Patient engagement to enhance recovery for children undergoing surgery
Patient engagement to enhance recovery for children undergoing surgery
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DOI：
10.1053/j.sempedsurg.2018.02.005
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发表时间：
2018-04-01
影响因子：
1.7
通讯作者：
Raval, Mehul, V
中科院分区：
文献类型：
--
作者：
Heiss, Kurt F.;Raval, Mehul, V
20多年来，增强恢复方案（erp）已被用于减少手术的生理应激和炎症，并采用循证原则。erp包括优化患者准备，使用微创麻醉和手术技术减少创伤，以及定期审计结果。erp的一个关键方面是患者参与护理的所有阶段，这有助于有效的团队功能和对系统中患者流程的集中监督。咨询超越了传统的手术风险和收益评估，通过制定明确的每日患者目标，建立疼痛管理计划，优化营养，并确定出院标准。为患者和家属提供书面和视觉媒体资源以供回顾。这种咨询和教育清楚地概述了双向期望，确保做好准备，并通过解释围绕许多ERP干预措施的逻辑来增强患者和家属的能力。反过来，患者和家属作为流程中的关键利益相关者被激活，并与医疗团队拥有共同的愿景。大多数患者喜欢在自己的医疗保健中被视为合作伙伴和代理人。erp促进了最佳的手术体验，可以提高患者满意度、结果和价值。(C) 2018爱思唯尔公司版权所有。
For over 20 years enhanced recovery protocols (ERPs) have been used to decrease the physiologic stress and inflammation of surgery using evidence-based principles. ERPs include optimizing patient preparation, creating less trauma using minimally invasive anesthetic and surgical techniques, and regular audit of outcomes. A critical aspect of ERPs is patient engagement in all phases of care, which facilitates effective team function and focused oversight of patient flow through the system. Counseling extends beyond traditional review of surgical risks and benefits, by creating clear daily patient goals, establishing pain management plans, optimizing nutrition, and defining criteria for discharge. The patient and family are provided written and visual media resources to review. This counseling and education clearly outlines the bidirectional expectations, ensures preparedness, and empowers the patient and family by explaining the logic surrounding many of the ERP interventions. The patient and family are, in turn, activated as key stakeholders in the process and have a shared vision with the healthcare team. Most patients enjoy being considered partners and agents in their own healthcare. ERPs facilitate an optimal surgical experience that can improve patient satisfaction, outcomes, and value. (C) 2018 Elsevier Inc. All rights reserved.