The Clinical Efficacy of Evidence-Based Nursing in Surgery for Lower Extremity Varicose Veins

Abstract This study evaluated clinical efficacy of evidence-based nursing (EBN) care in the management of LEVV after surgery. A prospective non-randomized controlled trial enrolled 60 CEAP C2-C4 patients (2024), allocated to EBN (n = 30) or conventional care (n = 30). The EBN intervention featured: JBI-based preoperative education with animated demonstrations; Hemodynamic-guided stepwise compression therapy; WeChat-delivered rehabilitation addressing ambulation hesitancy. Primary outcomes included perioperative period complications, 3-month Venous Clinical Severity Score (VCSS), and Chronic Venous Insufficiency Quality of Life Questionnaire (CIVIQ). Analyses used SPSS 26.0 with t-tests and chi-square (α = 0.05). The EBN group demonstrated a significant reduction in subcutaneous hematomas (2 vs. 8 cases, P = 0.038), 5-fold lower limb edema incidence (1 vs. 6 cases, P = 0.044), a superior VCSS improvement (5.16 ± 0.85 vs. 7.29 ± 0.69, P = 0.031), a higher CIVIQ scores (79.44 ± 9.54 vs. 70.20 ± 9.46, P = 0.024) and a satisfaction rate (93.3% vs. 70.0%, P = 0.02) as compared to Control group. This study substantiates that evidence-based nursing transcends conventional perioperative care by systematically addressing biomechanical and behavioral of LEVV recovery.