scholarly journals A WeChat-Based Mobile Platform for Perioperative Health Education for Gastrointestinal Surgery

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Ying Li ◽  
Xiao-hui Cheng ◽  
Wen-ting Xu ◽  
Li-ping Tan ◽  
Xiao-jun Gou
Keyword(s):  
Health Education ◽  
Enhanced Recovery ◽  
Gastrointestinal Surgery ◽  
Perioperative Period ◽  
Mobile Platform ◽  
Successful Recovery ◽  
Before And After ◽  
Patient Health ◽  
Access Information ◽  
Eras Protocol

Appropriately instructing and guiding patients before and after surgery is essential for their successful recovery. In recent years, however, the development of the enhanced recovery after surgery (ERAS) protocol has restricted the opportunity for healthcare professionals to spend time with their patients before and after surgery because of efficiency-driven, shortened hospital stay. Here, we embedded health education information of the perioperative period for gastrointestinal surgery on a WeChat-based mobile platform and evaluated the platform through medical staff evaluation, patient volunteer evaluation, and quantitative grading rubric. Clinicians and nurses believed that the mobile platform was attractively designed and easy to navigate, valuable, and adequate for patient health education. The content of health education was embedded into the WeChat-based mobile platform, thereby allowing patients and caregivers to access information at their own pace and enable repeat reading.

scholarly journals Current status of enhanced recovery after surgery (ERAS) protocol in gastrointestinal surgery

2018 ◽  
Vol 35 (6) ◽  
Author(s):  
Michał Pędziwiatr ◽  
Judene Mavrikis ◽  
Jan Witowski ◽  
Alexandros Adamos ◽  
Piotr Major ◽  
...  
Keyword(s):  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Gastrointestinal Surgery ◽  
Current Status ◽  
Eras Protocol

A Single Surgeons Experience with Enhanced Recovery after Surgery: An Army of One

2016 ◽  
Vol 82 (7) ◽  
pp. 594-601 ◽  
Author(s):  
Catalina Mosquera ◽  
Nicholas J. Koutlas ◽  
Timothy L. Fitzgerald
Keyword(s):  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Univariate Analysis ◽  
Intestinal Resection ◽  
High Volume ◽  
Before And After ◽  
Individual Surgeon ◽  
The Mean ◽  
Eras Protocol ◽  
Surgical Oncologist

The benefits of enhanced recovery after surgery (ERAS) have been demonstrated for multiple surgical procedures in high-volume programs. However, resources required for its implementation may be daunting to individual surgeons. Patients undergoing elective abdominal procedures from June 2013 to April 2015 by a surgical oncologist before and after the implementation of an ERAS protocol were reviewed. A total of 179 patients were included. The mean age of the patients was 63 years, and a majority of them were females (53.6%), white (61.5%), had a Charlson score of 0 to 2 (45.8%), and a Clavien complication grade of 0 to I (60.1%). The univariate analysis revealed that the ERAS protocol was associated with shorter length of stay (LOS) (6.2 vs 9.6 days), lower cost ($21,674 vs $30,380), and lower mortality (0 vs 3.3%); P < 0.05. Differences were noted in LOS and costs for all procedures, the differences were the greatest for hepatic resection (3.8 vs 8.4 days and $16,770 vs $28,589), intestinal resection/stoma closure (4.8 vs 7.6 days and $18,391 vs $22,239), and other abdominal procedures (5.0 vs 10.8 and $17,713 vs $30,900); P < 0.05. The differences were less for patients undergoing procedures for which postoperative pathways were already in place such as pancreatic (9 vs 10.8 days and $30,524 vs $34,291) and colorectal (5.3 vs 6.5 days and $20,733 vs $25,150) surgeries. P > 0.05. An ERAS program can be instituted by an individual surgeon with the benefits of decreased LOS, cost, and mortality.

Effect of Enhanced Recovery After Surgery Protocol Implementation on Cost and Outcomes by Type of Colectomy Performed

2020 ◽  
Vol 86 (9) ◽  
pp. 1078-1082
Author(s):  
Miles Landry ◽  
Rachel Lewis ◽  
Andrew Antill ◽  
R. Eric Heidel ◽  
Jessica Taylor ◽  
...  
Keyword(s):  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Cost Of Care ◽  
Longitudinal Impact ◽  
Anatomic Site ◽  
Elective Colorectal Surgery ◽  
Before And After ◽  
Eras Protocol ◽  
The Impact ◽  
Over Time

Background Enhanced recovery after surgery (ERAS) protocols are widely utilized for elective colorectal surgery to improve outcomes and decrease costs, but few studies have evaluated the impact of ERAS protocols on cost with respect to anatomic site of resection. This study evaluated the impact of ERAS protocol on elective colon resections by site and longitudinal impact over time. Methods A single-center retrospective cohort study of 598 consecutive patients undergoing elective colorectal resection before and after implementation of ERAS protocol from 2013 to 2017 was performed. The primary outcomes were length of stay (LOS) and cost. Comparative and multivariate inferential statistics were used to assess additional outcomes. Results A total of 598 patients (100 pre-ERAS vs 498 post-ERAS) were evaluated with an overall median LOS of 4 days for right and left colectomies and 3 days for transverse colectomies. When comparing type of resection before and after ERAS protocol introduction, an increased LOS for left hemicolectomies from 3.09 to 4.03 days ( P = .047) was noted, with all other comparisons failing to reach statistical significance. Over time, an initial decrease in LOS for MIS approach after protocol introduction was observed; however, this effect diminished in the ensuing years and had no significant effect overall. Total cost of care was significantly increased post-ERAS for all cohorts except transverse colectomies. No further statistically significant differences were found. Conclusion After an initial improvement in outcomes, continued utilization of ERAS protocols demonstrated no improvement in LOS compared to pre-ERAS data and increased cost overall for patients regardless of site of resection.

scholarly journals Avoidance of urinary drainage during perioperative period of open elective colonic resection within enhanced recovery after surgery programme

2021 ◽  
Author(s):  
Yun Li ◽  
Zhi-Wei Jiang ◽  
Xin-Xin Liu ◽  
Hua-Feng Pan ◽  
Guan-Wen Gong ◽  
...  
Keyword(s):  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Perioperative Period ◽  
The Body ◽  
Colonic Resection ◽  
Perioperative Outcomes ◽  
Urinary Drainage ◽  
History Of ◽  
Prostatic Diseases ◽  
Eras Protocol

Abstract Background Urinary catheterization (UC) is a conventional perioperative measure for major abdominal operation. Optimization of perioperative catheter management is an essential component of the enhanced recovery after surgery (ERAS) programme. We aimed to investigate the risk factors of urinary retention (UR) after open colonic resection within the ERAS protocol and to assess the feasibility of avoiding urinary drainage during the perioperative period. Methods A total of 110 colonic-cancer patients undergoing open elective colonic resection between July 2014 and May 2018 were enrolled in this study. All patients were treated within our ERAS protocol during the perioperative period. Data on patients’ demographics, clinicopathologic characteristics, and perioperative outcomes were collected and analysed retrospectively. Results Sixty-eight patients (61.8%) underwent surgery without any perioperative UC. Thirty patients (27.3%) received indwelling UC during the surgical procedure. Twelve (10.9%) cases developed UR after surgery necessitating UC. Although patients with intraoperative UC had a lower incidence of post-operative UR [0% (0/30) vs 15% (12/80), P = 0.034], intraoperative UC was not testified as an independent protective factor in multivariate logistic analysis. The history of prostatic diseases and the body mass index were strongly associated with post-operative UR. Six patients were diagnosed with post-operative urinary-tract infection, among whom two had intraoperative UC and four were complicated with post-operative UR requiring UC. Conclusion Avoidance of urinary drainage for open elective colonic resection is feasible with the implementation of the ERAS programme as the required precondition. Obesity and a history of prostatic diseases are significant predictors of post-operative UR.

scholarly journals Implementación de un programa ERAS®

2021 ◽  
Vol 113 (2) ◽  
pp. 189-196
Author(s):  
Ricardo E. Mentz ◽  
◽  
Juan P. Campana ◽  
Uriel Fraidenraij ◽  
Santiago M. Mata-Suarez ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Continuous Improvement ◽  
Surgical Procedures ◽  
Enhanced Recovery ◽  
Length Of Hospital Stay ◽  
Inverse Correlation ◽  
Perioperative Period ◽  
Average Decrease ◽  
The Creation ◽  
Eras Protocol

Enhanced Recovery After Surgery (ERAS) is a model of care that involves the implementation of care pathways before, during and after surgery designed to improve patient’s experience throughout the perioperative period. Yet, the implementation of individual ERAS protocol elements is not sufficient. This approach requires the creation of a multidisciplinary work team, systematic recording of data and mthe use of the information recorded to implement a cycle of continuous improvement. Since 2015, 1331 patients have been recorded by Hospital Italiano de Buenos Aires. Median length of hospital stay was 4 days and median readmission rate was 7.3%. The overall adherence to the protocol elements was 56% (88% in the preoperative period, 60% in the intraoperative period and 39% in the postoperative period) There was a linear and inverse correlation between the adherence to the program and length of hospitalization for the most common surgical procedures, with an average decrease of one day of hospitalization for each 10% increase in adherence with the program for the most common surgical procedures. Despite these results, we have encountered difficulties in the data recording systems limiting the implementation of the cycle of continuous improvement. The creation of a multidisciplinary team, with fluent and efficient communication, is essential for the implementation of an ERAS® program capable of reducing length of hospital stay, morbidity and readmission rates.

scholarly journals Enhanced Recovery after Surgery in a Single High-Volume Surgical Oncology Unit: Details Matter

2016 ◽  
Vol 2016 ◽  
pp. 1-9
Author(s):  
Timothy L. Fitzgerald ◽  
Catalina Mosquera ◽  
Nicholas J. Koutlas ◽  
Nasreen A. Vohra ◽  
Kimberly V. Edwards ◽  
...  
Keyword(s):  
Enhanced Recovery ◽  
High Volume ◽  
Surgical Oncology ◽  
Readmission Rates ◽  
Before And After ◽  
The Difference ◽  
Oncology Unit ◽  
Eras Protocol ◽  
The Cost ◽  
Surgical Unit

Benefits of ERAS protocol have been well documented; however, it is unclear whether the improvement stems from the protocol or shifts in expectations. Interdisciplinary educational seminars were conducted for all health professionals. However, one test surgeon adopted the protocol. 394 patients undergoing elective abdominal surgery from June 2013 to April 2015 with a median age of 63 years were included. The implementation of ERAS protocol resulted in a decrease in the length of stay (LOS) and mortality, whereas the difference in cost was found to be insignificant. For the test surgeon, ERAS was associated with decreased LOS, cost, and mortality. For the control providers, the LOS, cost, mortality, readmission rates, and complications remained similar both before and after the implementation of ERAS. An ERAS protocol on the single high-volume surgical unit decreased the cost, LOS, and mortality.

STUDY ON THE RELATIONSHIP BETWEEN PARASITIC INFECTION AND KNOWLEDGE, HYGIENIC PRACTICAL MEASURES OF PARASITIC INFECTIOUS PREVENTION IN VINH THAI COMMUNITY

2017 ◽  
pp. 119-124
Author(s):  
Keyword(s):  
Health Education ◽  
Risk Behaviors ◽  
Ascaris Lumbricoides ◽  
Intestinal Parasite ◽  
Parasitic Infection ◽  
Parasite Infection ◽  
Intestinal Parasite Infection ◽  
Before And After ◽  
Parasite Infections ◽  
The Relationship

Introduction: Intestinal parasite infections werecommonintropical country such as Vietnam. Having good knowledge of parasitic infectious prevention and changing risk behaviors can decrease the infection rate. Objective: To evaluate the parasitic infectious rate in Vinh Thai community before and after being health education and the changing of knowledge of parasitic infectious prevention and risk behaviors. Materials and methods: 60 households in Vinh Thai commune were interviewed their knowledge of parasitic infectious prevention and examined intestinal parasite infection by Kato technique and then trained the knowledge of parasitic infectious prevention. The interview and examination parasite infectiousrate were carried out after 6 months to evaluating their knowledge. Result: Before health education, the rate of intestinal parasite infection was 17.4% with the prevalence of Ascaris lumbricoides, hookworm, whipworm, pinworm, small fluke worm and co-infection with A. lumbricoides - whipworm, hookworm-whipworm were 0.1%; 8.0%; 5.8%; 0.6%; 0.3%; 1.2% and 3.0% respectively. Six months later the rate of intestinal parasite infection was decreased in 12.6% even though not statistical significantly. However, there were no case of small fluke worm and co-infection with hookworm-whipworm. Receiving health education, their knowledge of parasitic infectious prevention was higher significantly but their risk behaviors were not changed so much. Conclusion: Health education can change the rate of parasite infection with higher knowledge of parasitic infectious prevention but it was necessary continuous study to change the risk behaviors. Key words: intestinal parasite, health education

Efektifitas Pendidikan Kesehatan Dengan Metode Ceramah Tentang Vulva Hygiene Terhadap Perilaku Merawat Vulva Hygiene Saat Menstruasi Pada Remaja Putri Kelas VII Di SMPN 1 Gondang Mojokerto

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Titin Dwi Ernawati ◽  
Nikhen Fitrianingtyas Harni ◽  
Jinnani Firdausiyah
Keyword(s):  
Health Education ◽  
Young Women ◽  
Sampling Technique ◽  
Mean Value ◽  
Measurement Tool ◽  
Test Design ◽  
Average Behavior ◽  
Lecture Method ◽  
Before And After ◽  
Post Test

ABSTRAKWanita muda cenderung memiliki perilaku buruk pada kebersihan selama menstruasi. Ketika reproduksi basah dan basah, maka akan meningkatkan keasaman memfasilitasi pertumbuhan jamur. Kondisi seperti gatal pada vulva, area eksternal biasanya terjadi pada wanita muda di masa menstruasi. Perilaku seseorang dipengaruhi oleh tingkat pendidikan dan pengetahuan. Pengetahuan seseorang tentang sesuatu dapat menyebabkan perubahan perilaku. Tujuan penelitian ini adalah untuk menganalisis efektivitas pendidikan kesehatan dengan metode ceramah dalam merawat kebersihan vulva terhadap perilaku kebersihan vulva saat menstruasi pada wanita muda di kelas VII di SMPN 1 Gondang Mojokerto.Jenis penelitian ini adalah pre eksperimental One Group Pre-Post Test Design. Populasi adalah wanita muda di kelas VII di SMPN 1 Gondang Mojokerto. Teknik pengambilan sampel menggunakan total sampling dan diperoleh 21 sampel wanita muda. Alat ukur yang digunakan dalam penelitian ini adalah kuesioner. Analisis data dengan membandingkan perilaku rata-rata memperlakukan kebersihan vulva selama menstruasi sebelum dan sesudah kuliah pendidikan kesehatan.Hasil penelitian sebelum pengobatan (pre-test) menunjukkan nilai rata-rata 9,000 sedangkan penelitian setelah perawatan (post test) menunjukkan nilai rata-rata 14,190. Ada perubahan dalam perilaku rata-rata memperlakukan kebersihan vulva selama menstruasi wanita muda sebelum dan sesudah kuliah pendidikan kesehatan di 5.190.Berdasarkan hasil pendidikan kesehatan dengan metode ceramah efektif untuk meningkatkan perawatan perilaku untuk kebersihan vulva selama menstruasi pada wanita muda. Kuliah pendidikan kesehatan tentang kebersihan vulva dapat digunakan sebagai salah satu cara efektif untuk memperbaiki perilaku kebersihan yang buruk selama menstruasi pada wanita muda.Kata kunci: pendidikan kesehatan, perilaku, kebersihan vulva ABSTRACTYoung women tend to have bad behavior on hygiene during menstruation. When reproduction moist and wet, it will increase the acidity facilitate mold growth. Conditions such as itching of the vulva, the external area usually occurs during young women in the menstrual period. Person's behavior is influenced by the level of education and knowledge. One's knowledge about something can cause behavioral changes. The purpose of the study was to analyze the effectiveness of health education with the lecture method of treating vulva hygiene on the behavior of vulva hygiene during menstruation in young women in class VII at SMPN 1 Gondang MojokertoType of research is pre experimental One Group Pre-Post Test Design. The population was young women in class VII at SMPN 1 Gondang Mojokerto. Sampling technique used total sampling and obtained 21 samples of young women. Measurement tool used in the study was questionnaire. Analysis of the data by comparing the average behavior of treating vulva hygiene during menstruation before and after the health education lecture.The results of the study before treatment (pre-test) showed a mean value of 9,000 while the study after treatment (post test) showed a mean value of 14,190. There is a change in the average behavior of treating vulva hygiene during menstruation young women before and after the health education lecture at 5,190.Based on the results of health education with the lecture method effectively to improved behavioral care for vulva hygiene during menstruation in young women. Health education lecture about hygiene vulva can be used as one of the effective ways to improve the behavior of poor hygiene during menstruation in young women.Key Words: health education, behaviour, vulva hygiene 

The financial impact of an enhanced recovery after surgery (ERAS) protocol in an academic gynecologic oncology practice

2020 ◽  
Vol 156 (2) ◽  
pp. 284-287 ◽  
Author(s):  
Zachary L. Gentry ◽  
Teresa K.L. Boitano ◽  
Haller J. Smith ◽  
Dustin K. Eads ◽  
John F. Russell ◽  
...  
Keyword(s):  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Gynecologic Oncology ◽  
Financial Impact ◽  
Oncology Practice ◽  
Eras Protocol
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