Bernard Helena, Foss Mark
Br J Community Nurs. 2014 Apr;19(4):184, 186-8. doi: 10.12968/bjcn.2014.19.4.184.
Early discharge from hospital as a result of enhanced recovery after surgery (ERAS) programmes can be both positive and frightening experiences for surgical patients. In a recently published article by the authors in the British Journal of Nursing, participants described mixed reactions to the ERAS programme, highlighting the period of home convalescence as being particularly challenging. In this article the concept of ERAS is explained, followed by an overview of the research study which led to the authors highlighting the issue of home convalescence. The interventions that have already been established locally as a result of this research are explored, as is the potential impact that both these short hospital stays and further necessary interventions might have on community nursing. The article examines whether health professionals are sufficiently easing the pressures of self-recoveryto fill the apparent'void' that the study participants described as existing between hospital care and community follow-up.
由于手术后加速康复(ERAS)计划,外科患者提前出院可能是既积极又令人恐惧的经历。在作者最近发表于《英国护理杂志》的一篇文章中,参与者描述了对ERAS计划的复杂反应,强调在家康复期特别具有挑战性。本文解释了ERAS的概念,接着概述了导致作者强调在家康复问题的研究。探讨了基于该研究在当地已经确立的干预措施,以及这些短期住院和进一步必要干预措施可能对社区护理产生的潜在影响。本文研究了卫生专业人员是否充分减轻了自我康复的压力,以填补研究参与者所描述的医院护理与社区随访之间明显存在的“空白”。