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Revista de Enfermagem Referência

versão impressa ISSN 0874-0283versão On-line ISSN 2182-2883

Resumo

MENDES, Diana Isabel Arvelos  e  FERRITO, Cândida Rosa Clemente. Preoperative nursing consultations: Implementation and evaluation. Rev. Enf. Ref. [online]. 2021, vol.serV, n.8, e20216.  Epub 03-Mar-2022. ISSN 0874-0283.  https://doi.org/10.12707/rv20216.

Background:

The Enhanced Recovery After Surgery (ERAS() program is a perioperative care pathway that aims to improve surgical outcomes and patient recovery. Nurses have a key role, particularly in preoperative consultations.

Objectives:

To plan, implement and evaluate the preoperative nursing consultation included in the ERAS( program.

Methodology:

This is a descriptive, quantitative study with three phases: planning (development of guidance documents), implementation (consultations), and evaluation (through a questionnaire and audit platform). The study was conducted with two non-probability samples, one without consultations before the ERAS® program implementation (n = 65) and the other with consultations (n = 93).

Results:

Ninety-six consultations were held, with 74.2% of the patients reporting they were very satisfied and 59.1% considering the information transmitted very important. If new surgery was needed, all patients (100.0%) stated they would want a consultation. The mean length of hospital stay reduced from 7.09 to 6.73 days (p = 0.044), and the time to recover autonomy in mobilization decreased from 3.48 to 2.00 days (p < 0.001).

Conclusion:

The consultations were important for patients, had high levels of satisfaction, and positively impacted the recovery of autonomy.

Palavras-chave : perioperative nursing; patient-centered care; enhanced recovery after surgery; perioperative care; patient education as topic; patient satisfaction.

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