Impact of an ERAS based nursing program on postoperative recovery in patients undergoing grade IV day surgery: a randomized controlled trial
Abstract Aim Early mobilization (EM) is essential for an Enhanced Recovery After Surgery (ERAS) program. This study aimed to develop and evaluate a specific early postoperative mobilization program for grade IV day surgery patients. Methods Patients who underwent grade IV surgery at our center betwe...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-07-01
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| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-025-03614-8 |
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| Summary: | Abstract Aim Early mobilization (EM) is essential for an Enhanced Recovery After Surgery (ERAS) program. This study aimed to develop and evaluate a specific early postoperative mobilization program for grade IV day surgery patients. Methods Patients who underwent grade IV surgery at our center between January and October 2022 were divided into a control group (N = 96) and an experimental group (N = 95) using random digitization. The control group followed the standard rehabilitation guidelines, whereas the experimental group adhered to a quantitative rehabilitation approach. We compared outcomes such as time to first-in-bed and out-of-bed activities, pain scores at 6 h post-surgery, and at discharge, and overall satisfaction. Results The time to first postoperative in-bed activity and time to first postoperative out-of-bed activity in the experimental group was significantly shorter than that in the control group (P < 0.05). The pain scores at 6 h postoperatively and before discharge were also significantly lower in the experimental group, with statistically significant differences (P < 0.05). No significant differences were observed in adverse events, emotional states, or overall satisfaction. Conclusion Quantitative rehabilitation guidance enhanced early recovery compared with standard protocols and maintained similar safety levels, proving to be an effective method for day surgery patients. Trial registration This study passed review by the Chinese Clinical Trial Registry (Registration No. ChiCTR2400090566) and registration date is October 8th, 2024 ( https://www.chictr.org.cn/ ). |
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| ISSN: | 1472-6955 |