Abstract
This study aims to investigate the impact of multimodal analgesia (MMA) nursing on postoperative pain management and recovery outcomes in patients undergoing hepatectomy. A retrospective cohort study was conducted involving 120 patients who underwent elective hepatectomy between January 2023 and January 2024. Patients were divided into a conventional analgesia nursing group (n = 60) and a MMA nursing group (n = 60). Postoperative pain intensity (Visual Analogue Scale), analgesic consumption, recovery-related indicators, complication rates, and patient-reported outcomes were compared between groups. Baseline characteristics were comparable between groups (P > .05). Visual Analogue Scale scores at 6, 12, 24, and 48 hours postoperatively were significantly lower in the MMA nursing group (P < .001). The MMA group also demonstrated reduced analgesic consumption, earlier ambulation and bowel-function recovery, shorter hospital stays, and a lower incidence of postoperative complications (P < .05). Patient satisfaction, compliance, and pain-management knowledge were significantly improved. Multimodal analgesia nursing effectively improves postoperative pain control, accelerates recovery, reduces complications, and enhances patient-reported outcomes after hepatectomy, supporting its clinical value within Enhanced Recovery After Surgery-based perioperative care.