International Journal of Nursing Research

Objective To explore the clinical value of nursing intervention under the Faster Recovery After Surgery (FTS) concept and its impact on the incidence of complications in patients undergoing laparoscopic radical nephrectomy for nephrotic cancer. Methods Sixty patients undergoing laparoscopic radical nephrectomy for nephrotic cancer at Taihe Hospital, Shiyan (Affiliated Hospital of Hubei University of Medicine) from January 2023 to December 2024 were selected and randomly divided into a control group (n=30) and an observation group (n=30). The corresponding intervention measures for the two groups were routine perioperative nursing and FTS-based nursing intervention, respectively. Negative emotions, pain levels, recovery progress, complication rate, and quality of life were compared between the two groups. Results After intervention, DASS scores decreased in both groups, with a more significant decrease in the observation group (P < 0.05). The postoperative pain VAS score in the observation group was lower than that in the control group (P < 0.05). The observation group had shorter times for first flatus, first meal, first ambulation, drainage tube placement, and hospital stay than the control group (P < 0.05). The overall complication rate was lower in the observation group (P < 0.05). After intervention, QLQ-C30 functional scores in both groups were higher than before intervention, with a relatively higher score in the observation group than in the control group (P < 0.05). Conclusion Nursing intervention based on the FTS concept can reduce negative emotions in patients undergoing laparoscopic radical nephrectomy for nephrotic cancer, alleviate postoperative pain, and reduce the risk of complications, thereby promoting postoperative recovery and improving patients' quality of life.

Fast-track surgery concept; Nursing intervention; Laparoscopic radical nephrectomy for nephrotic cancer; Perioperative period; Complication rate