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Revista de Enfermagem Referência
Print version ISSN 0874-0283On-line version ISSN 2182-2883
Abstract
MENDES, Diana Isabel Arvelos and FERRITO, Cândida Rosa Clemente. Preoperative nursing consultations: Implementation and evaluation. Rev. Enf. Ref. [online]. 2021, vol.serV, n.8, e20216. Epub Mar 03, 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.
Keywords : perioperative nursing; patient-centered care; enhanced recovery after surgery; perioperative care; patient education as topic; patient satisfaction.