Perioperative care bundle versus conventional perioperative care in pediatric patients undergoing minimally invasive digestive endoscopy
Abstract
Objective: To investigate the effect of perioperative care bundle in pediatric patients undergoing minimally invasive digestive endoscopy.
Methods: This was a retrospective study using clinical records of pediatric patients who underwent minimally invasive digestive endoscopy surgery at Hebei Children’s Hospital from May 2020 to October 2023. Patients were divided into Care bundle group and Conventional care group based on the treatment received and matched for age, gender, and body mass index in 1:1 ratio. Perioperative vital signs, postoperative recovery, incidence of complications, and family members’ satisfaction with nursing care were analyzed.
Results: A total of 98 pediatric patients were included, with 49 patients in each group. After surgery, diastolic blood pressure (DBP), systolic blood pressure (SBP), heart rate (HR), and mean arterial pressure (MAP) of both groups increased compared to preoperative values and were significantly lower in the Care bundle group compared to the Conventional care group (P<0.05). The time for anal exhaust, time for defecation, time to first out-of-bed activity, time to start eating after surgery, and length of hospital stay were shorter in the Care bundle than the Conventional care group (all P<0.05). The incidence of complications in the Care bundle group (4.08%) was lower than the Conventional care group (16.32%) (P<0.05). The overall family members’ satisfaction with the nursing care was considerably higher in the Care bundle group (93.88%) compared to the Conventional care group (81.63%) (P<0.05).
Conclusions: Perioperative care bundle in pediatric patients undergoing minimally invasive digestive endoscopy was shown to be more efficacious than the conventional perioperative care.
doi: https://doi.org/10.12669/pjms.41.2.11369
How to cite this: Wang L, Zheng L, Zhao X, Gong X, Su Z, Gong S. Perioperative care bundle versus conventional perioperative care in pediatric patients undergoing minimally invasive digestive endoscopy. Pak J Med Sci. 2025;41(2):399-403. doi: https://doi.org/10.12669/pjms.41.2.11369
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