and aspiration during and after surgery, thus promoting early postoperative recovery.

     

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