Design and application of an enhanced postoperative recovery checklist for perioperative patients after laryngeal cancer surgery
10.3969/j.issn.1671-8283.2024.01.010
- VernacularTitle:喉癌患者围手术期快速康复查检单的设计与应用
- Author:
Wei XU
1
;
Ruya YUAN
;
Jiamin WANG
;
Jiali FENG
Author Information
1. 中山大学附属第一医院耳鼻咽喉科,广东广州,510080
- Keywords:
laryngeal cancer;
preoperative period;
enhanced recovery;
checklist;
control study before and after surgery
- From:
Modern Clinical Nursing
2024;23(1):63-69
- CountryChina
- Language:Chinese
-
Abstract:
Objective To design an enhanced postoperative recovery checklist for the patients who had surgery for laryngeal cancer,hence to instruct the patient with a standard procedure in rehabilitation.Methods A total of 72 patients who had surgery for laryngeal cancer in our department from April 2020 and April 2021 were enrolled as study subjects for a controlled study before and after surgery of different patients.A total of 37 patients who had surgery between April and September 2020 were assigned in the control group,while another 37 patients who had the surgery between October 2020 and April 2021 were assigned in the trial group.Patients in the control group were managed with a routine enhanced perioperative recovery plan,and those in the trial group were managed with the checklist,which was drafted by modification and improvement of the routine enhanced perioperative recovery plan through literature reviews and expert consultations.The two groups were compared in terms of the standardised rate of enhanced recovery compliance,medical staff satisfaction,average hospital-stay and patient satisfaction.Results The trial group showed significant improvement in comparison with the control group in terms of the standardised rate of enhanced recovery compliance(93.28%versus 84.08%),score of satisfaction level[(95.57±2.25)versus(92.60±2.49)],score of doctor satisfaction[(35.75±0.89)versus(32.88±1.50)],and the score of nurse satisfaction[(35.45±1.10)versus(33.00±1.30)](all P<0.05).The average hospital-stay in the trial group was significantly shorter than that in the control group[(9.89±3.32)days versus(12.60±4.33)days](P<0.05).Conclusion The designed checklist can improve the standardised rate of enhanced recovery compliance,the satisfaction of both medical staff and patients and facilitate the recovery of patient.
