Perioperative ERAS Based Nursing Intervention for Laryngeal Cancer Patients

Study Overview
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Brief Summary
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To explore the effect of perioperative ERAS based nursing model on the hope level and recovery of patients with laryngeal cancer.

Detailed Description
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200 patients who were diagnosed with laryngeal cancer and received total or partial laryngectomy were included. They were allocated into experimental and control group. Patients in experimental group were given ERAS based nursing intervention. Control group were given routine nursing intervention. Compare hope level, postoperative recovery, complication between two groups.

Official Title
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Effect of Perioperative ERAS Based Nursing Intervention on Hope Level of Patients With Laryngeal Cancer

Conditions
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Laryngeal Cancer, Nursing

Intervention / Treatment
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* Other: Routine nursing care
* Other: Perioperative Enhanced Recovery After Surgery (ERAS) Based Nursing Model


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients were confirmed as laryngeal cancer by CT scan. Patients were given total or partial laryngectomy. Exclusion Criteria: Unconscious or psychiatric patients. Patients with distant metastasis or recurrence of cancer Patients with coagulation dysfunction Patients with severe cardiac, hepatic or renal dysfunction.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participants were allocated into two groups randomly.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: control group<br>Routine perioperative nursing intervention | Other: Routine nursing care<br>* routine perioperative nursing intervention, including intensive observation of vital signs, preoperative education, postoperative communication and instruction on diet. NPO after the dinner one day before operation. Patients are instructed to NPO 3 days after surgery and patients should stay on the bed for 3 days. Urinary catheter is always kept for 48 hours or more.<br>|
| Experimental: experimental group<br>Perioperative ERAS Based Nursing Model | Other: Perioperative Enhanced Recovery After Surgery (ERAS) Based Nursing Model<br>* Establish ERAS nursing team and formulate ERAS nursing intervention. Nothing by mouth (NPO) 6 hours before operation and no water 4 hours before operation. Patients are given fluid food 24 hours after surgery. Urinary catheter is removed within 24 hours after surgery and encourage patient to mobile 24 hours after surgery. Give support to pain control and psychological support. Intensive observation of vital signs, preoperative education, postoperative communication and instruction on diet were also given to patients.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hope level | Herth Hope Index which have 12 items. Each item is rated from 1 to 4. Score 1 represents lowest level. Score 4 represents highest level. Total score is 48. | the day before surgery | 
| Hope level | Herth Hope Index which have 12 items. Each item is rated from 1 to 4. Score 1 represents lowest level. Score 4 represents highest level. Total score is 48. | Day 10 after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Ambulation time | record the time of first ambulation | Day 3 after surgery | 
| Level of Pain | Numerical rating scale is a common pain rating scale. The score ranges from 0 to 10. 0 is no pain, 10 is the most severe pain. | Day 3 after surgery | 
| Postoperative complication | incidence of infection, malnutrition and Viscosity of sputum | Day 30 after surgery | 
| Length of stay | the days of hospitalization | Day 30 after surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Laryngeal cancer, enhanced recovery after surgery, hope level