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( Kim Bo-Youl ) - Seoul National University Hospital Department of Nursing
유승범 ( Ryoo Seung-Bum ) - Seoul National University College of Medicine Seoul National University Hospital Department of Surgery
박규주 ( Park Kyu-Joo ) - Seoul National University College of Medicine Seoul National University Hospital Department of Surgery
박성희 ( Park Sung-Hee ) - Kyungmin College Department of Nursing
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Abstract
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Purpose: To assess the effectiveness of a care map for a fast-track discharge program after colorectal cancer surgery.
Methods: Ninety-nine patients who underwent colorectal surgery were retrospectively analyzed: 45 patients who were placed in a conventional program (January 3 to March 13, 2013) and 44 patients who were placed in a fast-track program using the care map (July 26 to September 24, 2014). Patients in the fast-track program started eating on postoperative day 1, while those in the conventional program started eating on post-operative day 2. complications, and pain were compared between the two groups.
Results: A slight decrease in the average duration of hospitalization was observed for the fast-track group (5.31±0.98 days) compared to the conventional group (5.38±2.80 days), although this difference was not statistically significant. All other outcomes for the fast-track group were scored as 0. Furthermore, there was no statistically significant differences between pain, narcotics administration, and non-narcotic analgesics (aside from patient-controlled analgesia).
Conclusion’ The care map for the colorectal surgery fast-track program was effective and program validation and supplementation of the active standardization early recovery program should be performed using multi-disciplinary research.
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KeyWords
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Colorectal Surgery, Fast-Track
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원문 및 링크아웃 정보
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등재저널 정보
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