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KMID : 0367020190310060677
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Journal of Korean Academic of Adult Nursing
2019 Volume.31 No. 6 p.677 ~ p.690
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Development and Evaluation of Enhanced Recovery After Surgery Program for Patients with Colorectal Cancer Surgery
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Kim Eun-Ja
Park Jeong-Sook
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Abstract
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Purpose: This study aimed to develop and evaluate the effectiveness of the Enhanced Recovery After Surgery(ERAS) program for colorectal cancer surgery patients.
Methods: This program was developed using ADDIE model. It includes preoperative care (counseling, encouraging liquid food intake, avoiding mechanical bowel preparation,encouraging sips of water up to two hours before surgery) and postoperative care (removal of Foley catheter the dayafter surgery, water intake after three days, beginning liquid diet intake after four days, a soft diet after five days, supplementinghigh carbohydrate drinks beginning three days after surgery, and early mobilization on the day of surgery). An experimental group of 15 patients in the ERAS program (July 1, 2017~March 31, 2018) and a control group of24 patients in the existing program (July 1, 2016~March 31, 2017) were compared. Date was analyzed using independentt-test, x2 test, Fisher's exact test and Mann-Whitney U test.
Results: The time before beginning the softdiet was significantly shorter in the ERAS group than the control group (U=56.00, p<.001). The hospital stay lengthwas significantly decreased in the ERAS group (9.53±1.35) compared to the control group (13.29±4.57) (U=72.50,p=.002). No significant differences emerged in frequencies of postoperative bowel function recovery, complications,or readmission.
Conclusion: Although the recommendations of the traditional ERAS were not fully applied in this ERASprogram, it offers improved clinical outcomes for patients with laparoscopic colon cancer surgery.
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KEYWORD
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Perioperative care, Colorectal neoplasm, Laparoscopy
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