Effects of a surgical ward care protocol following open colon surgery as part of an enhanced recovery after surgery programme

Kim, RN BoYeoul; Park, RN SungHee; Park, Kyu-Joo; Ryoo, Sungwoo

doi:10.1111/jocn.13682

Cited by 11 publications

(13 citation statements)

References 30 publications

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“…Some barriers to introduce the program are highlighted, such as the resistance of professionals to change or non-active participation of clients in their own recovery (for various reasons), such as teamwork, effective communication and structures adapted to the population concerned are identified as key to overcoming barriers (16) . We also point out that nurses' knowledge and experience are essential for a system of effective communication in care (17) .…”

Section: Discussionmentioning

confidence: 91%

“…Article A7 provides a comparative study of clients' outcomes before and after ERAS ® introduction and reveals improved outcomes with the inclusion of protocol measures (17) . For the use of protocol measures, all elements of the multidisciplinary team are important; however, nurses have an active role both in training their clients and in directly managing the postoperative period, in several direct interventions they have.…”

Section: Discussionmentioning

confidence: 99%

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Nursing Interventions in the Enhanced Recovery After Surgery®: Scoping Review

2018

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Objective: To identify the Nursing interventions, described in literature, in the ERAS® program. Method: We defined a scoping review based on the recommendations of The Institute Joanna Brigs (JBI) and on research in electronic databases. We chose the studies through flow diagrams "Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)" and presented them in a chart. Results: We found 306 articles published between 2010 and 2018 and included 14 of them. The main results were: the crucial role nurses play throughout the surgical process, which begins at the preoperative nursing consultation; goes to post-operative care, such as early giving food to patients, effective management of pain or early mobilization; and ends in telephone follow-up. Conclusion: The introduction of the surgical program ERAS® may be an opportunity for nurses to play a more influential role in the surgical path, directly involving with their clients' results.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Nursing Interventions in the Enhanced Recovery After Surgery®: Scoping Review

2018

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“…The latter was assessed within an RCT study design. Similarly, participants who took part in an education‐focused ward protocol regained bowel function quicker (time to first soft diet 55.0 vs 66.7 h; P = 0.013) and had a shorter length of hospital stay (4.9 vs 5.5 days; P = 0.039) [18]. When a person‐centred communication approach was used, no overall difference in preparedness for surgery was demonstrated, although some improvements in specific domains of the Preparedness for Colorectal Cancer Surgery Questionnaire (such as ‘making sense of recovery’ and ‘searching for and making use of information’) were reported [19].…”

Section: Resultsmentioning

confidence: 99%

Patient education about recovery after colorectal surgery: systematic scoping review

et al. 2020

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Aim Enhanced recovery after surgery (ERAS) protocols aim to optimize recovery through a series of evidencebased recommendations. A key component of ERAS is the provision of patient education. Whilst the recommendation for this is strong, the evidence to inform its format, timing and delivery is unclear. The aim of this review was to describe previous educational interventions used to improve recovery after colorectal surgery and to explore opportunities for future research. Conclusions Patient education is generally advantageous, but there is insufficient evidence to optimize its design and delivery in the setting of colorectal surgery.

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“…Owing to their shorter hospital stay, patients treated under the ERAS program have less time to consult with medical staff; therefore, they receive less education and support regarding post-discharge care. Thus, a standardized care protocol to empower patients’ self-care abilities was developed and applied widely [10]; however, psychological problems such as affective stress, anxiety, and depression experienced by patients with colorectal cancer throughout diagnosis, surgery, hospital stay, and post-discharge have not been given due importance or appropriately explored. The transitional phase from hospital treatment to self-care at home is when patients most require intervention and feel insecure.…”

Section: Introductionmentioning

confidence: 99%

Effects of a Mobile Educational Program for Colorectal Cancer Patients Undergoing the Enhanced Recovery After Surgery

Kim

Park

Ryoo

2018

TONURSJ

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Background:The Enhanced Recovery After Surgery (ERAS) program hastens recovery from colorectal cancer by shortening the treatment period and enabling a return to normal activities. However, patients with colorectal cancer treated under the ERAS program have fewer opportunities to consult with medical staff and receive education regarding self-care and experience more affective stress and anxiety.Objective:This study aimed to develop and assess an educational program for patients with colorectal cancer treated under the ERAS program, considering affective aspects.Method:Patients with colorectal cancer (n = 118) who underwent open colon surgery under the ERAS program were assigned alternately in the order of admission on a 1:1 basis to a treatment group (n = 59) and conventional care group (n = 59). The treatment group received a two-week mobile-based intervention, whereas the control group received conventional care. Quality of life, self-efficacy, anxiety, and depression were compared between the two groups.Results:The mobile web-based educational program significantly reduced the negative impact of surgery on the quality of life in the treatment group, compared with the conventional care group, and triggered a noticeable decline in anxiety and depression and increase in self-efficacy.Conclusion:The developed mobile web-based educational program effectively enhanced self-efficacy, positively impacted the quality of life, and reduced anxiety and depression. The program could have a positive effect on the quality of life of patients with colorectal cancer treated under the ERAS program.

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Effects of a surgical ward care protocol following open colon surgery as part of an enhanced recovery after surgery programme

Cited by 11 publications

References 30 publications

Nursing Interventions in the Enhanced Recovery After Surgery®: Scoping Review

Nursing Interventions in the Enhanced Recovery After Surgery®: Scoping Review

Patient education about recovery after colorectal surgery: systematic scoping review

Effects of a Mobile Educational Program for Colorectal Cancer Patients Undergoing the Enhanced Recovery After Surgery

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