Effects of the application of combined plan-do-check-action and  enhanced recovery by nurses on patients undergoing cesarean section

Hua Cai; Ying Wang; Weichun Tang; Yan Lu; Juan Ji; Liping Chen

Effects of the application of combined plan-do-check-action and enhanced recovery by nurses on patients undergoing cesarean section

Hua Cai⁽¹⁾, Ying Wang⁽²⁾, Weichun Tang⁽³⁾, Yan Lu⁽⁴⁾, Juan Ji⁽⁵⁾, Liping Chen⁽⁶⁾,

(1) Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, China
(2) Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, China
(3) Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, China
(4) Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, China
(5) Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, China
(6) Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, China

Corresponding Author

Abstract

This study examined the effects of a combination of plan-do-check-action (PDCA) and enhanced recovery after surgery (ERAS) on patients undergoing cesarean section. One hundred and thirty patients undergoing caesarean section at the Second Affiliated Hospital of Nantong University comprised the study group. They were randomly divided into a control group (CG) and an intervention group (IG). The CG accepted routine management during the perioperative period, while the IG accepted a combination nursing of PDCA and ERAS. Relative to the CG, the IG presented lower visual analogue scale (VAS) scores at 4 h and 72 h after cesarean section, lower self-rating anxiety scale (SAS) scores and self-rating depression scale (SDS) scores, shorter time of anal exhaust, first urination along after leaving bed, lower total incidence rate of complications, and higher satisfaction rate of patients. We conclude that a combination nursing of PDCA and ERAS can alleviate postoperative pain, improve the psychological state, expedite postoperative recovery along with lessen the incidence of complications in patients undergoing cesarean section.

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