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Fu Zheng Li Qi Tang combined with FOCUS-PDCA model in postoperative rehabilitation of elderly biliary surgery
Liu-Liu Zhou1, Chun-Ling Li2, Jin-Feng Zhang3
1Department of Gastroenterology, Chongming Branch of Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai 202157, China.
Background:
Elderly patients undergoing biliary surgery face high risks of postoperative complications and delayed recovery due to reduced physiological reserve and frequent comorbidities. Effective rehabilitation strategies are urgently needed. Traditional Chinese medicine, such as Fu Zheng Li Qi Tang, may support recovery through multi-targeted regulation, while the find, organize, clarify, understand, select, plan, do, check and act (FOCUS-PDCA) model offers a systematic approach to optimize nursing quality. We hypothesized that combining Fu Zheng Li Qi Tang with the FOCUS-PDCA model would significantly improve postoperative recovery in elderly biliary surgery patients compared to routine care.
Aim:
To evaluate the effect of Fu Zheng Li Qi Tang plus FOCUS-PDCA on postoperative recovery in elderly biliary surgery patients.
Methods:
One hundred and twenty elderly biliary surgery patients (age ≥ 60 years) were randomized into a control group (n = 60) receiving Fu Zheng Li Qi Tang and routine nursing, and an observation group (n = 60) receiving additional FOCUS-PDCA model. Postoperative recovery indicators (time to first flatus, ambulation, hospitalization), Visual Analog Scale pain scores, complications, and nursing satisfaction were compared.
Results:
The duration of postoperative bed rest, time to first flatus, and length of hospital stay in the observational group were all shorter than those in the control group (P < 0.0001). The Visual Analog Scale scores of patients in both groups at all time points after the operation were significantly reduced, and the scores of the observation group at all time points were lower than that of the control group (P < 0.0001). Moreover, the total incidence rate of complications in the patients of the observation group was lower, and the satisfaction with the nursing care was higher (P < 0.05).
Conclusion:
Fu Zheng Li Qi Tang combined with FOCUS-PDCA model accelerates postoperative recovery, relieves pain, reduces complications, and improves nursing satisfaction in elderly biliary surgery patients, demonstrating significant clinical value.
