To construct the Internet+enhanced recovery after surgery(ERAS) information system, explore the application value of this system in ERAS of liver cancer patients and put forward a scientific and efficient regimen for the information management of surgical recovery in hospitals.

Clinical data of 87 patients with liver cancer admitted to the Affiliated Hospital of North Sichuan Medical College from January 2023 to December 2023 were retrospectively analyzed. Among them, 53 patients were male and 34 female, aged (55±8) years on average. This retrospective cohort study has been approved by the ethics committee of the hospital. Patients given with routine nursing intervention from January to June, 2023 were assigned into the routine group, and those receiving Internet+ERAS information system from July to December, 2023 were allocated into the ERAS group. Internet+ERAS information system included three modules: daily measure reminder, clinical decision-making and closed-loop information. The implementation rate, the changes of the length of hospital stay and hospitalization expense, and adverse reactions were compared before and after ERAS nursing care. Patients in the routine and ERAS groups were subject to propensity score matching (PSM) at a ratio of 1∶1. The rates between two groups were compared by Chi-square test. Measurement data were statistically compared by t-test.

31 patients were assigned in either of two groups after PSM. No significant differences were observed in baseline data, such as gender, age, BMI, tumor diameter, Child-Pugh score, TNM classification, family residence and family income (all P>0.05). Health education, intraoperative heat preservation, multi-mode analgesia, early postoperative activities, catheter management, and postoperative eating were 28, 27, 28, 29, 28, and 29 cases in the ERAS group, and 21, 20, 19, 22, 21, and 20 cases in the routine group, respectively. The implementation rate of recovery nursing care in the ERAS group was significantly better than that in the routine group (χ²=4.769, 4.309, 7.123, 3.946, 4.769 and 7.884; all P<0.05). The length of hospital stay and hospitalization expense in the ERAS group were (10.9±1.2) d and (4.0±1.3)×10⁴ yuan, significantly lower than (11.7±1.1) d and (4.7±1.3)×10⁴ yuan in the routine group (t=2.688,2.219; both P<0.05). The incidence of adverse reactions in the ERAS group was 6%(2/31), significantly lower than 26% (8/31) in the routine group (χ²=4.292, P<0.05).

Internet+ERAS information system can improve the implementation rate of postoperative nursing care, shorten the length of hospital stay, lower hospitalization expense and reduce the occurrence of adverse reactions, providing potent guarantee for ERAS of liver cancer patients.