International Journal of Nursing Research

Objective To investigate the efficacy of the Enhanced Recovery After Surgery (ERAS) nursing model in perioperative care for patients undergoing transsphenoidal pituitary tumor resection. Methods A total of 70 patients who underwent transsphenoidal pituitary tumor resection in our neurosurgery department between March 2024 and March 2025 were enrolled and randomly assigned into an observation group (n=35) and a control group (n=35) using a random number table. The control group received conventional perioperative nursing care, while the observation group was managed with the ERAS nursing protocol. Postoperative recovery indicators, complication rates, nursing satisfaction, and psychological status scores were compared between the two groups. Results Compared with the control group, the observation group demonstrated significantly shorter time to first ambulation, earlier flatus passage, and reduced length of hospital stay (all P<0.05). The overall complication rate in the observation group (8.57%) was significantly lower than that in the control group (28.57%) (P<0.05). Nursing satisfaction, as assessed by the Newcastle Satisfaction with Nursing Scale (NSNS), was significantly higher in the observation group (P<0.05). Furthermore, the observation group exhibited significantly lower scores on the Mishel Uncertainty in Illness Scale (MUIS) and significantly higher scores on the "Confrontive Coping" subscale of the Medical Coping Modes Questionnaire (MCMQ) (both P<0.05). Conclusion The ERAS nursing model effectively promotes postoperative recovery, reduces complications, enhances nursing satisfaction, and improves psychological well-being in patients undergoing transsphenoidal pituitary tumor resection, demonstrating strong potential for clinical application and broader implementation.

Enhanced Recovery After Surgery (ERAS); Transsphenoidal pituitary tumor resection; Perioperative nursing; Complications