{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T12:03:25Z","timestamp":1790337805726,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2025,12]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n \n This paper analysed the effects of fast\u2010track surgery (\n FTS<\/jats:styled-content>\n ) care on their clinical indicators and inflammatory factors in patients undergoing hepatobiliary surgery.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Patients were divided into the\n FTS<\/jats:styled-content>\n group (\n n<\/jats:italic>\n \u2009=\u200965, applying\n FTS<\/jats:styled-content>\n care) and control (\n CON<\/jats:styled-content>\n ) group (\n n<\/jats:italic>\n \u2009=\u200965, applying routine care). In both groups, differences in postoperative clinical indicators, including the first times of getting out of bed, exhaust, defecation and feeding, and pain level were compared; 3\u2010day postoperative serum levels of inflammatory factors, including C\u2010reactive protein (\n CRP<\/jats:styled-content>\n ), tumour necrosis factor\u2010\u03b1 (\n TNF<\/jats:styled-content>\n \u2010\u03b1) and interleukin\u20106 (\n IL<\/jats:styled-content>\n \u20106), were examined; 3\u2010day postoperative levels of psychological stress, including the Hamilton anxiety scale (\n HAMA<\/jats:styled-content>\n ) and Hamilton depression scale (\n HAMD<\/jats:styled-content>\n ) were evaluated; postoperative complications were recorded, and the quality of life was evaluated by the 36\u2010item short form health survey (\n SF<\/jats:styled-content>\n \u201036) at 1\u2009month after discharge.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Postoperatively, the\n FTS<\/jats:styled-content>\n group had shorter first times of getting out of bed, exhaust, defecation and feeding, and lower pain levels than the\n CON<\/jats:styled-content>\n group. Serum\n CRP<\/jats:styled-content>\n ,\n TNF<\/jats:styled-content>\n \u2010\u03b1 and\n IL<\/jats:styled-content>\n \u20106 levels were lower in the\n FTS<\/jats:styled-content>\n group than in the\n CON<\/jats:styled-content>\n group.\n HAMA<\/jats:styled-content>\n and\n HAMD<\/jats:styled-content>\n scores were lower in the\n FTS<\/jats:styled-content>\n group than in the\n CON<\/jats:styled-content>\n group. The\n FTS<\/jats:styled-content>\n group presented a lower total complication rate and higher\n SF<\/jats:styled-content>\n \u201036 scores of each item at 1\u2009month after discharge than the\n CON<\/jats:styled-content>\n group (all\n p<\/jats:italic>\n \u2009<\u20090.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n FTS<\/jats:styled-content>\n care applied to hepatobiliary surgery patients can accelerate the recovery of postoperative clinical indicators, reduce the level of inflammation and psychological stress in the body, present fewer postoperative complications and enhance the quality of life.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/scs.70109","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T10:54:31Z","timestamp":1759488871000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Fast\u2010Track Surgery Care in Patients Undergoing Hepatobiliary Surgery and Its Impact on Clinical Indicators and Inflammatory Factors: A Randomised Controlled Trial"],"prefix":"10.1111","volume":"39","author":[{"given":"Liru","family":"Pan","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary Pancreatic Surgery The First Medical Center of Chinese People's Liberation Army General Hospital Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Traditional Chinese Medicine The Sixth Medical Center of Chinese People's Liberation Army General Hospital Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Pancreatic Surgery The First Medical Center of Chinese People's Liberation Army General Hospital Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengmeng","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Pancreatic Surgery The First Medical Center of Chinese People's Liberation Army General Hospital Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Pancreatic Surgery The First Medical Center of Chinese People's Liberation Army General Hospital Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8859-986X","authenticated-orcid":false,"given":"Bing","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Pancreatic Surgery The First Medical Center of Chinese People's Liberation Army General Hospital Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,3]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm-21-1923"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/clinpract13030052"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000656X.2023.2166946"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v16.i10.3155"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.939044"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.62347\/ZMUX1738"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.62713\/aic.3764"},{"issue":"31","key":"e_1_2_13_9_1","article-title":"Fast\u2010Track Surgery\u2014Status and Perspectives","volume":"183","author":"Kehlet H.","year":"2021","journal-title":"Ugeskrift for Laeger"},{"key":"e_1_2_13_10_1","first-page":"107","article-title":"Effectiveness 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