Impact of Multidimensional Comprehensive Nursing Based on ERAS Principles on Early Mobilization and Recovery Outcomes in Postoperative Patients with Laparoscopic Colorectal Cancer

Abstract

Objective: To improve the early ambulation compliance rate in postoperative patients with laparoscopic colorectal cancer and evaluate the clinical recovery effects of a multidimensional comprehensive nursing intervention program based on Enhanced Recovery After Surgery (ERAS) principles. Methods: Patients undergoing laparoscopic colorectal cancer surgery in Ward 1 of the Oncology Surgery Department at Jingzhou First People’s Hospital were selected as the study subjects. The pre-intervention group consisted of 33 cases from October to December 2024 (routine nursing), while the post-intervention group included 62 cases from January to December 2025 (multidimensional comprehensive nursing). The PDCA cycle and fishbone diagram analysis were used to identify barriers to early ambulation. Comprehensive nursing interventions were implemented in areas such as pipeline management, multimodal analgesia (integrating traditional Chinese and Western medicine), interventions for activity intolerance, and standardization of functional exercises. Indicators, including early ambulation compliance rate, postoperative pain, nausea and vomiting, and patient satisfaction, were compared between the two groups. Results: After the intervention, the early ambulation compliance rate increased from 30.3% to 48.4% (P = 0.022); the incidence of postoperative acute pain decreased from 69.7% to 13.3% (P Conclusion: Multidimensional comprehensive nursing interventions based on the ERAS concept can effectively improve early ambulation compliance in patients undergoing laparoscopic colorectal cancer surgery, reduce postoperative discomfort such as pain, nausea, and vomiting, and enhance patient satisfaction and recovery quality. These interventions have positive significance in promoting postoperative rehabilitation and are worthy of clinical application.