Effect of Fast-Track Surgery Nursing Intervention Combined with Probiotic Nutrition Therapy on Children During the Peri-Operative Period of Thoracoscopic Lobectomy

Abstract

This study aims to investigate the feasibility and efficacy of fast-track surgery (FTS) nursing intervention and probiotic nutrition therapy in children during the peri-operative period of precise thoracoscopic lobectomy. A retrospective analysis was conducted on a total of 479 children who underwent the surgery at the pediatric department of the West China Hospital, Sichuan University between January 2011 and January 2018. The patients were divided into two groups: the traditional rehabilitation group (A, n = 78) and the rapid rehabilitation group with FTS and probiotic nutrition therapy (B, n = 401). No significant differences were observed in general information and the incidence of postoperative complications (P >0.05). However, the B group had significantly reduced early out-of-bed activity time, early resumption of oral feeding time, intubation duration, and length of hospital stay (P <0.05). Furthermore, patients in the B group had higher nutritional indexes compared to those in the A group. The levels of Bifidobacterium and Lactobacillus in the B group were higher, while the levels of Enterobacterium and Enterococcus were lower than those in the A group. Additionally, the patients and their families in the B group exhibited higher levels of nursing satisfaction (P <0.05). The combination of FTS nursing intervention and probiotic nutrition therapy improved peri-operative outcomes without increasing the incidence of complications. Therefore, our findings support the feasibility, safety, and efficacy of thoracoscopic lobectomy with FTS care in pediatric patients, highlighting its potential as a promising surgical intervention.