The opinion of operating room nurse on the enhanced recovery after surgery (ERAS): A survey questionnaire_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

QIU Shuting ¹ , ZHANG Xiangrong ¹ ,  CHE Guowei ² , LI Chuan ² , GONG Renrong ¹

1. Department of Operation Room, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
2. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

CHE Guowei, Email: chebenben2005@163.com

Keywords：

Enhanced recovery after surgery (ERAS); survey questionnaire; operating room nurse

DOI：

10.7507/1007-4848.201704007

Video：

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Objective To investigate the opinions of operating room nurse (ORN) on enhanced recovery after surgery (ERAS). Methods A questionnaire survey was performed among 215 ORNs in West China Hospital. There were 10 males and 205 females at age of 33.4±8.84 years. Results A total of 154 ORNs (71.6%) thought that we already had very good ERAS theory but we still needed more practice. Thirty-four ORNs(15.8%) thought that the application of ERAS was poor in our clinic comparing to other countries.A percentage of 84.2% (181/215) ORNs thought the criteria to judge whether the ERAS succeed or not should be average days of hospitalization, patients' feeling, and experience and social satisfactions. Besides, 78.1% (168/215) ORNs selected team building as the key point of ERAS success. There were 91.2% (196/215) ORNs who believed expert consensus and ERAS guide should be worked out and propagandized through academic forum or conference in order to popularize the ERAS. Conclusion The theory of ERAS has already been accepted by almost all the clinicians and team building is the best way to make ERAS work well.

Citation： QIU Shuting, ZHANG Xiangrong, CHE Guowei, LI Chuan, GONG Renrong. The opinion of operating room nurse on the enhanced recovery after surgery (ERAS): A survey questionnaire. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(7): 543-546. doi: 10.7507/1007-4848.201704007 Copy

1.	Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surg, 2017, 152(3):292-298.
2.	Nadler A, Pearsall EA, Victor JC, et al. Understanding surgical residents' postoperative practices and barriers and enablers to the implementation of an enhanced recovery after surgery (ERAS) guideline. J Surg Educ, 2014, 71(4): 632-638.
3.	Pędziwiatr M, Kisialeuski M, Wierdak M, et al. Early implementation of enhanced recovery after surgery (ERAS®) protocol－Compliance improves outcomes: A prospective cohort study. Int J Surg, 2015, 21: 75-81.
4.	Pisarska M, Pędziwiatr M, Małczak P, et al. Do we really need the full compliance with ERAS protocol in laparoscopic colorectal surgery? A prospective cohort study. Int J Surg, 2016, 36(Pt A): 377-382.
5.	de Aguilar-Nascimento JE, Leal FS, Dantas DC, et al. Preoperative education in cholecystectomy in the context of a multimodal protocol of perioperative care: a randomized, controlled trial. World J Surg, 2014, 38(2): 357-362.
6.	车国卫, 刘伦旭, 石应康. 加速康复外科临床应用现状与思考. 中国胸心血管外科临床杂志, 2016, 23(3): 211-215.
7.	车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
8.	梅建东, 车国卫, 杨梅, 等. 加速康复外科(ERAS)理念开启胸外科新篇章——记第一届胸科 ERAS 华西论坛. 中国胸心血管外科临床杂志, 2017, 24(1): 1-5.
9.	杜娜, 郭成林, 杨梅, 等. 加速康复外科在中国大陆胸外科临床现状—基于胸外科医生及护士调查的分析. 中国肺癌杂志, 2017, 20(3): 1-6.
10.	赖玉田, 苏建华 ,杨梅, 等. 术前短期综合肺康复训练对肺癌合并轻中度慢性阻塞性肺病患者的影响: 一项前瞻性随机对照试验. 中国肺癌杂志, 2016, 19(11): 746-753.
11.	孙政, 古维立, 曹杰. 加速康复外科应用的现状及展望简. 广东医学, 2016, 37(18): 2699-2701.
12.	Mortensen K, Nilsson M, Slim K, et al. Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Br J Surg, 2014, 101(10): 1209-1229.
13.	宋志芳, 韩兆杰, 林琳, 等. SF-36 量表评价胸外科住院患者生活质量的信度和效度. 中国胸心血管外科临床杂志, 2014, 21(2): 164-167.
14.	程黎阳. 快速康复外科的现状分析与前景展望. 实用医学杂志, 2012, 28(1): 1-4.
15.	Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg, 2008, 248(248): 189-198.
16.	石泽亚, 刘小明, 吴金术, 等. 加速康复护理程序在肝脏肿瘤手术病例中的应用. 医学临床研究, 2009, 26(9): 1627-1630.
17.	江志伟, 黎介寿. 快速康复外科——优化的临床路径. 中华胃肠外科杂志, 2012, 15(1): 12-13.
18.	Horosz B, Nawrocka K, Malec-Milewska M. Anaesthetic perioperative management according to the ERAS protocol. Anaesthesiol Intensive Ther, 2016, 48(1): 49-54.
19.	Montgomery R, McNamara SA. Multimodal pain management for enhanced recovery: reinforcing the shift from traditional pathways through nurse-led interventions. AORN J, 2016, 104(6S): S9-S16.
20.	江志伟, 易学明, 黎介寿, 等. 快速康复外科应受到医院管理部门的重视和推广. 实用医学杂志, 2012, 28(1): 5-7.

1. Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surg, 2017, 152(3):292-298.
2. Nadler A, Pearsall EA, Victor JC, et al. Understanding surgical residents' postoperative practices and barriers and enablers to the implementation of an enhanced recovery after surgery (ERAS) guideline. J Surg Educ, 2014, 71(4): 632-638.
3. Pędziwiatr M, Kisialeuski M, Wierdak M, et al. Early implementation of enhanced recovery after surgery (ERAS®) protocol－Compliance improves outcomes: A prospective cohort study. Int J Surg, 2015, 21: 75-81.
4. Pisarska M, Pędziwiatr M, Małczak P, et al. Do we really need the full compliance with ERAS protocol in laparoscopic colorectal surgery? A prospective cohort study. Int J Surg, 2016, 36(Pt A): 377-382.
5. de Aguilar-Nascimento JE, Leal FS, Dantas DC, et al. Preoperative education in cholecystectomy in the context of a multimodal protocol of perioperative care: a randomized, controlled trial. World J Surg, 2014, 38(2): 357-362.
6. 车国卫, 刘伦旭, 石应康. 加速康复外科临床应用现状与思考. 中国胸心血管外科临床杂志, 2016, 23(3): 211-215.
7. 车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
8. 梅建东, 车国卫, 杨梅, 等. 加速康复外科(ERAS)理念开启胸外科新篇章——记第一届胸科 ERAS 华西论坛. 中国胸心血管外科临床杂志, 2017, 24(1): 1-5.
9. 杜娜, 郭成林, 杨梅, 等. 加速康复外科在中国大陆胸外科临床现状—基于胸外科医生及护士调查的分析. 中国肺癌杂志, 2017, 20(3): 1-6.
10. 赖玉田, 苏建华 ,杨梅, 等. 术前短期综合肺康复训练对肺癌合并轻中度慢性阻塞性肺病患者的影响: 一项前瞻性随机对照试验. 中国肺癌杂志, 2016, 19(11): 746-753.
11. 孙政, 古维立, 曹杰. 加速康复外科应用的现状及展望简. 广东医学, 2016, 37(18): 2699-2701.
12. Mortensen K, Nilsson M, Slim K, et al. Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Br J Surg, 2014, 101(10): 1209-1229.
13. 宋志芳, 韩兆杰, 林琳, 等. SF-36 量表评价胸外科住院患者生活质量的信度和效度. 中国胸心血管外科临床杂志, 2014, 21(2): 164-167.
14. 程黎阳. 快速康复外科的现状分析与前景展望. 实用医学杂志, 2012, 28(1): 1-4.
15. Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg, 2008, 248(248): 189-198.
16. 石泽亚, 刘小明, 吴金术, 等. 加速康复护理程序在肝脏肿瘤手术病例中的应用. 医学临床研究, 2009, 26(9): 1627-1630.
17. 江志伟, 黎介寿. 快速康复外科——优化的临床路径. 中华胃肠外科杂志, 2012, 15(1): 12-13.
18. Horosz B, Nawrocka K, Malec-Milewska M. Anaesthetic perioperative management according to the ERAS protocol. Anaesthesiol Intensive Ther, 2016, 48(1): 49-54.
19. Montgomery R, McNamara SA. Multimodal pain management for enhanced recovery: reinforcing the shift from traditional pathways through nurse-led interventions. AORN J, 2016, 104(6S): S9-S16.
20. 江志伟, 易学明, 黎介寿, 等. 快速康复外科应受到医院管理部门的重视和推广. 实用医学杂志, 2012, 28(1): 5-7.

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The opinion of operating room nurse on the enhanced recovery after surgery (ERAS): A survey questionnaire

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