术前教育与坚持下游组件和结肠直肠手术增强恢复计划的结果有关
Bayley A Jones1, Joshua Richman1, Michael Rubyan2
1From the Department of Surgery, University of Alabama at Birmingham, Birmingham, AL.
概括
术前教育显著提高了患者在结直肠手术后遵守增强恢复计划 (ERP). 这导致了更短的住院时间和更好的外科手术结果,强调了它在患者护理中的重要性.
科学领域:
- 手术结果研究研究.
- 增强的恢复计划 (ERP)
- 患者坚持性研究
背景情况:
- 建立了增强恢复计划 (ERP),以改善手术患者的治疗结果.
- 术前教育是ERP的关键组成部分,但其对其他ERP元素和整体结果的影响仍然不完全理解.
研究的目的:
- 评估手术前教育与加强恢复计划 (ERP) 下游组件的遵守之间的关联.
- 评估手术前教育对接受选择性结直肠手术的患者手术结果的影响.
主要方法:
- 在997名患者的回顾性队列研究中,997名患者在2019年至2022年期间接受了选择性结直肠手术.
- 机构ERP数据库与ACS-NSQIP数据之间的数据链接,按手术前教育遵守情况分层.
- 主要结果:遵守单个ERP组件;次要结果:高度遵守ERP,停留时间 (LOS),再录取和30天的并发症.
主要成果:
- 接受手术前教育的患者 (88%) 显着更好地遵守多个ERP组件,包括不长时间禁食,手术前阻断,多式止痛和早期常规饮食.
- 在接受了手术前教育的患者中,高水平的ERP遵守率高出13.4%,LOS短出2.0天.
- 分类和回归树分析确定了手术前教育作为早期饮食,LOS和高水平ERP遵守的关键预测因素.
结论:
- 术前教育与加强恢复计划组件的更好遵守密切相关.
- 这种坚持转化为更好的外科手术结果,包括减少停留时间.
- 术前教育是优化ERP有效性和患者康复的关键因素.
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