Are We Traditionalist or Innovative In Preoperative Period According To the Enhanced Recovery After Surgery?
Abstract
Aydanur Aydın, Sema Kocan, Ayla Gursoy, Cemile Aktug, Ayse Kavgacı and Aynur Yılmaz
Aim: The purpose of the study was to determine the implementation status of preoperative patient preparation according to the ERAS protocols.
Methods: This descriptive study was conducted in university hospital surgical clinics in two different cities in the Eastern Black Sea region. The sample of the study consisted of 17 surgical clinics. The data were collected using a questionnaire consisting of 50 questions developed by the researchers through face-to-face interviews with the charge nurses of the clinics. The data were evaluated with numbers and percentages.
Results: In pre-operative patient care, common clinical practices were mostly found in nutrition and pre-operative training. It was determined that the patients were not fed with solid or liquid food after 12 am in the 16 out of 17 clinics and each patient was provided training in the 15 clinics. In the 13 clinics, antibiotics were changed according to the operation time, and they were administered the day before the operation in the 8 clinics. It was also reported that preventive measures were taken by evaluating the patients in terms of Deep Vein Thrombosis (DVT), and 12 mechanical bowel cleansing were performed in the 11 clinics. It was observed that pre-medication application varied according to the physician in the 11 clinics, the skin preparation was done in the operating rooms in the 6 clinics, and the razor was used in the 13 clinics.
Conclusion: In surgical clinics, while pre-operative informative is being innovatively provided, traditional methods continue to be used in antibiotic administration, thromboembolism prophylaxis, nutrition and fluid loading. Implications for practice: The results of this study have provided us with information on the implementation status of the ERAS protocols prior to surgery. The information obtained can be used as a guideline to investigate the reasons for not applying ERAS protocols.
Implications for practice: The results of this study have provided us with information on the implementation status of the ERAS protocols prior to surgery. The information obtained can be used as a guideline to investigate the reasons for not applying ERAS protocols.