Department of Nursing, Graduate School of Health Sciences, Izmir Katip Celebi University, Izmir, Türkiye.
Department of Surgical Nursing, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Türkiye.
Acta Chir Belg. 2024 Oct;124(5):396-405. doi: 10.1080/00015458.2024.2327813. Epub 2024 Mar 11.
Although ERAS protocols have many benefits, there are some deficiencies in their understanding and implementation by healthcare professionals. The present study was conducted to investigate the compliance of the current perioperative practices of healthcare professional with the ERAS protocols and to assess barriers to the implementation of ERAS protocols in colorectal surgery.
This cross-sectional descriptive study conducted in the surgical clinics and operating rooms of a training and research hospital between January 2020 and September 2020 included 110 physician and nurse members of surgical teams. Data were collected using the Questionnaire for Evaluating the Use of the ERAS Protocol and Identifying Barriers to Implementation in Colorectal Surgery.
The compliance of the current perioperative practices by healthcare professionals with the ERAS protocols ranged between 15.5% (routinely leaving nasogastric tubes in situ following colorectal resection) and 61.8% (being aware of the concept of balanced analgesia). Variables such as the healthcare professional's profession, title, years in practice and colorectal surgery experience led to a difference between them in terms of their compliance of the practices with the ERAS protocols ( < 0.05). Based on the healthcare professionals' comments about barriers to the implementation of the ERAS protocol, themes such as education, teamwork, communication and lack of resources were created.
Healthcare professionals' compliance level of the current perioperative practices with the ERAS protocols was mostly low. Barriers to the implementation of the ERAS protocols had a multi-factor structure that concerns the multidisciplinary team.
尽管加速康复外科（ERAS）方案有许多益处，但医护人员对其的理解和实施仍存在一些不足。本研究旨在调查医护人员当前围手术期实践与 ERAS 方案的符合程度，并评估结直肠手术中实施 ERAS 方案的障碍。
本横断面描述性研究于 2020 年 1 月至 9 月在一家培训和研究医院的外科诊室和手术室进行，纳入了 110 名外科团队的医生和护士成员。使用评估结直肠手术中 ERAS 方案使用情况和实施障碍的问卷收集数据。
医护人员当前围手术期实践与 ERAS 方案的符合程度在 15.5%（结直肠切除术后常规保留鼻胃管）至 61.8%（了解平衡镇痛概念）之间。医护人员的职业、职称、从业年限和结直肠手术经验等变量导致他们在实践与 ERAS 方案的符合程度上存在差异（ < 0.05）。根据医护人员对实施 ERAS 方案障碍的意见，创建了教育、团队合作、沟通和资源缺乏等主题。
医护人员当前围手术期实践与 ERAS 方案的符合程度大多较低。实施 ERAS 方案的障碍具有多因素结构，涉及多学科团队。
