Impact of multimodal analgesia nursing on postoperative pain and recovery outcomes after hepatectomy

This study aims to investigate the impact of multimodal analgesia (MMA) nursing on postoperative pain management and recovery outcomes in patients undergoing hepatectomy. A retrospective cohort study was conducted involving 120 patients who underwent elective hepatectomy between January 2023 and January 2024. Patients were divided into a conventional analgesia nursing group (n = 60) and a MMA nursing group (n = 60). Postoperative pain intensity (Visual Analogue Scale), analgesic consumption, recovery-related indicators, complication rates, and patient-reported outcomes were compared between groups. Baseline characteristics were comparable between groups (P > .05). Visual Analogue Scale scores at 6, 12, 24, and 48 hours postoperatively were significantly lower in the MMA nursing group (P < .001). The MMA group also demonstrated reduced analgesic consumption, earlier ambulation and bowel-function recovery, shorter hospital stays, and a lower incidence of postoperative complications (P < .05). Patient satisfaction, compliance, and pain-management knowledge were significantly improved. Multimodal analgesia nursing effectively improves postoperative pain control, accelerates recovery, reduces complications, and enhances patient-reported outcomes after hepatectomy, supporting its clinical value within Enhanced Recovery After Surgery-based perioperative care.