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  4. Vol 5, Issue 5, 2024

Influence of an ERAS-Based Nursing Approach on Postoperative Recovery and Deep Vein Thrombosis Incidence after Femoral Fracture Repair

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DOI: 10.23977/medsc.2024.050523 | Downloads: 13 | Views: 513

Author(s)

Cheng Hongyu 1

Affiliation(s)

1 Shanxi Bethune Hospital (Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital), Taiyuan, Shanxi, China

Corresponding Author

Cheng Hongyu

ABSTRACT

This study aimed to evaluate the effects of Enhanced Recovery After Surgery (ERAS)-based nursing on postoperative recovery, deep vein thrombosis (DVT) incidence, pain levels, anxiety, and patient satisfaction in patients undergoing femoral fracture surgery. A total of 68 patients with femoral fractures were equally assigned to either a control group receiving conventional care or an observation group undergoing ERAS-based nursing interventions. Key outcome measures included time to first ambulation, wound healing time, length of hospital stay, incidence of DVT, Functional Independence Measure (FIM) score, Harris Hip Score, Visual Analogue Scale (VAS) for pain, Hamilton Anxiety Scale (HAMA), and overall nursing satisfaction. All patients were followed up for six months after discharge. Compared with the control group, patients in the observation group showed significantly shorter ambulation and wound-healing times, as well as reduced length of hospital stay (p<0.05). They also had higher FIM and Harris Hip Scores, lower VAS and HAMA scores, and a markedly lower incidence of DVT (p<0.05). In addition, overall nursing satisfaction was notably higher in the observation group (p<0.05). ERAS-based nursing interventions effectively enhance functional recovery in patients undergoing femoral fracture surgery, shorten hospital stays, reduce DVT incidence, alleviate postoperative pain, and improve psychological status. These benefits collectively result in higher patient satisfaction, supporting wider clinical application of ERAS-based nursing strategies in orthopedic care.

KEYWORDS

Femoral fracture; Enhanced Recovery After Surgery; Postoperative pain; Deep vein thrombosis; Nursing intervention

CITE THIS PAPER

Cheng Hongyu. Influence of an ERAS-Based Nursing Approach on Postoperative Recovery and Deep Vein Thrombosis Incidence after Femoral Fracture Repair. MEDS Clinical Medicine (2024) Vol. 5: 171-178. DOI: http://dx.doi.org/10.23977/medsc.2024.050523.

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