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, 李宁, 黎介寿. 快通道外科: 现状与发展方向. 实用临床医药杂志, 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.	车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
4.	沈春辉, 车国卫. 肺康复在肺癌围手术期应用现状与进展. 中国康复医学杂志, 2011, 26(7): 686-689.
5.	苏建华, 周渝斌, 蒲强, 等. 影响肺癌手术住院费用和快速康复的临床因素分析. 中国肺癌杂志, 2014, 17(7): 536-540.
6.	沈春辉, 梅龙勇, 喻鹏铭, 等. 术前肺康复对肺癌合并中-重度慢性阻塞性肺疾病患者运动耐力影响. 中国胸心血管外科临床杂志, 2011, 18(6): 514-517.
7.	鲍珊, 苏建华, 廖虎, 等. 合并慢性阻塞性肺病和手术方式对肺癌患者术后快速康复及治疗费用的影响. 中国胸心血管外科临床杂志, 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.	朱红, 候晓玲, 曾利辉, 等. " 医护一体化”专项管理在提高骨科术前抗菌药物正确使用率中的应用. 中国护理管理, 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, Schröder J, et al. Fast-track surgery: procedure-specific aspects and future direction. Langenbecks Arch Surg, 2012, 83(4): 351-355.
15.	江志伟, 黎介寿. 快速康复外科——优化的临床路径. 中华胃肠外科杂志, 2012, 15(1): 12-13.
16.	李光焰, 杜娟, 刘宝华, 等. 结直肠癌围术期医护一体化快速康复理念的研究. 重庆医学, 2016, 45(5): 619-621.
17.	车国卫, 刘伦旭, 石应康. 加速康复外科临床应用现状与思考. 中国胸心血管外科临床杂志, 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, Längle 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.	江志伟, 易学明, 黎介寿, 等. 快速康复外科应受到医院管理部门的重视和推广. 实用医学杂志, 2012, 28(1): 5-7.

1. 李幼生, 李宁, 黎介寿. 快通道外科: 现状与发展方向. 实用临床医药杂志, 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. 车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
4. 沈春辉, 车国卫. 肺康复在肺癌围手术期应用现状与进展. 中国康复医学杂志, 2011, 26(7): 686-689.
5. 苏建华, 周渝斌, 蒲强, 等. 影响肺癌手术住院费用和快速康复的临床因素分析. 中国肺癌杂志, 2014, 17(7): 536-540.
6. 沈春辉, 梅龙勇, 喻鹏铭, 等. 术前肺康复对肺癌合并中-重度慢性阻塞性肺疾病患者运动耐力影响. 中国胸心血管外科临床杂志, 2011, 18(6): 514-517.
7. 鲍珊, 苏建华, 廖虎, 等. 合并慢性阻塞性肺病和手术方式对肺癌患者术后快速康复及治疗费用的影响. 中国胸心血管外科临床杂志, 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. 朱红, 候晓玲, 曾利辉, 等. " 医护一体化”专项管理在提高骨科术前抗菌药物正确使用率中的应用. 中国护理管理, 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, Schröder J, et al. Fast-track surgery: procedure-specific aspects and future direction. Langenbecks Arch Surg, 2012, 83(4): 351-355.
15. 江志伟, 黎介寿. 快速康复外科——优化的临床路径. 中华胃肠外科杂志, 2012, 15(1): 12-13.
16. 李光焰, 杜娟, 刘宝华, 等. 结直肠癌围术期医护一体化快速康复理念的研究. 重庆医学, 2016, 45(5): 619-621.
17. 车国卫, 刘伦旭, 石应康. 加速康复外科临床应用现状与思考. 中国胸心血管外科临床杂志, 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, Längle 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. 江志伟, 易学明, 黎介寿, 等. 快速康复外科应受到医院管理部门的重视和推广. 实用医学杂志, 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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