Enhanced recovery after surgery nursing improves blood pressure stability and reduces complications in hypertensive patients undergoing laparoscopic colorectal resection

This study aimed to investigate the impact of enhanced recovery after surgery (ERAS) nursing on perioperative blood pressure stability, postoperative outcomes, and quality of life in hypertensive patients undergoing laparoscopic colorectal cancer resection. Clinical data from 120 hypertensive patients who underwent laparoscopic colorectal cancer surgery between January 2022 and December 2023 were retrospectively analyzed. According to perioperative care strategies, patients were categorized into the ERAS group (n = 60) or the conventional care group (n = 60). Perioperative blood pressure control, complication rates, recovery indicators, quality of life (Short Form-36), and nursing satisfaction were compared. Logistic regression analysis was performed to identify predictors of postoperative complications. Patients receiving ERAS nursing showed more stable postoperative blood pressure at 24, 48, and 72 hours, with a higher achievement rate of target blood pressure at 72 hours (88.3% vs 73.3%, P = .044). The ERAS group also experienced fewer complications (10.0% vs 33.3%, P = .001), shorter hospital stay (7.45 ± 1.21 vs 9.23 ± 1.64 days, P < .001), earlier ambulation (25.54 ± 5.12 vs 32.34 ± 6.10 hours, P < .001), and lower analgesic use within 48 hours (52.35 ± 10.45 vs 65.46 ± 12.33 mg, P < .001). Furthermore, their Short Form-36 scores and satisfaction levels were significantly higher (P < .05). Multivariate analysis identified ERAS nursing as an independent protective factor against complications (odds ratio = 0.387, P = .002), whereas older age increased risk (odds ratio = 1.53, P = .041). ERAS nursing promotes perioperative hemodynamic stability, reduces complications, accelerates recovery, and improves quality of life in hypertensive patients undergoing laparoscopic colorectal cancer surgery. It represents a safe and effective perioperative care model deserving wider clinical implementation.