Comparison of pre-operative, sequential and postoperative applications in clinical field for colorectal surgery

ABSTRACT A Comparison Of The Suitability Of Peroperatif And Postoperatif Application In Clinic Areas After Colorectal Surgeries For The ERAS Protocol KIRIK M. S., SANKO University, Institute Of Health Science, Department Of Nursing, Medical Surcical Nursing Master Thesis, Gaziantep, 2018 This study aims to find out and evaluate the attitude and the level of information of the health personnel having information about the ERAS protocol which is implemented in the USA and Europe after colorectal surgeries. The necessary permission was obtained from the health personnel working as surgeons, anaesthetists and nurses and from the institutions, and the sampling consisted of 116 persons. The survey questions were prepared after going through the literature, and the data were collected through face to face method. The evaluation of the data was given in percentages. The average age of the participants of the survey was 29.5 +5.46, while %82.8 of them was nurse, %4.3 of them was surgeon and %12 of them was anaesthetist. The answer of %51.7 of the participants to the question regarding who informed about the processes of surgery, home treatment and patient care was 'the whole team'. The preoperative fluid intake richer than carbohydrate was %44.8. The rate of the face to face meeting during the informing process was %59.4. %81.0 of them responded 'yes' to the question regarding whether the surgeons and the nurses in the hospital services had a treatment procedure prepared for patient care after colorectal surgeries. The rate of using stockings in the prevention of embolism was %46.5. The rate of the preoperative usage of antibiotics was %86.2. %97.5 of the patients walked within the first twenty-four hours after the surgery, while %44 of the patients walked between the first eight and twenty-four hours after the surgery. The rate of the health personnel who had never heard about the ERAS protocol was %74.1. The rate of those who could not implement this protocol because of not having an institutional support was %93.1. It can be pointed out that the health personnel did not have full knowledge of the implementation of the ERAS protocol, that the ERAS practices and applications were not included in the in-service trainings and that the health personnel did not benefit from the recent literature like the ERAS protocol and kept making use of conventional and traditional practices and applications. Key Words: ERAS (Enhanced Recovery After Surgery) Protocol; Fast Track Surgery; Nursing