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Forekomst af kirurgiske procedurespecifikke kliniske vejledninger

Forfatter(e)
Projektleder Kirsten Rud, klinisk oversygeplejerske Dorthe Hjort Jakobsen, seniorforsker Ingrid Egerod & professor Henrik Kehlet Rigshospitalet, Enhed for Perioperativ Sygepleje, Universiteternes Center for Sygepleje- og omsorgsforskning (UCSF) og Enhed for Kirurgisk Patofysiologi
Reference: 
Ugeskr Læger 2008;170(18):1559-1563
Blad nummer: 
Sidetal: 
1559-1563
Summary Surgical care guidelines Ugeskr Læger 2008;170(18):1559-1563 Introduction: Evidence-based guidelines for perioperative care facilitate the recovery process and decrease morbidity and hospital stay. The aim of this study was to evaluate the availability and content of guidelines for perioperative care in all departments performing colonic resection, nephrectomy, ovarian cancer surgery, pulmonary resection and total knee replacement. Materials and Methods: Based upon nationwide workshops and agreement on clinical guidelines for perioperative care a questionnaire was sent to all surgical departments which perform the five procedures. Where available, the guidelines were assessed for presence of written information at admission and discharge, expected hospital stay, plan for mobilisation, nutrition and pain control as well as information on care after discharge. Results: Between 59% and 88% of the departments within each subspecialty had clinical guidelines for perioperative care. The content in the existing guidelines often lacked accurate information regarding preoperative information, objective pain assessment and well-defined discharge criteria. Conclusion: The number of clinical guidelines is increasing, but there is a need for further implementation of clinical guidelines for perioperative care in order to improve outcome. www.periopnursing.dk
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