专业社会建议在美国进行剖腹产后改善康复的干预措施:多学科的德尔菲研究
P Sultan1, G Nelson2, K Joudi3
1Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, CA, USA; University College London, Research Department of Targeted Intervention, Division of Surgery and Interventional Science, United Kingdom.
International journal of obstetric anesthesia
|December 23, 2025
概括
这项研究通过与美国专业协会和患者利益相关方的合作,开发了32个剖腹产后 (ERAC) 干预措施的增强恢复. 这些基于证据的ERAC指南旨在改善剖腹产患者的治疗结果.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 护理 护理 护理
- 患者倡导 患者倡导
背景情况:
- 目前的剖腹产后增强康复 (ERAC) 准则缺乏社会间的合作和患者的意见.
- 该倡议旨在与美国专业协会和患者代表一起创建多学科的ERAC干预.
研究的目的:
- 制定一套基于共识的ERAC干预计划性剖腹产的干预方案.
- 加强美国专业协会,手术后增强康复 (ERAS) 协会和患者利益相关者之间的合作.
主要方法:
- 一种经过修改的Delphi方法,涉及7个美国专业协会的19个利益相关者,ERAS协会和患者代表.
- 通过三轮电子问卷和电子讨论,就最初编制的70项干预措施达成共识.
主要成果:
- 所有19个利益相关者都完成了德尔菲进程.
- 最后一组32项ERAC干预 (6项手术前,13项手术内,13项手术后) 取得了强烈的共识 (≥70%的同意).
结论:
- 开发了32个多学科的ERAC干预措施,得到了美国主要专业协会和患者代表的意见.
- 这些干预措施应考虑在美国接受预定剖腹产的患者.
- 在非美国和资源较低的环境中,需要对ERAC建议进行进一步的研究.
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