Qing-Yun Xie1, Jie Yang1, Ze-Hua Lei1, Feng-Wei Gao1, Bing Chen1, Kang-Yi Jiang1, Hui Xiong1, Jie Yang1. 1. Department of Hepatobiliary Pancreatic Splenic Surgery, The People's Hospital of Leshan, Leshan, Sichuan, 614000, People's Republic of China. 2. Diagnosis and Treatment Center of Hepatobiliary Pancreatic Splenic Systemic Disease in Leshan, The Second Batch of Hepatobiliary and Pancreatic ERAS Standard Wards of Hubei Chen Xiaoping Science and Technology Development Foundation, Leshan, Sichuan, 614000, People's Republic of China.
Abstract
OBJECTIVE: To explore the effects and value of establishing a multi-target nursing group (MTNG) for facilitating goal-oriented enhanced recovery after surgery (ERAS) using the LEER ("less pain", "early movement", "early return to a normal diet" and "reassurance") model. METHODS: The clinical data of 198 patients with hepatobiliary and pancreatic malignancies were retrospectively analyzed. The patients were divided into two groups: 91 cases were collected in a traditional group, which adopted traditional perioperative care, and 107 cases were collected in an MTNG group, which adopted MTNG measures. The differences in the clinical data including postoperative recovery, unplanned readmission rate, the implementation rate of nursing measures, the degree of a patient's understanding of the disease, and patient compliance and satisfaction with nursing care during hospitalization were compared and analyzed between the two groups. RESULTS: The MTNG group reflected a lower pain degree and hospitalization expenses (P < 0.05), earlier postoperative flatulence, earlier recommencing of a normal diet, and earlier postoperative ambulation (P < 0.05), together with a shorter postoperative indwelling catheter duration and length of hospital stay (P < 0.05). There were no significant differences in the incidence of postoperative complications and unplanned postoperative readmission rates between the two groups (P > 0.05). The implementation rate of nursing measures and the degree of patients understanding the disease, and patient compliance and satisfaction with nursing care were higher in the MTNG group (P < 0.05). CONCLUSION: The MTNG approach, based on ERAS with the LEER model, was conducive to the safe and rapid postoperative recovery of patients, the precise and efficient implementation of ERAS measures, the improvement of medical treatment satisfaction among patients.
OBJECTIVE: To explore the effects and value of establishing a multi-target nursing group (MTNG) for facilitating goal-oriented enhanced recovery after surgery (ERAS) using the LEER ("less pain", "early movement", "early return to a normal diet" and "reassurance") model. METHODS: The clinical data of 198 patients with hepatobiliary and pancreatic malignancies were retrospectively analyzed. The patients were divided into two groups: 91 cases were collected in a traditional group, which adopted traditional perioperative care, and 107 cases were collected in an MTNG group, which adopted MTNG measures. The differences in the clinical data including postoperative recovery, unplanned readmission rate, the implementation rate of nursing measures, the degree of a patient's understanding of the disease, and patient compliance and satisfaction with nursing care during hospitalization were compared and analyzed between the two groups. RESULTS: The MTNG group reflected a lower pain degree and hospitalization expenses (P < 0.05), earlier postoperative flatulence, earlier recommencing of a normal diet, and earlier postoperative ambulation (P < 0.05), together with a shorter postoperative indwelling catheter duration and length of hospital stay (P < 0.05). There were no significant differences in the incidence of postoperative complications and unplanned postoperative readmission rates between the two groups (P > 0.05). The implementation rate of nursing measures and the degree of patients understanding the disease, and patient compliance and satisfaction with nursing care were higher in the MTNG group (P < 0.05). CONCLUSION: The MTNG approach, based on ERAS with the LEER model, was conducive to the safe and rapid postoperative recovery of patients, the precise and efficient implementation of ERAS measures, the improvement of medical treatment satisfaction among patients.
Authors: Michał Pędziwiatr; Mikhail Kisialeuski; Mateusz Wierdak; Maciej Stanek; Michał Natkaniec; Maciej Matłok; Piotr Major; Piotr Małczak; Andrzej Budzyński Journal: Int J Surg Date: 2015-07-29 Impact factor: 6.071
Authors: Emmanuel Melloul; Kristoffer Lassen; Didier Roulin; Fabian Grass; Julie Perinel; Mustapha Adham; Erik Björn Wellge; Filipe Kunzler; Marc G Besselink; Horacio Asbun; Michael J Scott; Cornelis H C Dejong; Dionisos Vrochides; Thomas Aloia; Jakob R Izbicki; Nicolas Demartines Journal: World J Surg Date: 2020-07 Impact factor: 3.352