ArticlePerioperative medicine (London, England)2026
Perioperative meticulous nursing in patients undergoing general anesthesia: a randomized controlled trial.
Article in Perioperative medicine (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveWe aimed to observe the effects of perioperative meticulous nursing in patients with digestive system diseases undergoing general anesthesia.
methodsThis randomized controlled trial included 90 patients with digestive system diseases who underwent surgery under general anesthesia in our hospital from August 2024 to October 2024. Using a random number table, patients were allocated to a control group (n = 45) and an observation group (n = 45). Both groups received anesthesia recovery nursing. The control group received routine perioperative nursing, while the observation group received perioperative meticulous nursing. The quality of anesthesia recovery was evaluated by recording the time to recovery of spontaneous breathing, recovery of consciousness, endotracheal extubation, and full awakening. Core body temperature was measured before anesthesia induction (T0), 30 min after anesthesia induction (T1), at the end of surgery (T2), and 30 min after surgery (T3). Stress indicators, including adrenaline (AD), norepinephrine (NE), and cortisol (Cor), were measured before anesthesia induction and at the time of endotracheal extubation. Psychological status was assessed before nursing intervention (1 day preoperatively) and after intervention (within 24 h postoperatively) using the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS). The incidence of adverse events (nausea and vomiting, hypothermia, shivering, and agitation) and nursing satisfaction were also compared between the two groups.
resultsThe observation group showed significantly shorter times to recovery of spontaneous breathing, recovery of consciousness, endotracheal extubation, and full awakening compared with the control group (all p < 0.05). Core body temperatures at T1, T2, and T3 were lower than those at T0 in both groups, but were significantly higher in the observation group than in the control group (p < 0.05). Serum levels of AD, NE, and Cor at extubation were higher than pre-induction levels in both groups, but were significantly lower in the observation group (p < 0.05). After nursing intervention, SAS and SDS scores decreased in both groups, with significantly lower scores in the observation group (p < 0.05). The incidence of postoperative nausea and vomiting, hypothermia, shivering, and agitation was significantly lower in the observation group (p < 0.05). Nursing satisfaction was significantly higher in the observation group than in the control group (p < 0.05).
conclusionPerioperative meticulous nursing combined with anesthesia recovery nursing can significantly improve the quality and safety of anesthesia recovery in patients with digestive system diseases undergoing general anesthesia surgery, and is beneficial for stabilizing core body temperature and reducing stress responses.
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