Bernard Helena, Foss Mark
ERAS Nurse Practitioner, Department of Colorectal and Stoma Care, Queens Medical Centre Campus, Nottingham University Hospitals NHS Trust.
Lecturer, Course Director, MSc Advanced Clinical Practice, School of Nursing, Midwifery and Physiotherapy, University of Nottingham, Nottingham.
Br J Nurs. 2014;23(2):100-2, 104-6. doi: 10.12968/bjon.2014.23.2.100.
Enhanced recovery after surgery (ERAS) is a multimodal pathway whose strong evidence base is changing the methods used to care for patients before, during and after surgery. As a result, patients are being safely discharged at a much earlier stage than has previously been thought possible. Literature concentrates on the surgical and economical benefits of ERAS. There is a lack of research into the patients' perspective of the programme. This study used semi-structured interviews to investigate issues of significance to ERAS patients. The issues were grouped into themes: information provision, inpatient experiences, home recovery experiences (i.e. home convalescence) and psychological and emotional experiences. Although participants reported many good aspects of their ERAS experience, the findings highlighted the need for improvement particularly with regard to post-discharge support from both community services and hospital follow-up.
术后加速康复(ERAS)是一种多模式路径,其坚实的证据基础正在改变术前、术中和术后护理患者的方法。因此,患者能够在比以往认为可能的更早阶段安全出院。文献主要关注ERAS的手术和经济效益。对于患者对该方案的看法缺乏研究。本研究采用半结构化访谈来调查对ERAS患者具有重要意义的问题。这些问题被归纳为几个主题:信息提供、住院体验、家庭康复体验(即在家康复)以及心理和情感体验。尽管参与者报告了他们ERAS体验的许多积极方面,但研究结果强调了改进的必要性,特别是在社区服务和医院随访的出院后支持方面。