IF 1.5 Q3 CRITICAL CARE MEDICINE Indian Journal of Critical Care Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-30 DOI:10.5005/jp-journals-10071-24870
Hezil Reema Barboza, Fatima Dsilva, Amar Sunil Lobo, M S Moosabba, Balakrishna Gurmitkal
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摘要

背景:目前,加强恢复被认为是各种择期大手术的治疗方法。加强术后恢复(ERAS)包括应用各种围手术期措施、策略以及患者积极参与恢复过程:在印度卡纳塔克邦一家医院的外科进行了一项准实验研究。研究收集了接受择期腹部手术的患者(142 人)的数据。在术前第 1 天(手术前 2 天)和术前第 2 天(手术前 1 天)对实验组和治疗照常组的心理(焦虑)和生理结果(生命容量、脉搏、呼吸和血压)进行了评估:结果显示,实验组的状态焦虑评分明显低于按常规治疗组(P < 0.05)。实验组的疼痛、脉搏、呼吸和血压等生理指标均明显低于常规治疗组(P < 0.05)。在术后几天,实验组的生命容量明显增加,而按常规治疗组则有所减少(P < 0.05)。实验组的术后住院时间明显少于常规治疗组(P = 0.001)。实验组的术后并发症少于按常规治疗组:结论:加强康复被认为是各种择期大手术的治疗方法。如何引用本文?Barboza HR, Dsilva F, Lobo AS, Moosabba MS, Gurmitkal B. Enhanced Surgical Recovery Nursing Program:优化术后患者恢复的多学科方法。Indian J Crit Care Med 2025;29(1):21-26.
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Enhanced Surgical Recovery Nursing Program: A Multidisciplinary Approach to Optimize Postoperative Patient Recovery.

Background: Enhanced recovery is currently considered to be the treatment of various elective major surgeries. Enhanced recovery after surgery (ERAS) includes applying various perioperative measures, strategies, and active participation of patients in the recovery process.

Materials and methods: A quasi-experimental study was conducted in the surgical units of a hospital in Karnataka, India. Data were collected from patients undergoing elective abdominal surgery (n = 142). Psychological (anxiety) and physiological outcomes (vital capacity, pulse, respiration, and blood pressure) were assessed in experimental and treatment-as-usual groups on preoperative day 1 (2 days before surgery) and preoperative day 2 (1 day before surgery).

Results: The results showed a significant decrease in the state-anxiety scores in the experimental group than in the treatment-as-usual group (p < 0.05). Physiological outcomes such as pain, pulse, respiration, and blood pressure showed a significant decrease in the experimental group than the treatment-as-usual group (p < 0.05). Vital capacity was significantly increased in the experimental group and decreased in the treatment-as-usual group in the postoperative days (p < 0.05). A significant decrease in the length of postoperative stay was seen in the experimental group than in the treatment-as-usual group (p = 0.001). In the experimental group, there were less postoperative complications than in the treatment-as-usual group.

Conclusion: Enhanced recovery is considered to be the treatment for various elective major surgeries. It is an essential responsibility of healthcare professionals to improve postoperative outcomes by reducing complications and length of postoperative hospital stay.

How to cite this article: Barboza HR, Dsilva F, Lobo AS, Moosabba MS, Gurmitkal B. Enhanced Surgical Recovery Nursing Program: A Multidisciplinary Approach to Optimize Postoperative Patient Recovery. Indian J Crit Care Med 2025;29(1):21-26.

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来源期刊
CiteScore
3.50
自引率
10.00%
发文量
299
期刊介绍: Indian Journal of Critical Care Medicine (ISSN 0972-5229) is specialty periodical published under the auspices of Indian Society of Critical Care Medicine. Journal encourages research, education and dissemination of knowledge in the fields of critical and emergency medicine.
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