Enhanced recovery after surgery protocol improves compliance and satisfaction in radical axillary bromhidrosis surgery

Objective: This study aimed to investigate the effects of the Enhanced Recovery After Surgery (ERAS) protocol on treatment compliance, psychological distress, and patient satisfaction in individuals undergoing radical surgery for axillary bromhidrosis. Methods: In this randomized controlled trial, 150 patients scheduled for axillary bromhidrosis surgery were allocated to an ERAS group (n = 75) or a conventional care group (n = 75) using a computer-generated randomization sequence. The ERAS protocol included preoperative counseling, optimized fasting, intraoperative anxiety management, and structured postoperative rehabilitation. Outcomes were assessed via treatment compliance rates (defined as the sum of partial compliance [cooperation after prompting] and full compliance [voluntary cooperation]; non-compliance was resistance to treatment), Self-Rating Anxiety/Depression Scales (SAS/SDS), and a validated satisfaction survey. Statistical analysis was performed using SPSS 22.0. Results: The ERAS group exhibited significantly higher total compliance (93.34% vs. 75.00%, P < 0.001) and satisfaction rates (89.33% vs. 79.00%, P = 0.012) compared to the control group. Both groups showed reduced SAS and SDS scores post-intervention (P < 0.05), with greater reductions in the ERAS group (SAS: 51.23 ± 5.26 vs. 58.45 ± 4.28; SDS: 53.44 ± 4.06 vs. 60.37 ± 4.72; P < 0.01). Conclusion: Implementing the ERAS protocol improves patient compliance, alleviates perioperative psychological distress, and enhances satisfaction in axillary bromhidrosis surgery, supporting its integration into clinical practice.