主管:国家卫生健康委员会
主办:国家卫生计生委医院管理研究所
中国科学引文数据库(CSCD)来源期刊
中国科技论文统计源期刊 中国科技核心期刊
《中文核心期刊要目总览》入选期刊

Chinese Nursing Management ›› 2023, Vol. 23 ›› Issue (11): 1601-1605.doi: 10.3969/j.issn.1672-1756.2023.11.001

• Special Planning •     Next Articles

Construction and practice of a nurse-led Enhanced Recovery After Surgery clinical pathway information system

LAN Meijuan, XU Caijuan, HAN Nafei, ZHANG Yuping, LU Jienan, ZHAO Qiaomei, CHEN Ying   

  1. Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, China
  • Online:2023-11-15 Published:2023-11-15
  • Contact: E-mail:xucaijuan@zju.edu.cn

Abstract: Objective: To construct and explore the effectiveness of a nurse-led information-based Enhanced Recovery After Surgery (ERAS) clinical pathway in surgical patients. Methods: Based on multidiscipline team collaboration and evidence, a nurse-led information-based ERAS clinical pathway for 22 diseases were constructed and applied to surgical patients from January 2023. Taking liver cancer and lung cancer patients as examples, the compliance rate of ERAS measures, average hospitalization days, and hospitalization costs were compared before and after the application of nurse-led information-based ERAS clinical pathway. Results: The compliance rate of the ERAS measures in liver cancer patients of experimental group was higher than that of the control group, and the average hospitalization days and hospitalization costs were lower than those of the control group, with statistically significant difference respectively (P<0.05). The compliance rate of enhanced rehabilitation measures in lung cancer patients of experimental group was higher than that in the control group, and hospitalization cost was lower, the differences were statistically significant respectively (P<0.05). Conclusion: The nurse-led information-based ERAS clinical pathway can promote the implementation of ERAS measures, promote the rehabilitation of patients, shorten the average hospitalization days, reduce hospitalization costs, and alleviate the current situation of limited medical resources.

Key words: Enhanced Recovery After Surgery; clinical pathway; information system

CLC Number: R47;R197