Evaluation of the Kolcaba’s comfort theory combined ERAS care in patients with nasal deformities: study protocol of a randomized controlled trial

Abstract

Background Patients with nasal deformities (ND) in the perioperative period face a multitude of physical and psychological issues. This study aims to develop and assess the efficacy of specialized nursing interventions based on Kolcaba's Comfort Theory in conjunction with Enhanced Recovery After Surgery (KCT-ERAS) tailored for ND patients. Methods and analysis: The research team formulated a nursing intervention protocol through a systematic review of literature and expert consultation. This protocol will be evaluated via a randomized controlled trial. ND patients admitted to a single medical facility within a specific timeframe will be randomly allocated into two groups in a 1:1 ratio. The KCT-ERAS group will receive comprehensive nursing interventions, including preoperative care (environmental preparation, health education, psychological counseling, shared decision-making, dietary management, and adaptation training), intraoperative temperature and fluid management, and postoperative care (early mobilization and feeding, pain management, and specialized nasal nursing). In contrast, the control group will receive standard nursing care. Primary outcomes include the length of hospitalization (LOH), comfort levels, and nursing satisfaction. Secondary outcomes are complications, anxiety levels, sleep quality, specialty quality of life (SQOF), pain intensity, and dry mouth. Discussion This study establishes a scientifically-backed perioperative care protocol for ND patients based on evidence-based medicine. The KCT-ERAS model is expected to enhance recovery outcomes for patients undergoing ND corrective surgery, offering a scientifically-informed, patient-centric nursing approach during the ND perioperative period. Trial registration: It has been approved by China Clinical Trial Registry on December 7, 2023 (No. ChiCTR2300078407).