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Application and Evaluation of a Care Plan for Enhanced Recovery After Thyroidectomy.

Purpose: To develop and evaluate a nursing care plan based on the ERAS (Enhanced Recovery After Surgery) approach for thyroid surgery patients. Methods: A nursing care plan has been developed after the literature review and focus group discussion. The content was validated using the Delphi method. T...

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Publicado en:Inquiry (00469580) Vol. 59; pp. 1 - 8
Autores principales: Lei Zheng, Shiyu Zhang
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Jan-Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan-Dec2022
      vid: 59
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Application and Evaluation of a Care Plan for Enhanced Recovery After Thyroidectomy.
      aug:
        au:
          Lei Zheng
          Shiyu Zhang
        affil: Department of Thyroid Vascular Surgery, Shanghai Jiao Tong University School of Medicine affiliated Ruijin Hospital, Shanghai, China
      sug:
        subj:
          Nursing Care Plans Evaluation
          Enhanced Recovery After Surgery
          Thyroidectomy
          Surgical Patients
          Nursing Care
          Program Development
          Human
          Focus Groups
          Delphi Technique
          Quasi-Experimental Studies
          Comparative Studies
          Pain
          Pain Threshold
          Length of Stay
          Health Care Costs
          Male
          Female
          Adult
          Middle Age
          Tertiary Health Care
          China
          Visual Analog Scaling
          Barthel Index
          Scales
          Data Analysis Software
          T-Tests
          Chi Square Test
          Nursing Models, Theoretical
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: To develop and evaluate a nursing care plan based on the ERAS (Enhanced Recovery After Surgery) approach for thyroid surgery patients. Methods: A nursing care plan has been developed after the literature review and focus group discussion. The content was validated using the Delphi method. Then, a quasi-experimental study was designed. A total of 120 cases with thyroid surgery at Ruijin Hospital from March to June 2018 were divided equally into an ERAS group and a conventional group Results: The nursing care plan consisted of 13 first-level and 32 second-level indicators. (P < .001). Strikingly the outcomes, such as pain scores, length of hospital stay, and hospitalization costs, were significantly less in the ERAS group than those in the conventional group (P<.001), while no difference was detected in the postoperative complications rate. Conclusion: A scientific and reliable nursing care plan has been used for thyroidectomy patients to enhance recovery.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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