Enhanced recovery after surgery nursing improves blood pressure stability and reduces complications in hypertensive patients undergoing laparoscopic colorectal resection - Observational Study

Q: What is the primary focus of the study in hypertensive patients undergoing laparoscopic colorectal resection?

The study focuses on whether enhanced recovery after surgery (ERAS) nursing improves perioperative blood pressure stability and influences postoperative outcomes, recovery, and quality of life.

Q: How were patients grouped for comparison in this research?

A total of 120 hypertensive patients were retrospectively analyzed and categorized into an ERAS group (n=60) or a conventional care group (n=60) based on perioperative care strategies.

Q: What outcomes showed significant advantages for the ERAS nursing group?

Compared with conventional care, ERAS nursing showed more stable postoperative blood pressure, higher target blood pressure achievement at 72 hours, fewer complications, shorter hospital stay, earlier ambulation, and lower analgesic use within 48 hours, with improved SF-36 scores and nursing satisfaction.

Sep 30, 2026

Uploaded by Mafia Boss

This observational study evaluates how enhanced recovery after surgery (ERAS) nursing affects perioperative blood pressure stability, postoperative outcomes, and quality of life in hypertensive patients undergoing laparoscopic colorectal cancer resection. Clinical data from 120 patients (January 2022–December 2023) were retrospectively analyzed, with patients assigned to ERAS (n=60) or conventional care (n=60). ERAS nursing produced more stable postoperative blood pressure at 24, 48, and 72 hours, fewer complications (10.0% vs 33.3%), shorter hospitalization, earlier ambulation, and reduced analgesic use. ERAS also improved SF-36 and nursing satisfaction, and multivariate analysis identified ERAS as an independent protective factor against complications.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages7

Reading Time18 min

AccessFree to download

Introduction

Rationale and clinical context

ERAS concept and multimodal interventions

Gap in evidence for hypertensive laparoscopic colorectal surgery

Methods

Study design and patient selection

Grouping and perioperative care strategies

Outcome measures and statistical analysis

Results

Blood pressure stability and target achievement

Complications and recovery indicators

Quality of life and nursing satisfaction

Predictor analysis

Discussion

Clinical implications of ERAS nursing

Conclusion

® Observational Study Enhanced recovery after surgery nursing improves blood pressure stability and reduces complications in hypertensive patients undergoing laparoscopic colorectal resection Liyan Xia, MBa , Yang Chi, MMb ,* | Abstract
This study aimed to investigate the impact of enhanced recovery after surgery (ERAS) nursing on perioperative blood pressure stability, postoperative outcomes, and quality of life in hypertensive patients undergoing laparoscopic colorectal cancer resection. Clinical data from 120 hypertensive patients who underwent laparoscopic colorectal cancer surgery between January 2022 and December 2023 were retrospectively analyzed. According to perioperative care strategies, patients were categorized into the ERAS group (n = 60) or the conventional care group (n = 60) . Perioperative blood pressure control, complication rates, recovery indicators, quality of life (Short Form-36), and nursing satisfaction were compared. Logistic regression analysis was performed to identify predictors of postoperative complications. Patients receiving ERAS nursing showed more stable postoperative blood pressure at 24, 48, and 72 hours, with a higher achievement rate of target blood pressure at 72 hours (88 .3% vs 73.3%, P = .044) . The ERAS group also experienced fewer complications (10 .0% vs 33 .3%, P = .001), shorter hospital stay (7 .45 ± 1.21 vs 9.23 ± 1.64 days, P < .001), earlier ambulation (25 .54 ± 5.12 vs 32.34 ± 6.10 hours, P < .001), and lower analgesic use within 48 hours (52 .35 ± 10.45 vs 65.46 ± 12.33 mg, P < .001) . Furthermore, their Short Form-36 scores and satisfaction levels were significantly higher (P < .05) . Multivariate analysis identified ERAS nursing as an independent protective factor against complications (odds ratio = 0.387, P = .002), whereas older age increased risk (odds ratio = 1.53, P = .041) . ERAS nursing promotes perioperative hemodynamic stability, reduces complications, accelerates recovery, and improves quality of life in hypertensive patients undergoing laparoscopic colorectal cancer surgery. It represents a safe and effective perioperative care model deserving wider clinical implementation. | | --- | | Abbreviations: BMI = body mass index, ERAS = enhanced recovery after surgery, OR = odds ratio, SF-36 = Short Form-36 health survey. | | Keywords: colorectal cancer, ERAS nursing, hypertension, laparoscopy | 1. Introduction In recent years, colorectal cancer has emerged as one of the most common malignancies worldwide, characterized by high morbidity and mortality. According to global cancer statistics, colorectal cancer ranks among the top 5 causes of cancerrelated death in China, with its incidence continuously rising annually.[1,2] Laparoscopic colorectal resection has been widely adopted clinically due to its advantages of minimal invasiveness, rapid postoperative recovery, and fewer complications. [3,4] However, perioperative blood pressure fluctuations and comorbid hypertension remain significant factors impacting postoperative recovery and clinical prognosis.[5] Poor perioperative blood pressure management has been associated with increased risks of cardiovascular events, anastomotic leakage, prolonged hospitalization, and compromised patient quality of life.[6,7] Therefore, optimizing perioperative nursing strategies for hypertensive patients undergoing colorectal cancer surgery has become an urgent clinical challenge. The concept of enhanced recovery after surgery (ERAS), initially proposed by Professor Kehlet, emphasizes the implementation of multimodal interventions such as preoperative patient education, minimally invasive surgical techniques, optimal pain management, and early feeding and mobilization. These measures significantly reduce surgical stress and accelerate postoperative recovery.[8] In recent years, ERAS protocols have demonstrated marked effectiveness in gastrointestinal surgery, not only shortening hospital stays but also lowering T

FAQs

What is the primary focus of the study in hypertensive patients undergoing laparoscopic colorectal resection?

The study focuses on whether enhanced recovery after surgery (ERAS) nursing improves perioperative blood pressure stability and influences postoperative outcomes, recovery, and quality of life.

How were patients grouped for comparison in this research?

A total of 120 hypertensive patients were retrospectively analyzed and categorized into an ERAS group (n=60) or a conventional care group (n=60) based on perioperative care strategies.

What outcomes showed significant advantages for the ERAS nursing group?

Compared with conventional care, ERAS nursing showed more stable postoperative blood pressure, higher target blood pressure achievement at 72 hours, fewer complications, shorter hospital stay, earlier ambulation, and lower analgesic use within 48 hours, with improved SF-36 scores and nursing satisfaction.

Sep 30, 2026

Uploaded by Mafia Boss