To analyze the application value of nursing health education pathway based on the concept of enhanced recovery after surgery (ERAS) in the postoperative recovery of patients underwent laparoscopic hepatocellular carcinoma resection.

A total of 102 patients who underwent laparoscopic hepatectomy in Shanghai Changzheng Hospital from June 2019 to June 2021 were selected and divided into control group (51 cases) and experimental group (51 cases) by random number table method.The control group was given traditional health education during perioperative period, while the experimental group was given nursing health education path based on ERAS concept on the basis of the control group, and both groups were intervened until discharge.The perioperative indicators were compared between the two groups. The scores of anxiety, pain and quality of life before and after intervention, and the scores of nursing satisfaction and treatment compliance after intervention were compared.

The abdominal drainage tube removal time, anal exhaust and defecation time, first feeding time, preoperative preparation time and hospitalization time of the experimental group were(21.94±1.89)hours, (21.31±1.89)hours, (10.26±1.14) hours, (1.58±0.59) hours and(7.57±0.74) hours, respectively, which were shorter than those of the control group〔(25.14±2.33)hours, (23.93±1.94)hours, (15.85±1.73)hours, (1.96±0.64)hours, (9.16±0.84)hours〕. The first ambulation time(32.64±6.73)minutes and the first ambulation distance (81.39±14.29)meters of the observation group were longer than those of the control group〔(22.74±4.83)minutes and(64.26±12.73)meters〕, and the differences were statistically significant (P<0.05). After intervention, the emotional status, physical status, social status, functional health and hepatobiliary specificity scores of the two groups were higher than those before intervention, and the experimental group was higher than the control group, and the differences were statistically significant (P<0.05). The state anxiety, trait anxiety, resting and active Visual Analogue Scale (VAS) scores of the two groups were lower than those before intervention, and the experimental group was lower than the control group, and the differences were statistically significant (P<0.05). After intervention, the nursing satisfaction rate of the experimental group was 96.08% (49/51), which was higher than 78.43% (40/51) of the control group, and the treatment compliance score of the experimental group was (10.84±1.12), which was higher than (7.73±1.73) of the control group, and the differences were statistically significant (P<0.05).

The application of nursing health education pathway based on ERAS concept in patients with laparoscopic liver cancer resection can improve the treatment compliance of patients, relieve their anxiety and pain, and promote the postoperative recovery of patients, improve their nursing satisfaction and quality of life.

Laparoscopic hepatocellular carcinoma resection; Enhanced recovery after surgery; Health education; Anxiety; Hepatobiliary specificity