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已发表论文
基于证据的护理实践促进剖宫产术后女性胃肠功能恢复
Authors Lin L, Chen P, Wan T, Xie G, Wang P, Yan X, Li R, Chen W , Zhang W
Received 4 July 2025
Accepted for publication 25 October 2025
Published 12 November 2025 Volume 2025:17 Pages 4399—4408
DOI https://doi.org/10.2147/IJWH.S551653
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Matteo Frigerio
Lin Lin,1,* Peng Chen,1,* Ting Wan,1 Guixiang Xie,1 Peihong Wang,1 Xin Yan,2 Ruimin Li,3 Wei Chen,4 Wen Zhang1
1Department of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China; 2Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China; 3Department of Traditional Chinese Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China; 4Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Wen Zhang, Email 1067732347@qq.com Wei Chen, Email chenwei_xh@hust.edu.cn
Objective: This study aims to help women recover their gastrointestinal function after a cesarean delivery. We will use a nurse-led, evidence-based approach and evaluate how well it works in a clinical setting.
Methods: Using the continuous quality improvement model, evidence was translated into clinical quality audit indicators to develop interventions. These interventions compared the implementation of evidence-based practices before (August - December 2023) and after (March - July 2024) enhancing medical staff’s knowledge. The aim was to improve the execution rate of indicators related to gastrointestinal function recovery. Key variables analyzed included perioperative fasting duration, pain (VAS), anxiety (GAD-7), time to first flatus, and incidences of thirst, hunger, nausea/vomiting, and abdominal distension.
Results: The study incorporated sixteen pieces of evidence and established eighteen review criteria. A comparative analysis conducted before and after the implementation of evidence-based practice revealed a significant increase in the evidence-based assessment score for healthcare professionals regarding the promotion of post-caesarean gastrointestinal function recovery, with scores rising from 57.84 ± 7.50 to 90.00 ± 7.07 points (P < 0.01). Additionally, the execution rate of all eighteen review criteria showed significant improvement (P < 0.05). The time to first anal exhaust was reduced from 32.19 ± 20.48 hours to 20.25 ± 8.14 hours (P < 0.01). Furthermore, the incidence of thirst decreased from 56.41% to 23.81% (χ2 = 35.97, P < 0.01), hunger from 48.72% to 16.67% (χ2 = 38.13, P < 0.01), nausea or vomiting from 35.90% to 11.90% (χ2 = 25.93, P < 0.01), and bloating from 27.56% to 14.29% (χ2 = 8.70, P = 0.003).
Conclusion: The implementation of nurse-led, multidisciplinary evidence-based practice effectively facilitates gastrointestinal recovery and improves postoperative comfort and satisfaction among women following elective caesarean section.
Keywords: elective cesarean delivery, gastrointestinal function, nursing, evidence - based practice
1Department of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China; 2Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China; 3Department of Traditional Chinese Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China; 4Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Wen Zhang, Email 1067732347@qq.com Wei Chen, Email chenwei_xh@hust.edu.cn
Objective: This study aims to help women recover their gastrointestinal function after a cesarean delivery. We will use a nurse-led, evidence-based approach and evaluate how well it works in a clinical setting.
Methods: Using the continuous quality improvement model, evidence was translated into clinical quality audit indicators to develop interventions. These interventions compared the implementation of evidence-based practices before (August - December 2023) and after (March - July 2024) enhancing medical staff’s knowledge. The aim was to improve the execution rate of indicators related to gastrointestinal function recovery. Key variables analyzed included perioperative fasting duration, pain (VAS), anxiety (GAD-7), time to first flatus, and incidences of thirst, hunger, nausea/vomiting, and abdominal distension.
Results: The study incorporated sixteen pieces of evidence and established eighteen review criteria. A comparative analysis conducted before and after the implementation of evidence-based practice revealed a significant increase in the evidence-based assessment score for healthcare professionals regarding the promotion of post-caesarean gastrointestinal function recovery, with scores rising from 57.84 ± 7.50 to 90.00 ± 7.07 points (P < 0.01). Additionally, the execution rate of all eighteen review criteria showed significant improvement (P < 0.05). The time to first anal exhaust was reduced from 32.19 ± 20.48 hours to 20.25 ± 8.14 hours (P < 0.01). Furthermore, the incidence of thirst decreased from 56.41% to 23.81% (χ2 = 35.97, P < 0.01), hunger from 48.72% to 16.67% (χ2 = 38.13, P < 0.01), nausea or vomiting from 35.90% to 11.90% (χ2 = 25.93, P < 0.01), and bloating from 27.56% to 14.29% (χ2 = 8.70, P = 0.003).
Conclusion: The implementation of nurse-led, multidisciplinary evidence-based practice effectively facilitates gastrointestinal recovery and improves postoperative comfort and satisfaction among women following elective caesarean section.
Keywords: elective cesarean delivery, gastrointestinal function, nursing, evidence - based practice