Status and thinking of clinical development of enhanced recovery after surgery nursing in Anhui Province
10.3760/cma.j.cn211501-20240522-01289
- VernacularTitle:安徽省加速康复外科护理的临床开展现状与思考
- Author:
Xiaofei QIAO
1
;
Lingchen ZHANG
;
Xiaoyu ZHU
;
Yaqin JIANG
;
Guiqi SONG
;
Jiangying HAN
;
Jing LU
;
Hong ZHOU
;
Weidong JIA
Author Information
1. 中国科学技术大学附属第一医院（安徽省立医院）肝脏外科，合肥 230000
- Publication Type:Journal Article
- Keywords:
Nursing care;
Enhanced recovery after surgery;
Development status;
Promotion strategy
- From:
Chinese Journal of Practical Nursing
2024;40(36):2820-2826
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current status of core measures of enhanced recovery after surgery (ERAS) nursing in Anhui Province and analyze its promotion strategies, so we can provide reference for further implementation and promotion of clinical practice guidelines of ERAS.Methods:Design a Development Questionnaire of Enhanced Recovery After Surgery in Anhui Province based on the Clinical Practice Guidelines for Enhanced Recovery After Surgery in China (2021 edition) (I) and, a cross-sectional survey was conducted on surgical nurses in 132 secondary and above hospitals in Anhui Province from July to September 2023 by the convenience sampling method.Results:A total of 1 375 nurses from 13 cities in Anhui province participated in the survey. The nurses′ awareness rate of ERAS concept was 100.00%, but only 52.51% (722/1 375) of the nurses had received standardized ERAS training, and only 26.11% (359/1 375) of the nurses indicated that they had a multidisciplinary team such as medical care, anesthesia and nutrition were involved in the implementation of the ERAS. Nearly 38.33% (527/1 375) of the nurses said that the department lacked the relevant nursing quality control system, and the overall implementation rate of quality control training, development, feedback and monitoring was not high. Only 55.71% (766/1 375) of nurses reported that a quality control team has been established within their department, and only 40.44% (556/1 375) of departments conduct monthly checks on the implementation and progress of ERAS. In terms of the implementation of core measures, preoperative thromboprevention therapy, intraoperative temperature monitoring and management, postoperative multimodal analgesia were better; however, the implementation of preoperative fasting time ≤ 6 h, water ban time≤ 2 h, oral carbohydrate drinks or clean streaming drinks, oral intake of enteral nutritional supplementation when less than 60% of the normal amount was poor.Conclusions:There are still many deficiencies in the overall development of ERAS nursing in Anhui Province, and the implementation level of core measures also needs to be improved. It is necessary to combine the concept of precision nursing, strengthen the whole process management and quality control, so as to promote the clinical practice and promotion of ERAS.
