A Development of Enhanced Recovery Program after Colorectal Surgery in the Surgical Department Suratthani Hospital
Keywords:
Enhanced Recovery Program After Surgery, Colorectal Cancer, Complication, Length of StayAbstract
The purpose of this research and development was to development of enhanced recovery program after colorectal surgery in the Surgical Department Suratthani Hospital. The research is divided into 3 phases: Phase 1: studies the care situation for patients who have undergone colorectal cancer surgery by literature review and in-depth interviews with a multidisciplinary team of 6 people. Phase 2: Develop a program to promote recovery after colorectal cancer surgery. By group discussion with a team of professional nurses taking care of 10 patients. Phase 3: evaluated the effectiveness of the Development of Enhanced Recovery Program after Colorectal Surgery in the Surgical Department Suratthani Hospital program by a team of 10 professional nurses after piloting the program with 5 patients and evaluate the appropriateness of the program and tools used in the research, including the main questions in in-depth interviews and focus groups created by the researcher. and apply the Quality Assessment of Guidelines for Research and Evaluation which had a content validity index equal to.88, .80 and .88 respectively. The overall quality score of the program was 6.37 and from testing the program with a group similar to a sample of 10 people, the alpha value was .95. Data were analyzed using descriptive statistics. and content analysis
The results of Phase 1 research found that there are 4 issues in the care of patients undergoing colorectal cancer surgery: there is no clear program to promote postoperative recovery ;Consult with internal medicine and anesthesia only for patients with congenital diseases. Consult a nutritionist and physical therapist only when post-operative complications arise. Phase 2: Develop the program which consists of Nursing activities before admission to the ward Nursing, activities before and after surgery. Phase 3 was assessed by a team of 10 professional nurses from 5 wards in the surgical department using the Quality Assessment of Guidelines for Research and Evaluation It were found that the program was suitable for use at a good level (Mean=6.37, SD=1.41) which providing complete information and demonstration according to the preoperative program would have an effect on increasing the efficiency of the program as well.
References
Almeida, E. P. (2017). Early mobilization programme improves functional capacity after major abdomical cancer surgery:a randomized controlled trial. Britist Journal of Anaesthesia, 900-907.
Bhardwal, N. (2019). Enhanced recovery after surgery. Journal of Anaesthesiology Clinical Pharmacology, unpaged.
Boden, I.,Sullivan, K.,Hackett, C.,Winzer, B.,Lane, R.,McKinnon, M.,& Robertson, l. (2018). ICEAGE(Incidence of Complications following Emergency Abdominal Surgery:Get Exercising):study protocol of a pragmatic, multicentre, randomised controlled trial testing physiotherapy for the prevention of complication and improved physical recovery after emergency abdominal surgery. World Journal of Emergency Surgery,13(29), 1-17.
Calotta, N. A. (2018). Early Ambulation After Colorectal Oncologic Resection with Perineal Reconstruction is Safe and Effective. The American Journal of Surgery, 1-16.
Carmichaei, J. C. (2017, 60 8). Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons and Society of American Gastrointestinal and Endoscopic Surgeons. Diseases of the Colon & Rectal Volume, 761-784.
Elgohary, H. B. (2017). Comparative study between enhanced recovery after surgery and conventional perioperative care in elective colorectal surgery. The Egyptian Journal of Surgery, 137-144.
Fagard, K. W. (2019). A Systematic review of the intervention components,adherence and outcome of enhanced recovery programmes in older patients undergoing elective colorectal surgery. BMC Geriatrics, 1-16.
Grass, F. P. (2018). Feasibility of early postoperative mobilisation after colorectal surgery : A retrospective cohort study. International Journal of Sugery (London,England), 161-166.
Greer, N. L. (2018). Enhanced recovery protocols for adults undergoing colorectal surgery : A Systematic review and Meta-analysis. Diseases of the Colon & Rectum, 1108-18.
Gustafsson, U. O. (2019). Guidelines for Perioperative Care in Elective Colorectal Surgery : Enhanced Recovery After Surgery (ERAS) Society Recommendations :2018. World Journal of Surgery, 659-695.
Holder-Murray, J. E. (2019). Postoperative nausea and vomiting in patients undergoing colorectal surgery within an institutional enhanced recovery after surgery protocol : comparison of two prophylactic antiemetic regimens. Korean Journal of Anesthesiology, 344-350.
Institute for Medical Technology Research and Evaluation, Department of Medical Services,Ministry of Public Health.(2013). Guideline quality assessment tool for research and evaluation. Retrieved from https://www.agreetrust.org/wp- content/uploads/ 2013/09/Thai-AGREE-II.pdf (In Thai)
Joris, J. L. (2018). How to implement an enhanced recovery programme after colorectal surgery? ACTA Chirurgica belgica , 1-5.
Lau, C. S. (2017). Enhanced Recovery After Surgery Programs Improve Patient Outcome and Recovery : A Meta - analysis. World Journal of Surgery, 899-913.
Lohsiriwat, V. (2019). Mosapride Reduces Prolonged Postoperative Ileus after Open Colorectal Surgery in the Setting of Enhanced Recovery after Surgery (ERAS) : A Matched Case-Control Study. Siriraj Medical Journal, 181-188.
Malczak, P.,Pisarska, M.,Piotr, M.,Wysocki, M.,Budzynski, A.,& Pedziwiatr, M. (2017). Enhanced Recovery after Bariatric Surgery: Systematic Review and Meta-Analysis, 226-235.
Medical records agency and cancer database Digital Medical Group National Cancer Institute. (2021). Hospital level cancer registry 2020.Retrieved April 23, 2023, from https://www.nci.go.th/e_book/hosbased_2563/files/main.pdf (In Thai)
Mercedes, C. O. (2019). Implementation of an Enhanced Recovery After Surgery program in elective colorectal surgery:a prospective cohort study. Journal Coloproctology, 249-257.
Office of the Health Promotion Foundation. (2021). Outstanding situation: Cancer is the leading cause of death one. Retrieved on April 23, 2023, from https://www.thaihealthreport.com/th/articles_detail.php?id=38 (In Thai)
Parinya, T., Arun, R., & Darin, L. (2016). Surgery evolves Colon and Rectal Surgery Edition (page 1-17). Bangkok: Bangkok Medical News. (In Thai)
Patil, S. C. (2019). Implementing enhanced recovery pathways to improve surgical outcomes. Journal of Anaesthesiology Clinical Pharmacology, unpaged.
Prapaporn, J., & Aunchalee, C. (2016). Factors predicting the number of hospital stays in elderly patients with gastrointestinal cancer treated with surgery. Journal of Cardiothoracic Nursing, 27(1), 30-42. (In Thai)
Siriphan ,P. (2016). The role of nurses in promoting early ambulation after surgery. Thai Red Cross Nursing Journal, 9(2),14-23. (In Thai)
Sutthajit, L.,Pornprom, M., & Pornchai,O. (2016). Surgery evolves in cancer.Bangkok: Bangkok Medical News. (In Thai)
Thamonwan, Y.,Nirobol, K., & Rungsima, T. (2018). Using clinical guidelines for caring for colorectal patients who undergo abdominal surgery. Journal of Thai Nursing and Midwifery Practice,5(1), 94-111. (In Thai)
Warut, L. (2016). Colorectal cancer. Retrieved on September 5, 2022, from https://mgronline.com/qol/detail/9590000025383 (In Thai)
Winai ,A. (2015). ERAS in cinical practice(Enchanced Recovery After Surgery. Royal College of Surgeons academic article. (In Thai)
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