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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (2): 43-47.doi: 10.16460/j.issn1008-9969.2020.02.043

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Evidence-based Practice of Enhanced Recovery after Surgery for Patients with Hemorrhoids

GUO Su-yun1, DAI Ying2, SHI Lan-lai1, XI Run1, YAN Jing-ying1, YE Xiu-juan1   

  1. 1. Shenzhen Hospital of Beijing University of Chinese Medicine, Shenzhen 518172, China;
    2. Guangzhou Women and Children's Medical Center, Guangzhou 510623, China
  • Received:2019-10-18 Published:2020-07-21

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Abstract: Objective To explore and assess the effect of evidence-based enhanced recovery after surgery (ERAS) practice on postoperative rehabilitation of patients with hemorrhoids. Methods The standard procedure supported by the JBI-PACES program was used to retrieve relevant evidence of ERAS practice for postoperative rehabilitation of patients with hemorrhoids. JBI evidence pre-classification and evidence rank system (2014 edition) was used to evaluate the quality of evidence. FAME structure was used to evaluate the evidence from the respect of feasibility,appropriateness, clinical meaningfulness and effectiveness. The included evidence was translated into clinical audit indicators, and data were collected through reviewing nursing records, on-site examination and questionnaires. Comparisons were made in the effectiveness of treatment, anal pain, and incidence of complications before and after the implementation of the evidence-based ERAS practice. Results After the application of evidence, the effectiveness of treatment was improved (P<0.05) and patients' anal pain score on the first and fifth day after surgery was lower than that before the application of evidence (P<0.05). The incidence of postoperative complications after evidence application was lower than that before (P<0.05). Regarding the 11 indicators, the execution rate of all the indicators, except indicator 11, the execution rate of which had already been 100%, was higher after the application of evidence, indicating statistical significance(P<0.001). Conclusion Evidence-based nursing practice based on rapid rehabilitation surgery can optimize postoperative management of patients with hemorrhoids, improve therapeutic effect, reduce postoperative anal pain and the incidence of postoperative complications, and promote the rapid recovery of patients with hemorrhoids.

Key words: hemorrhoids, postoperative, rapid postoperative rehabilitation, nursing, evidence-based practice

CLC Number: 

  • R473.6
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