Enhancement Recovery after Traumatic Surgery Program Implementation on Nurses’ Performance and Outcomes of Patients

Egyptian Journal of Health Care Pub Date : 2024-03-01 DOI:10.21608/ejhc.2024.341320

Dalia Ali Ameen, Mabrouka Ahmed Abdellah, Dina Mohamed Maarouf

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Abstract

Background: Enhanced recovery after surgery (ERAS) programs have been developed to improve patient outcomes, hasten recovery after surgery, and lessen healthcare costs. ERAS programs are a multimodal approach, with interventions during all stages of care. Aim : Evaluate the effect of enhancement recovery after traumatic surgery program implementation on nurses’ performance and outcomes of patients. Design : A quasi-experimental design (control & study group) for the studied patients and (pre-posttest) for the studied nurses was utilized to meet the aim of the study. Setting : This study was conducted in emergency department, general surgery operating theater and surgical ICU affiliated to El-Demerdash Hospital affiliated to Ain Shams University, Cairo. Egypt. Subjects : A convenient sample of all available nurses (68) will be recruited in the present study from the above-mentioned setting; (21 nurse from emergency department, 19 from the operating theatre and 28 from the surgical intensive care unit). Also, A purposive sample of 40 patients from the previous mentioned setting. Tools : Tool I-Nurses’ designed assessment questionnaire, Tool II-Nurses’ Observational checklist & Tool III-Patients' outcomes assessment tool. Results: showed that there was an obvious statistically significant improvement in the studied nurses’ satisfactory level in the three different setting post program implementation, in addition to there was statistically significant improvement in patients’ outcomes in the study group rather than the control group at p˂0.05. Conclusion: In view of the findings, enhancement recovery after traumatic surgery program implementation resulted in significant improvement in nurses’ knowledge and practical level in the different study setting. Furthermore, there was positive statistically significance difference between the control and study group of patient’s outcomes except for mortality rate. Recommendations: Availability of nursing interventional booklet regard enhancement after traumatic surgery is essential

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创伤性手术后恢复强化项目的实施对护士工作表现和患者疗效的影响

背景：为了改善患者的治疗效果、加快术后恢复并降低医疗成本，人们开发了术后强化恢复（ERAS）计划。ERAS计划是一种多模式方法，在护理的各个阶段都有干预措施。目的：评估创伤手术后加强康复计划的实施对护士工作表现和患者预后的影响。设计：为达到研究目的，采用了准实验设计（对照组和研究组），研究对象为患者，研究对象为护士（前测-后测）。环境：本研究在开罗艾因夏姆斯大学附属 El-Demerdash 医院的急诊科、普通外科手术室和外科重症监护室进行。埃及。研究对象：本研究将从上述医院的所有护士（68 名）中随机抽样，其中 21 名护士来自急诊科，19 名护士来自手术室，28 名护士来自外科重症监护室。此外，还将有目的性地从上述环境中抽取 40 名患者作为样本。工具：工具 I-护士设计的评估问卷、工具 II-护士观察清单和工具 III-患者结果评估工具。结果：结果显示，在实施计划后，研究组护士在三种不同环境中的满意度有了明显的统计学意义上的提高，此外，研究组患者的治疗效果也比对照组有了统计学意义上的提高（P˂0.05）。结论根据研究结果，在不同的研究环境中，实施创伤手术后恢复强化项目可显著提高护士的知识和实践水平。此外，除死亡率外，对照组和研究组患者的治疗效果在统计学上存在显著差异。建议：提供有关创伤手术后康复的护理干预手册至关重要

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Egyptian Journal of Health Care

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