Comparison of nutrition, pain and early mobilization practices before and after surgery with ASHI uygulam protocol in Tap-P operations

The objective of this study is to find out whether hospitals in Gaziantep, Turkey meet the requirements of the ERAS protocol regarding the implementation of postoperative nutrition, pain and early mobilisation practices in TUR-P surgeries. This study was carried out in the urology clinics of 25 Aralık State Hospital, Dr.ErsinArslan Training and Research Hospital, Gaziantep University Şahinbey Research and Application Hospital and SANKO Training and Research Hospital. The attitudes of the surgeons, nurses and anaesthetists were analysed in accordance with the ERAS protocol. The surgeons, nurses and anaesthetists were asked survey questions about pain, early mobilisation and nutrition. The sample group consisted of ninety-five persons. The questionnaires were conducted by using a face-to-face method. The results of the questionnaires were given in percentages. The average age of the health personnel is 34.73+9.11. % 26.3 of them was surgeon, while % 17.9 of them was anaesthetist and % 55.8 of them was nurse. The preoperative fluid intake richer than carbohydrate was % 29.5. The rate of those stating that the duration of patency was in accordance with the ERAS protocol is % 4.2. The process of postoperative fluid and intake was not in line with the requirements of the ERAS protocol. The rate of those suggesting that prophylaxis must be implemented for nausea was % 65.3. The rate of those stating that they used anti-embolic stockings after each TUR-P surgery was % 62.1. The rate of the mobilisation of the patients after TUR-P surgery did not either meet the requirements. The rate of those stating that analgesic must be used for postoperative pain was % 62.1, while anti-inflammatory drugs were preferred after operations and its rate was % 44.2. The rate of those who heard about the ERAS protocol was % 37.9. Considering the findings of this study, it can be pointed out that the treatment and care procedureswere not conducted in accordance with the requirements of the ERAS protocol. In order to start treatment procedures and nursing care plans in accordance with the ERAS protocol, it can be suggested that health personnel should have in-service trainings and that similar procedures to those of the ERAS protocol can be organised and put into action by means of different committees. Key Words: ERAS Protocol, Enhanced Recovery After Surgery, TUR-P Surgery