一项跨学科的多中心研究,从土耳其在结直肠外科手术中使用手术后增强恢复协议
Ömer Şahin Ilya1, Emine Çatal2
1Mipcura 24 Gmbh, Rentforter Strasse 41, 45964, Gladbeck, Germany.
Asian journal of surgery
|November 9, 2024
概括
在结直肠外科手术中,医疗保健专业人员对手术后增强恢复 (ERAS) 协议的认识和实施较低. 障碍包括缺乏知识,多学科问题,对变革的抵制以及机构支持不足.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 外科手术的协议.
- 医疗保健管理的管理
背景情况:
- 手术后增强恢复 (ERAS) 协议旨在优化患者的治疗结果.
- 在结直肠外科手术中实施ERAS需要多学科团队的参与.
- 了解当前的知识和障碍对于有效采用ERAS至关重要.
研究的目的:
- 评估在结直肠外科手术中的外科护士,全科医生和麻醉师对ERAS协议的认识和使用情况.
- 确定阻碍ERAS协议在结直肠外科手术中的实施的主要障碍.
主要方法:
- 这是一项涉及四家医院268名医疗保健专业人员 (护士,外科医生,麻醉师) 的描述性研究.
- 通过个人信息表格和ERAS协议评估表格 (2020年3月至2021年7月) 收集的数据.
主要成果:
- 超过73%的参与者不知道ERAS协议.
- 很少有参与者表现出对ERAS建议的正确知识或实施.
- 发现的主要障碍是:缺乏知识 (18.1%),多学科工作问题 (16.6%),对变革的抵制 (12.4%),缺乏机构支持 (11.4%).
结论:
- 结直肠外科手术中的ERAS协议被医疗保健专业人员严重不足利用和误解.
- 实施障碍是多方面的,需要有针对性的干预措施.
- 改善ERAS的采用需要加强教育,改善团队合作,以及更强大的机构支持.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
66
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
66
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
51
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
51
Inflammatory Bowel Disease V: Surgical Management
122
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
122


