The Impact of the ERAS-MDT-Based Nursing Interventions on Postoperative Recovery, Nutritional Status, and Complications in Patients Undergoing Total Laryngectomy for Laryngeal Cancer.

Aims/Background Throat cancer is a common malignant tumor in the head and neck region, with postoperative recovery influenced by various factors. The enhanced recovery after surgery-multidisciplinary team (ERAS-MDT) concept emphasizes the use of multidisciplinary collaboration to optimize preoperative, intraoperative, and postoperative care and treatment, aiming to accelerate patient recovery, reduce complications, and improve treatment outcomes. Therefore, this study aims to explore the impact of the ERAS-MDT-based nursing intervention in postoperative rehabilitation, nutritional status, and complication rates among patients undergoing total resection of laryngeal cancer. Methods This retrospective study recruited 85 of patients who underwent total laryngectomy for laryngeal cancer at the Second Affiliated Hospital of Jiaxing University between April 2020 and February 2024. Among them, 45 patients who received team-based nursing interventions following the ERAS-MDT concept were categorized as the ERAS-MDT group. Another 40 patients who received routine nursing interventions, were randomly included in the conventional group. The study compared nutritional indicators, Patient Health Questionnaire-9 (PHQ-9) scores, Patient-Generated Subjective Global Assessment (PG-SGA) scores, and Generalized Anxiety Disorder-7 (GAD-7) scores before and after nursing intervention. Additionally, gastrointestinal function recovery, total hospitalization costs, patient satisfaction, length of hospital stay, and complication rates were evaluated for both groups. Results There was no statistically significant difference in nutritional status between the two groups before nursing (p > 0.05). The post-nursing hemoglobin, albumin, prealbumin, and total protein levels in the ERAS-MDT group were 125.63 ± 10.77 g/L, 44.14 ± 4.93 g/L, 261.74 ± 28.82 mg/L, and 64.83 ± 5.36 g/L, respectively. In contrast, the post-nursing hemoglobin, albumin, prealbumin, and total protein levels in the conventional group were 114.56 ± 8.96 g/L, 39.01 ± 4.81 g/L, 222.84 ± 26.98 mg/L, and 57.85 ± 5.11 g/L, respectively. All indicators in both groups were higher than before nursing levels, with the ERAS-MDT group exhibiting significantly higher levels than the conventional group (p < 0.05). The time to first mobilization (10.52 ± 2.17 hours), first bowel movement (21.41 ± 4.50 hours), and hospitalization time (11.57 ± 1.91 days) were significantly shorter in the ERAS-MDT group than those in the conventional group (p < 0.05). However, there was no statistically significant difference in total hospitalization costs (p > 0.05). Furthermore, the differences in the PHQ-9, GAD-7, and PG-SGA scores were statistically insignificant between the two groups before nursing (p > 0.05). After nursing, the PHQ-9 score (2.81 ± 0.78), GAD-7 score (6.68 ± 1.05), and PG-SGA score (4.69 ± 1.24) were significantly reduced in the ERAS-MDT group than pre-nursing levels, with the ERAS-MDT group demonstrating substantial decrease than the conventional group (p < 0.05). Moreover, the satisfaction rate was 95.56% (43 cases/45 cases) in the ERAS-MDT group and 80.00% (32 cases/40 cases) in the conventional group. However, the difference was statistically insignificant (p > 0.05). Additionally, the incidence of complications was 8.89% (4 cases/45 cases) in the ERAS-MDT group compared to 17.50% (7 cases/40 cases) in the conventional group, indicating statistically insignificant difference (p > 0.05). Conclusion The ERAS-MDT concept team-based nursing intervention can improve hemoglobin, albumin, prealbumin, and total protein, promote postoperative recovery, and enhance patient satisfaction in those undergoing total laryngectomy for laryngeal cancer.