The effect of an enhanced recovery after surgery protocol on opioid consumption, pain and length of stay among patients undergoing prostatectomy and nephrectomy

Q3 Nursing

Journal of Perioperative Nursing Pub Date : 2022-06-02 DOI:10.26550/2209-1092.1177

Lindsay Bowles, Whitney Heet, Jerieka Waterbeck, Lori Chastain, M. Monroe, Claire C Davies

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引用次数: 1

Abstract

Objective: To examine the effect of the Baptist Health Lexington Urology ERAS Protocol (BHLEX-UEP) on opioid consumption, pain and length of stay among patients undergoing prostatectomy and nephrectomy. Methods: A quasi-experiment (N=303) was conducted in a 434-bed Magnet® re-designated community hospital in the south-eastern United States of America (USA). Data on all adult patients who underwent prostatectomy or nephrectomy surgery were retrieved over a 19-month period. Group differences related to morphine equivalents consumed, mean pain score on the day of surgery, and length of stay were examined between patients who experienced the traditional recovery protocol (n=133) and those experiencing the BHLEX-UEP (n=170). Results: Significant differences for the three variables of interest were found between the groups. Conclusions: Results of this study indicate that the use of the BHLEX-UEP for patients undergoing prostatectomy or nephrectomy could lead to a decrease in opioid consumption and patients’ pain and a shorter length of stay in hospital.

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强化术后恢复方案对前列腺切除术和肾切除术患者阿片类药物消耗、疼痛和住院时间的影响

目的：研究浸礼会健康Lexington泌尿外科ERAS方案（BHLEX-UEP）对前列腺切除术和肾切除术患者阿片类药物消耗、疼痛和住院时间的影响。方法：在美国东南部一家拥有434张床位的Magnet®重新指定的社区医院进行准实验（N=303）。在19个月的时间里，检索了所有接受前列腺切除术或肾切除术的成年患者的数据。研究了接受传统康复方案（n=133）和接受BHLEX-UEP（n=170）的患者在吗啡当量消耗、手术当天的平均疼痛评分和住院时间方面的组间差异。结果：三个感兴趣的变量在各组之间存在显著差异。结论：本研究的结果表明，在接受前列腺切除术或肾切除术的患者中使用BHLEX-UEP可以减少阿片类药物的消耗和患者的疼痛，缩短住院时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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