Nursing cares at fast - track (laparoscopic and robotic ) surgery

Q4 Social Sciences Social Medicine Pub Date : 2020-12-31 DOI:10.14748/SM.V27I3.7574

M. Nankova, S. Borisova

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Abstract

Introduction: The concept of accelerated surgical recovery after laparoscopic surgery, also called ERAS aims at faster discharge from the hospital and faster recovery of the body after various volumes of surgical interventions without increasing complications or mortality. The application of nursing care with the fast recovery method postoperatively can reduce postoperative complications and pain, shorten the hospital stay, so that the quality of rehabilitation is significantly improved. Aim: To study the application of rapid recovery syrgery (RRS) by surgical nurses (SN) and to reveal the possibilities for its optimization.. Material and methods: In nine large hospitals in Bulgaria the opinion of doctors and senior nurses (122) on the application of RRS by SN was studied; self-assessment of SN (147) who are working according to the rules of RRS. Applied methods - documentary analysis, structured interview and direct anonymous poll. Results: A high degree of knowledge of the rules and experience in practicing RRS from SN is established, as well as the need for additional nursing documentation related to postoperative care - algorithms for work and introduction of a checklist. Suggestions for improvement of the SN work protocol have been made.

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快速通道(腹腔镜和机器人)手术的护理

引言:腹腔镜手术后加速手术恢复的概念，也称为ERAS，旨在在不增加并发症或死亡率的情况下，在各种手术干预后更快地出院和更快地恢复身体。术后应用护理配合快速恢复法，可减少术后并发症和疼痛，缩短住院时间，使康复质量明显提高。目的:探讨外科护士对快速恢复手术(RRS)的应用，并探讨其优化的可能性。材料与方法:调查保加利亚9家大型医院122名医生和高级护士对临床护理人员应用RRS的意见;对按RRS规则工作的SN(147)进行自我评价。应用方法-文献分析，结构化访谈和直接匿名调查。结果:建立了高度的规则知识和实践经验，以及需要额外的与术后护理相关的护理文件-工作算法和清单的引入。对SN工作协议提出了改进建议。

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来源期刊

Social Medicine Social Sciences-Health (social science)

CiteScore

0.30

自引率

0.00%

发文量

审稿时长

15 weeks

期刊介绍： Medicina Social es un foro académico internacional con acceso abierto y revisión por pares destinado a la promoción y el desarrollo de la Medicina Social. La revista se escribe con la inventiva y la visión crítica y comprometida que animó a los fundadores de la Medicina Social. Para lograr esto: 1. Actuamos como foro de investigación y docencia respecto a las formas en las que los factores sociales no sólo influyen sobre la salud y la enfermedad sino que a su vez son modificados por las mismas. 2. Apoyamos los objetivos de Salud para Todos de Alma Ata y la visión holística de la salud contenida en la Carta de la OMS. 3. Producimos materiales científicamente calificados, intelectualmente honestos, libres de sesgos comerciales, claramente escritos y presentados. 4. Organizamos la revista de manera tal que refleje y apoye la diversa comunidad internacional que trabaja en el campo de la medicina social. Para realizar los objetivos de “Salud para Todos” debemos tener una revista que incluya todas las voces.