全部 标题 作者
关键词 摘要


Analysis of Enhanced Recovery after Surgery Applications in Patients Who Received Surgical Intervention

DOI: 10.4236/oalib.1102010, PP. 1-8

Subject Areas: Nursing

Keywords: Accelerated Recovery Programs, Enhanced Recovery after Surgery, Fast Track Surgery, Nursing Care, Postoperative Care

Full-Text   Cite this paper   Add to My Lib

Abstract

Background & Objectives: Accelerated recovery approaches decrease the stress response, improve the functions of organs and thus shorten the recovery process postoperatively. Nurses, as a member of health care team, have the key role in these applications. This research was carried out with the aim of analyzing the ERAS methods which applied to the patients in surgical clinics. Method: A cross-sectional descriptive study was conducted in 2013 to include 194 patients who underwent a surgical intervention. Data were collected using a researcher-made questionnaire and statistically evaluated using percentage, chi-square test and correlation analysis. Results: It was found that almost all of the patients got information about operation in preoperative period. According to our study, mostly general anesthesia was applied (87.6% of the patients); fasting durations (27.3 ± 20.2 hr for liquid and 38.2 ± 22.8 hr for solid food) and first mobilization durations (33.6 ± 19.5 hr) were long and approximately in half of the patients total pain control couldn’t be achieved. It was detected that intravenous catheters were often used whereas urinary catheter or nasogastric tube was rarely used. As the first mobilization time extended, length of stay in the hospital prolonged postoperatively. Conclusion: Based on the study findings, it was concluded that ERAS programs were applied partially.

Cite this paper

Rizalar, S. and Topcu, S. Y. (2015). Analysis of Enhanced Recovery after Surgery Applications in Patients Who Received Surgical Intervention. Open Access Library Journal, 2, e2010. doi: http://dx.doi.org/10.4236/oalib.1102010.

References

[1]  Wilmore, W.D., Sawyer, F. and Kehlet, H. (2001) Management of Patients in Fast Track Surgery. British Medical Journal, 24, 473-476.
http://dx.doi.org/10.1136/bmj.322.7284.473
[2]  Pasero, C. and Belden, J. (2006) Evidence-Based Perianesthesia Care: Accelerated Postoperative Recovery Programs. Journal of Perianesthesia Nursing, 21, 168-176.
http://dx.doi.org/10.1016/j.jopan.2006.03.010
[3]  Mitchel, M. (2011) The Future of Surgical Nursing and Enhanced Recovery Programmes. British Journal of Nursing, 20, 978-984.
http://dx.doi.org/10.12968/bjon.2011.20.16.978
[4]  Kumar, A., Scholefield, J.H., Andersen, J. and Armitage, N.C. (2006) Fast Track Surgery. In: Johnson, C. and Taylor, I., Eds., Recent Advances in Surgery, Vol. 29, Ch. 5, RSM Press, London, 59-74.
[5]  Kehlet, H. and Dahl, J.B. (2003) Anaesthesia, Surgery, and Challenges in Postoperative Recovery. Lancet, 362, 1921- 1928.
http://dx.doi.org/10.1016/S0140-6736(03)14966-5
[6]  Sturm, L. and Cameron, A.L. (2009) Fast-Track Surgery and Enhanced Recovery after Surgery (ERAS) Programs. ASERNIP-S Report No. 74.
http://www.surgeons.org/media/299206/RPT_2009-12-09_Enhanced
_Patient_Recovery_Programs.pdf

[7]  Kehlet, K. and Wilmore, D.W. (2008) Evidence-Based Surgical Care and the Evolution of Fast-Track Surgery. Annals of Surgery, 248, 189-198.
http://dx.doi.org/10.1097/SLA.0b013e31817f2c1a
[8]  Kuzma, J. (2008) Randomized Clinical Trial to Compare the Length of Hospital Stay and Morbidity for Early Feeding with Opioid-Sparing Analgesia Versus Traditional Care after Open Appendectomy. Clinical Nutrition, 27, 694-699.
http://dx.doi.org/10.1016/j.clnu.2008.07.004
[9]  Reismann, M., Mirja von Kampen, M.V., Laupichler, B., Suempelmann, R., Annika, I., Schmidt, A.I. and Ure, B.M. (2007) Fast-Track Surgery in Infants and Children. Journal of Pediatric Surgery, 42, 234-238.
http://dx.doi.org/10.1016/j.jpedsurg.2006.09.022
[10]  Terzioglu, F., Simsek, S., Karaca, K., Sariince, N., Altunsoy, P. and Salman, M.C. (2013) Multimodal Interventions (Chewing Gum, Early Oral Hydration and Early Mobilisation) on the Intestinal Motility Following Abdominal Gynaecologic Surgery. Journal of Clinical Nursing, 22, 9-10.
http://dx.doi.org/10.1111/jocn.12172
[11]  Harlak, A., Gündogdu, H., Ersoy, E. and Erkek, B. (2008) Perspectives of the Surgeons in Ankara on the Post-Operative Enhanced Recovery (ERAS Protocol) Applications. Turkish Journal of Surgery, 24, 182-188.
[12]  Cecen, D., Koca Kutlu, A. and Yilmaz, E. (2009) Analysis of the Surgical Patients’ Hunger Situations in the Pre- Operative Period. In: Yavuz, M., Ozbayir, T., Demir Korkmaz, F. and Kaymakci, S., Eds., Turkish Surgical and Operating Room Nursing Congress, Congress Book, Kusadasi, 178-179.
[13]  Ersoy, E. and Gündogdu, H. (2005) Changing Theories in Post-Operative Hunger. Turkish Journal of Surgery, 21, 96- 101.
[14]  Kitching, A.J. and O’Neill, S. (2009) Fast-Track Surgery and Anaesthesia. Continuing Education in Anaesthesia. Critical Care & Pain, 9, 39-43.
http://dx.doi.org/10.1093/bjaceaccp/mkp006
[15]  Resolution ReSAP (2003) On Food and Nutritional Care in Hospitals (Adopted by the Committee of Ministers on 12 November 2003 at the 860th Meeting of the Ministers’ Deputies).
https://wcm.coe.int/ViewDoc.jzp?id=85747&Lang=en  
[16]  Dolgun, E., Tasdemir, N., Ter, N. and Yavuz, M. (2011) Analysis of the Surgical Patient’s Hunger Durations before the Operation. Firat University Medical Journal of Health Sciences Science Journal, 25, 11-15.
[17]  (2005) Perioperative Fasting in Adults and Children.
http://www.rcn.org.uk/__data/assets/pdf_file/0009/78678/002800.pdf 
[18]  Lewis, S.J., Egger, M., Sylvester, P.A. and Thomas, S. (2001) Early Enteral Feeding versus “Nil by Mouth” after Gastrointestinal Surgery: Systematic Review and Meta-Analysis of Controlled Trials. British Medical Journal, 323, 773-776.
http://dx.doi.org/10.1136/bmj.323.7316.773
[19]  Recel, J.R. and Segui, R.D. (2014) Early Oral Feeding after Appendectomy: A Prospective Study—Region I Medical Center.
http://r1mc.doh.gov.ph/index.php/component /content/article/99
[20]  Schulman, A.S. and Sawyer, R.G. (2005) Have You Passed Gas Yet? Time for a New Approach to Feeding Patients Postoperatively. Practical Gastroenterology Trition Issues in Gastroenterology, 32, 82.

Full-Text


comments powered by Disqus