Construction and effect evaluation of perioperative nursing model for gastric cancer patients based on enhanced recovery after surgery (ERAS) concept

This study explores the application effect of the nursing model based on the concept of enhanced recovery after surgery (ERAS) in the perioperative period of gastric cancer patients, aiming to optimize the nursing process, accelerate postoperative recovery, and improve the quality of nursing care. A retrospective analysis was conducted on 120 patients who underwent radical gastrectomy for gastric cancer in our hospital from January 2022 to December 2024. The patients were divided into an observation group and a control group, with 60 cases in each group. The control group received the traditional perioperative nursing model, while the observation group received the nursing model based on the ERAS concept. The 2 groups were compared in terms of postoperative hospital stay, incidence of complications, time to first flatus, time to first out-of-bed activity, patient satisfaction, pain score, and psychological score. The observation group had a significantly shorter postoperative hospital stay than the control group (7.2 ± 1.5 days vs 10.5 ± 2.1 days, P < .001). The total incidence of complications was significantly lower in the observation group than in the control group (10.0% vs 26.7%, P = .013). The time to first flatus (24.5 ± 5.2 hours vs 36.8 ± 6.5 hours, P < .001) and the time to first out-of-bed activity (20.3 ± 4.1 hours vs 30.5 ± 5.3 hours, P < .001) were both significantly shorter in the observation group than in the control group. The patient satisfaction score was significantly higher in the observation group than in the control group (92.5 ± 5.6 points vs 80.2 ± 6.8 points, P < .001). The postoperative pain score was significantly lower in the observation group than in the control group, and the psychological score was significantly better in the observation group than in the control group. The nursing model based on the ERAS concept can significantly shorten the postoperative hospital stay of gastric cancer patients, reduce the incidence of postoperative complications, promote the recovery of postoperative gastrointestinal function and the improvement of early mobilization ability, and at the same time, improve patient satisfaction, reduce postoperative pain, and improve psychological status. It has important clinical application value and is worthy of promotion and application in clinical practice.