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推广:一张以患者为中心的海报,以支持术后康复参与——一项质量改进举措。

PROMOTE: A patient-centred poster to support engagement in post-operative recovery - A quality improvement initiative.

作者信息

Rylance Annie, Syratt Tom, Townsend Lauren, Gilbert-Kawai Ned

机构信息

Liverpool University Hospital NHS Foundation Trust, UK.

出版信息

J Intensive Care Soc. 2025 Sep 10:17511437251372019. doi: 10.1177/17511437251372019.

DOI:10.1177/17511437251372019
PMID:40948574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12423079/
Abstract

Enhanced recovery after surgery (ERAS) programmes are well established across many surgical specialties. Successful implementation requires both multidisciplinary engagement and active patient participation. At our hospital, many patients were unaware they had a role in their recovery. To improve education, we developed a poster highlighting seven key elements using the acronym PROMOTE: Pain relief, Respiratory exercises, Own clothes, Mobilisation, Oral hygiene, Taking away attachments, and Eating and drinking. Feedback from patients in the post-operative critical care unit showed the resource was well received, easily understood, and most wished they had received it pre-operatively to help manage expectations and reduce anxiety.

摘要

术后加速康复(ERAS)方案在许多外科专业中已得到广泛应用。成功实施需要多学科参与和患者积极配合。在我们医院,许多患者并未意识到自己在康复过程中能发挥作用。为了加强教育,我们制作了一张海报,用首字母缩写词PROMOTE突出七个关键要素:疼痛缓解、呼吸锻炼、穿自己的衣服、活动、口腔卫生、移除附件以及饮食。术后重症监护病房患者的反馈表明,该资料很受欢迎,易于理解,大多数患者希望术前就能收到,以帮助管理预期并减轻焦虑。

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本文引用的文献

1
Delivery of drinking, eating and mobilising (DrEaMing) and its association with length of hospital stay after major noncardiac surgery: observational cohort study.主要非心脏手术后的饮水、进食和活动(DrEaMing)的实施及其与住院时间的关系:观察性队列研究。
Br J Anaesth. 2022 Jul;129(1):114-126. doi: 10.1016/j.bja.2022.03.021. Epub 2022 May 12.
2
Patients as partners in Enhanced Recovery After Surgery: A qualitative patient-led study.患者作为手术加速康复的合作伙伴:一项由患者主导的定性研究。
BMJ Open. 2017 Jun 24;7(6):e017002. doi: 10.1136/bmjopen-2017-017002.
3
Enhanced Recovery After Surgery: A Review.术后加速康复:综述。
JAMA Surg. 2017 Mar 1;152(3):292-298. doi: 10.1001/jamasurg.2016.4952.
4
I COUGH: reducing postoperative pulmonary complications with a multidisciplinary patient care program.我咳嗽:采用多学科患者护理方案减少术后肺部并发症。
JAMA Surg. 2013 Aug;148(8):740-5. doi: 10.1001/jamasurg.2013.358.