胃肠道外科手术中手术后增强恢复计划的可持续性:范围审查
Angela Byrnes1, Rachel Flynn2, Amanda Watt1
1Nutrition and Dietetics Department, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Journal of evaluation in clinical practice
|November 14, 2023
概括
在胃肠道外科手术中,增强术后恢复 (ERAS) 计划的可持续性尚不清楚. 充足的资源是关键,但报告战略和适应长期ERAS计划的成功需要改进.
科学领域:
- 手术成果研究的研究结果.
- 医疗服务研究 医疗服务研究
- 基于证据的医学是基于证据的医学.
背景情况:
- 手术后增强恢复 (ERAS) 是一种公认的以证据为基础的干预措施,有可能改善各种外科专业的患者和医院结果.
- 然而,ERAS计划的长期可持续性在很大程度上是未知的.
研究的目的:
- 审查关于ERAS计划在胃肠道外科手术中的可持续性的现有证据.
- 定义可持续性,检查其决定因素,确定促进战略和适应,并分析测量结果.
主要方法:
- 根据乔安娜·布里格斯研究所的方法进行范围审查.
- 搜索了PubMed,Embase,CINAHL和灰色文献 (开始至2022年9月) 关于胃肠道手术中的ERAS计划可持续性的研究.
- 包括在实施后至少两年报告的关于可持续性方面 (定义,决定因素,战略,适应,结果) 的研究.
主要成果:
- 包括22项研究,显示ERAS计划可持续性的概念化不佳和报告不一致.
- 提供足够的资源是最常见的推动因素 (75%).
- 很少有研究在患者和服务交付结果方面强有力的报告决定因素,策略或适应.
结论:
- 改善策略和适应报告对于ERAS计划的可持续性至关重要.
- 推完善ERAS报告准则并记录上下文变化,以确保成功的本地实施和长期维持.
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