The opinion of nurse on enhanced recovery after surgery in thoracic surgery: A questionnaire survey_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LI Xia , YANG Mei , DU Na , JI Yanli , LI Jie , SHEN Cheng ,  CHE Guowei

Department of Thoracic Surgery, West China Hospital, Sichuan University, 610041, P.R.China;

Corresponding?author：

CHE Guowei, Email: guowei_che@yahoo.com

Keywords：

Enhanced recovery after surgery; questionnaire survey; thoracic surgery; nurses

DOI：

10.7507/1007-4848.201701045

Video：

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Objective To analyze the nurses' current view and perceptions of enhanced recovery after surgery (ERAS) by a questionnaire and to promote the clinical application of ERAS. Methods We conducted a questionnaire study for nurses who attended the First West China Forum on Chest ERAS in Chengdu during September 26-27, 2016 and 259 questionnaires were collected for descriptive analysis. Results (1) The application status of ERAS: There were 13.5% responders whose hospital took a wait-an-see attitude, while the others' hospital took different actions for ERAS; 85.7% of nurses believed that ERAS in all surgeries should be used; 58.7% of nurses believed that the concept of ERAS was more in theory than in the practice; 40.2% of nurses thought that all patients were suitable for the application of ERAS; (2) 81.9% of nurses believed that the evaluation criteria of ERAS should be a combination of the average hospital stay, patients’ comprehensive feelings and social satisfaction; (3) 70.7% of nurses thought that the combination of subjects integration, surgery orientation and surgeon-nurse teamwork was the best model of ERAS; 44.8% of nurses thought the hospital administration was the best way to promote ERAS applications; (4) 69.1% of responders believed that immature plan, no consensus and norms and insecurity for doctors were the reasons for poor compliance of ERAS; 79.5% of nurses thought that the ERAS meeting should include the publicity of norms and consensus, analysis and implementation of projects and the status and progress of ERAS. Conclusion ERAS concept has been recognized by most nurses. Multidisciplinary collaboration and hospital promotion is the best way to achieve clinical applications.

Citation： LI Xia, YANG Mei, DU Na, JI Yanli, LI Jie, SHEN Cheng, CHE Guowei. The opinion of nurse on enhanced recovery after surgery in thoracic surgery: A questionnaire survey. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(8): 622-625. doi: 10.7507/1007-4848.201701045 Copy

1.	李幼生, 李寧, 黎介壽. 快通道外科: 現狀與發展方向. 實用臨床醫藥雜志, 2007, 11(9): 1-3.
2.	Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6): 630-641.
3.	車國衛, 李為民, 劉倫旭. 快速肺康復需要圍手術期流程優化. 中國胸心血管外科臨床雜志, 2016, 23(3): 216-220.
4.	沈春輝, 車國衛. 肺康復在肺癌圍手術期應用現狀與進展. 中國康復醫學雜志, 2011, 26(7): 686-689.
5.	蘇建華, 周渝斌, 蒲強, 等. 影響肺癌手術住院費用和快速康復的臨床因素分析. 中國肺癌雜志, 2014, 17(7): 536-540.
6.	沈春輝, 梅龍勇, 喻鵬銘, 等. 術前肺康復對肺癌合并中-重度慢性阻塞性肺疾病患者運動耐力影響. 中國胸心血管外科臨床雜志, 2011, 18(6): 514-517.
7.	鮑珊, 蘇建華, 廖虎, 等. 合并慢性阻塞性肺病和手術方式對肺癌患者術后快速康復及治療費用的影響. 中國胸心血管外科臨床雜志, 2014, 21(1): 17-20.
8.	Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg, 2008, 248(2): 189-198.
9.	朱紅, 候曉玲, 曾利輝, 等. " 醫護一體化”專項管理在提高骨科術前抗菌藥物正確使用率中的應用. 中國護理管理, 2012, 12(2): 79-81.
10.	Cypress BS. Exploring the concept of nurse-physician communication within the context of health care outcomes using the evolutionary method of concept analysis. Demens Crit Care Nurs, 2011, 30(1): 28-38.
11.	Weler J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J, 2014, 90(1061): 149-154.
12.	Nathanson BH, Henneman EA, Blonaisz ER, et al. How much teamwork exists between nurses and junior doctors in the intensive care unit? J Adv Nurs, 2011, 67(8): 1817-1823.
13.	Robinson FP, Gorman G, Slimmer LW, et al. Perceptions of effective and ineffective nurse-physician communication in hospitals. Nurs Forum, 2010, 45(3): 206-216.
14.	Ansari D, Gianotti L, Schr?der J, et al. Fast-track surgery: procedure-specific aspects and future direction. Langenbecks Arch Surg, 2012, 83(4): 351-355.
15.	江志偉, 黎介壽. 快速康復外科——優化的臨床路徑. 中華胃腸外科雜志, 2012, 15(1): 12-13.
16.	李光焰, 杜娟, 劉寶華, 等. 結直腸癌圍術期醫護一體化快速康復理念的研究. 重慶醫學, 2016, 45(5): 619-621.
17.	車國衛, 劉倫旭, 石應康. 加速康復外科臨床應用現狀與思考. 中國胸心血管外科臨床雜志, 2016, 23(3): 211-215.
18.	Segelman J, Nygren J. Evidence or eminence in abdominal surgery: recent improvements in perioperative care. World J Gastroenterol, 2014, 20(44): 16615-16619.
19.	Hasenberg T, Keese M, L?ngle F, et al. 'Fast-track' colonic surgery in Austria and Germany--results from the survey on patterns in current perioperative practice. Colorectal Dis, 2009, 11(2): 162-167.
20.	江志偉, 易學明, 黎介壽, 等. 快速康復外科應受到醫院管理部門的重視和推廣. 實用醫學雜志, 2012, 28(1): 5-7.

1. 李幼生, 李寧, 黎介壽. 快通道外科: 現狀與發展方向. 實用臨床醫藥雜志, 2007, 11(9): 1-3.
2. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6): 630-641.
3. 車國衛, 李為民, 劉倫旭. 快速肺康復需要圍手術期流程優化. 中國胸心血管外科臨床雜志, 2016, 23(3): 216-220.
4. 沈春輝, 車國衛. 肺康復在肺癌圍手術期應用現狀與進展. 中國康復醫學雜志, 2011, 26(7): 686-689.
5. 蘇建華, 周渝斌, 蒲強, 等. 影響肺癌手術住院費用和快速康復的臨床因素分析. 中國肺癌雜志, 2014, 17(7): 536-540.
6. 沈春輝, 梅龍勇, 喻鵬銘, 等. 術前肺康復對肺癌合并中-重度慢性阻塞性肺疾病患者運動耐力影響. 中國胸心血管外科臨床雜志, 2011, 18(6): 514-517.
7. 鮑珊, 蘇建華, 廖虎, 等. 合并慢性阻塞性肺病和手術方式對肺癌患者術后快速康復及治療費用的影響. 中國胸心血管外科臨床雜志, 2014, 21(1): 17-20.
8. Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg, 2008, 248(2): 189-198.
9. 朱紅, 候曉玲, 曾利輝, 等. " 醫護一體化”專項管理在提高骨科術前抗菌藥物正確使用率中的應用. 中國護理管理, 2012, 12(2): 79-81.
10. Cypress BS. Exploring the concept of nurse-physician communication within the context of health care outcomes using the evolutionary method of concept analysis. Demens Crit Care Nurs, 2011, 30(1): 28-38.
11. Weler J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J, 2014, 90(1061): 149-154.
12. Nathanson BH, Henneman EA, Blonaisz ER, et al. How much teamwork exists between nurses and junior doctors in the intensive care unit? J Adv Nurs, 2011, 67(8): 1817-1823.
13. Robinson FP, Gorman G, Slimmer LW, et al. Perceptions of effective and ineffective nurse-physician communication in hospitals. Nurs Forum, 2010, 45(3): 206-216.
14. Ansari D, Gianotti L, Schr?der J, et al. Fast-track surgery: procedure-specific aspects and future direction. Langenbecks Arch Surg, 2012, 83(4): 351-355.
15. 江志偉, 黎介壽. 快速康復外科——優化的臨床路徑. 中華胃腸外科雜志, 2012, 15(1): 12-13.
16. 李光焰, 杜娟, 劉寶華, 等. 結直腸癌圍術期醫護一體化快速康復理念的研究. 重慶醫學, 2016, 45(5): 619-621.
17. 車國衛, 劉倫旭, 石應康. 加速康復外科臨床應用現狀與思考. 中國胸心血管外科臨床雜志, 2016, 23(3): 211-215.
18. Segelman J, Nygren J. Evidence or eminence in abdominal surgery: recent improvements in perioperative care. World J Gastroenterol, 2014, 20(44): 16615-16619.
19. Hasenberg T, Keese M, L?ngle F, et al. 'Fast-track' colonic surgery in Austria and Germany--results from the survey on patterns in current perioperative practice. Colorectal Dis, 2009, 11(2): 162-167.
20. 江志偉, 易學明, 黎介壽, 等. 快速康復外科應受到醫院管理部門的重視和推廣. 實用醫學雜志, 2012, 28(1): 5-7.

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The opinion of nurse on enhanced recovery after surgery in thoracic surgery: A questionnaire survey

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