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Advisor(s)
Abstract(s)
Enquadramento: O programa Enhanced Recovery After Surgery (ERAS) é um programa de cuidados perioperatórios, que objetiva melhorar resultados cirúrgicos e a recuperação do cliente. O enfermeiro tem uma intervenção importante nomeadamente na consulta pré-operatória.
Objetivos: Planear, implementar e avaliar a consulta de enfermagem pré-operatória inserida no ERAS®. Metodologia: Estudo descritivo, quantitativo com três fases: planeamento (elaborados documentos orientadores); implementação (realizadas as consultas); avaliação, (através questionário e plataforma de auditoria). Duas amostras não probabilísticas, uma sem consulta e temporalmente anterior ao programa ERAS (n = 65) e outra com consulta (n = 93). Resultados: Realizadas 96 consultas, em que 74,2% dos clientes ficaram muito satisfeitos e 59,1% consideraram as informações transmitidas muito importantes. Se necessidade de nova cirurgia todos os clientes (100,0%) gostariam de voltar a ter consulta. Tempo médio de internamento reduziu de 7,09 para 6,73 dias (p = 0,044). Tempo de retorno à autonomia na mobilização diminuiu de 3,48 para 2,00 dias (p < 0,001). Conclusão: A consulta foi importante para os clientes, com elevados níveis de satisfação e com efeitos positivos no retorno à autonomia.
Background: The Enhanced Recovery After Surgery (ERAS®) program is a perioperative care pathway that aims to improve surgical outcomes and patient recovery. Nurses have a key role, particularly in preoperative consultations. Objectives: To plan, implement and evaluate the preoperative nursing consultation included in the ERAS® program. Methodology: This is a descriptive, quantitative study with three phases: planning (development of guidance documents), implementation (consultations), and evaluation (through a questionnaire and audit platform). The study was conducted with two non-probability samples, one without consultations before the ERAS® program implementation (n = 65) and the other with consultations (n = 93). Results: Ninety-six consultations were held, with 74.2% of the patients reporting they were very sat-isfied and 59.1% considering the information transmitted very important. If new surgery was needed, all patients (100.0%) stated they would want a consultation. The mean length of hospital stay reduced from 7.09 to 6.73 days (p = 0.044), and the time to recover autonomy in mobilization decreased from 3.48 to 2.00 days (p < 0.001). Conclusion: The consultations were important for patients, had high levels of satisfaction, and posi-tively impacted the recovery of autonomy.
Background: The Enhanced Recovery After Surgery (ERAS®) program is a perioperative care pathway that aims to improve surgical outcomes and patient recovery. Nurses have a key role, particularly in preoperative consultations. Objectives: To plan, implement and evaluate the preoperative nursing consultation included in the ERAS® program. Methodology: This is a descriptive, quantitative study with three phases: planning (development of guidance documents), implementation (consultations), and evaluation (through a questionnaire and audit platform). The study was conducted with two non-probability samples, one without consultations before the ERAS® program implementation (n = 65) and the other with consultations (n = 93). Results: Ninety-six consultations were held, with 74.2% of the patients reporting they were very sat-isfied and 59.1% considering the information transmitted very important. If new surgery was needed, all patients (100.0%) stated they would want a consultation. The mean length of hospital stay reduced from 7.09 to 6.73 days (p = 0.044), and the time to recover autonomy in mobilization decreased from 3.48 to 2.00 days (p < 0.001). Conclusion: The consultations were important for patients, had high levels of satisfaction, and posi-tively impacted the recovery of autonomy.
Description
Keywords
Enfermagem perioperatória Assistência centrada no paciente Recuperação pós-cirúrgica melhorada Assistência perioperatória Educação do paciente Satisfação do paciente Enhanced recovery after surgery Patient education as topic Patient satisfaction Patient-centered care Perioperative care Perioperative nursing