Patient satisfaction with enhanced recovery after colorectal surgery: a cross-sectional analytical study

Abstract Introduction Length of stay (LOS) following colorectal surgery has reduced due to enhanced recovery after surgery (ERAS) programs. Telemedicine has shown potential for patients to remotely access support, communicate progress with their medical team and enhance patient empowerment. We conducted a systematic review of smartphone applications for ERAS following colorectal surgery measuring patient outcomes and experience. Method The review was performed adhering to PRISMA guidelines, using search terms pertaining to ERAS, colorectal surgery, and mobile applications via electronic databases. All peer-reviewed English articles were assessed for inclusion and quality by two reviewers. A qualitative analysis was conducted to evaluate methodologies, patient experience, and outcomes. Results 206 abstracts were identified from which 5 articles (2 RCTs and 3 cohorts) were included in the analysis. Studies surveyed patient adherence to ERAS, LOS, readmission, intra and postoperative complications. Four studies recorded patient satisfaction, whilst one assessed quality of life and application validation. Conclusions The review highlights paucity in the use of smartphone applications after ERAS in colorectal surgery but demonstrates high patient satisfaction levels. Service delivery in the NHS has increasingly moved to a virtual platform during the coronavirus pandemic. More research and engagement in the development and use of smartphone applications would enhance care for patients.

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Patient Satisfaction and Quality of Life with Enhanced Recovery Protocols

Clinics in Colon and Rectal Surgery ◽

10.1055/s-0038-1676480 ◽

2019 ◽

Vol 32 (02) ◽

pp. 138-144 ◽

Cited By ~ 7

Author(s):

Debbie Li ◽

Christine Jensen

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Postoperative Pain ◽

Colorectal Surgery ◽

Enhanced Recovery ◽

Future Research ◽

Widespread Implementation ◽

Recovery Protocols ◽

Eras Protocol

AbstractWhile studies have demonstrated the benefits of Enhanced Recovery after Surgery (ERAS) programs in reducing length of stay and costs without increasing complications, fewer studies have evaluated patient satisfaction and quality of life (QOL) with enhanced recovery protocols. The aim of this project was to summarize the literature comparing satisfaction and quality of life after colorectal surgery following treatment within an ERAS protocol to standard postoperative care. The available evidence suggests patients suffer no detriment to satisfaction or quality of life with use of ERAS protocols, and may suffer less fatigue and return to activities sooner. Most publications reported no adverse effects on postoperative pain. However, a limited number of studies suggest patients may experience increased early postoperative pain with ERAS pathways, particularly following open colorectal procedures. Future research should focus on potential improvements in ERAS protocols to better manage postoperative pain. Overall, the evidence supports more widespread implementation of ERAS pathways in colorectal surgery.

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Hubungan Kepuasan Pelayanan Makanan dengan Jenis Diet pada Pasien di RSU Haji Surabaya

Media Gizi Kesmas ◽

10.20473/mgk.v8i1.2019.12-18 ◽

2020 ◽

Vol 8 (1) ◽

pp. 12

Author(s):

Indy Armareza Lora Pratama

Keyword(s):

Patient Satisfaction ◽

Analytical Study ◽

Food Service ◽

Service Satisfaction ◽

Questionnaire Data ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Study Population ◽

Cross Sectional Design

Latar Belakang:Pelayanan gizi merupakan salah satu upaya penting untuk mendukung preventif, promotif danrehabilitatif. Pelayanan gizi di rumah sakit dapat mendukung dan mempercepat proses penyembuhan pasiendengan pemberian diet yang sesuai kebutuhan.Tujuan:Penelitian ini bertujuan untukmenganalisis hubungan kepuasan pelayanan makanan dengan jenis dietpada pasien di RSU Haji Surabaya.Metode: Penelitian ini merupakan penelitian analitik dengan desaincross sectional.Populasi penelitian terdiridari 79 pasien rawat Rumah Sakit Umum Haji Surabaya dengan besar sampel 48 pasien.Sampel diambilmenggunakansimple random sampling.Penelitian dilakukan dengan wawancara menggunakan kuesionerkepuasan pelayanan makanan.Analisa data menggunakan ujichi-squaredenganCI sebesar 95% (α=0,05).Hasil:Tingkat kepuasan pelayanan makanan menunjukkan 22 puas (45,8%) dan 26 tidak puas (54,2%).Kepuasan pelayanan makanan berhubungan signifikan dengan jenis diet (p=0,002).Kesimpulan:Kepuasan pelayanan makan pada pasienmemiliki hubungan signifikan dengan jenis diet. Rumahsakit harus memperhatikan kepuasan makan pasien dan meningkatkan konseling kepada pasien.ABSTRACTBackground:Nutrition serviceisinfluentialto support preventive, promotive and rehabilitativeefforts topatients in hospital. Nutrition servicecould support therecovery of patientsmorequickly.Objectives:This study aims to analyze correlation of food service satisfaction and typeof diet in patients at RSUHaji Surabaya.Methods:This study is an analytical study with a cross sectional design. The study population consisted of 79patients hospitalized inRSU Haji Surabayawith sample size of 48 patients. The sample was taken using simplerandom sampling. The study was conducted by interview using a food service satisfaction questionnaire. Data analysis using chi-square test with CI of 95% (α=0.05).Results:Satisfaction offood service in patients was significant relationship with the type of diet. Hospitals mustpay attention to patient satisfaction and improve counseling to patients.Conclusions:Patient satisfactionof food wassignificant associate withtexture offoodsbut notsignificantwithgender, age, and occupation. Hospitals must to pay attention to patient satisfaction, especially in soft foods.

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Comparison of Therapeutic Benefit of Bupivacaine HCl Transversus Abdominis Plane (TAP) Block as Part of an Enhanced Recovery Pathway versus Traditional Oral and Intravenous Pain Control after Minimally Invasive Colorectal Surgery: A Prospective, Randomized, Double-Blind Trial

The American Surgeon ◽

10.1177/000313481908501230 ◽

2019 ◽

Vol 85 (12) ◽

pp. 1363-1368 ◽

Cited By ~ 1

Author(s):

Amir A. Damadi ◽

Elizabeth A. Lax ◽

Lauren Smithson ◽

Ralph D. Pearlman

Keyword(s):

Patient Satisfaction ◽

Colorectal Surgery ◽

Enhanced Recovery ◽

Bowel Function ◽

Transversus Abdominis ◽

Gynecologic Surgery ◽

Main Diagnosis ◽

Tap Block ◽

Transversus Abdominis Plane ◽

Quality Outcomes

Enhanced recovery pathways (ERPs), when combined with transversus abdominis plane (TAP) blocks, have been proven to reduce the length of stay (LOS) and improve quality outcomes. Nonopioid pain management is an essential component of this pathway, leading to a reduction in immobility, postoperative ileus, and an increase in patient satisfaction. TAP block variations have been studied in general and gynecologic surgery. This study evaluates the effectiveness of laparoscopic TAP blocks in conjunction with the benefit of an ERP. One hundred thirty-seven consecutive laparoscopic and robotic-assisted Colorectal Surgery patients received TAP blocks under laparoscopic guidance while under anesthesia, randomized to a placebo, bupivacaine TAP block, or bupivacaine TAP block with an ERP arm of the trial. Patient demographics, operative techniques, and postoperative outcomes were analyzed using statistical analysis software. Our main objective was to determine short-term benefits of TAP blocks on reducing total narcotic consumption. Secondary objectives included effects of TAP blocks on time to ambulation, time to bowel function, and LOS. To isolate the effect of the TAP blocks, no efforts were made to control nursing or patient education in patients managed without an ERP. Of 137 patients, 14 were withdrawn. All cases were elective, with the main diagnosis colon cancer or dysplastic polyps (47.1%). The median age in each group was comparable ( P = 0.12), with female majority in both groups (58.5%). Most procedures were segmental colon resections (74.7%). Thirty-one patients received a placebo, 41 bupivacaine TAP, and 51 bupivacaine TAP plus ERP. In terms of primary endpoints, the bupivacaine plus ERP arm used statistically significant less IV narcotics on postoperative day 1 and in total ( P = 0.001, P = 0.008). All patients ambulated on average within the first 24 hours postoperatively, with the TAP plus ERP group approximately 0.5 days sooner ( P = 0.001). The TAP plus ERP group also had a return of bowel function and LOS approximately 24 hours early ( P = 0.001 and P = 0.001). This study shows that a laparoscopically placed bupivacaine TAP block when used as part of an ERP can reduce LOS, postoperative narcotics, time to ambulation and bowel function, and LOS. Defined pain regimens with auxiliary staff teaching can add to the improvement in quality outcomes in laparoscopic colorectal surgery and, with the addition of the TAP block, can add to patient satisfaction and lower hospital costs.

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