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Patients’ opinions on enhanced recovery after surgery perioperative care principles: a questionnaire study

A. Zychowicz,M. Pisarska,Anna Łaskawska,M. Czyz,J. Witowski,M. Kisielewski,J. Kulawik,A. Budzyński,M. Pędziwiatr

Published 2018 in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques

ABSTRACT

Introduction The enhanced recovery after surgery (ERAS) protocol relies on patients’ compliance and their awareness of its principles. Patients’ views on ERAS implementation have never been evaluated in Poland before. Aim To analyse patients’ opinions about this protocol. Material and methods One hundred forty consecutive patients undergoing elective laparoscopic procedures in which ERAS was implemented were asked to join the study. Out of them, 120 fulfilled the trial criteria and were surveyed once before and twice after surgery. A 22-question survey about the patient’s perception of ERAS principles was presented upon admission and on the day of discharge. A telephone follow-up was performed 2 weeks after discharge. Results Patients reported the need for being counselled by the anaesthetist/surgeon as the most important element of the protocol. Items such as being free of pain, being free of gastrointestinal symptoms, and being free of catheter were rated more highly preoperatively than on the day of discharge, whereas telephone check-up call, being able to drink and eat early after surgery, avoiding bowel preparation, avoiding preoperative fasting and reducing postoperative intravenous fluids were rated more highly on the day of discharge. Pain was still present in over half of patients two weeks after discharge. Only 4.76% of patients admitted in the telephone survey that they were afraid of early discharge. Shortening of the length of hospital stay thanks to ERAS was widely appreciated among all patients who did not find it necessary to spend a longer time in the hospital. Conclusions Polish patients approve the ERAS protocol as modern perioperative care. Patients emphasize the need for preoperative counselling and painless recovery.

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