Short Term Outcome Following Post Operative Enhanced Recovery Implementation in Patients With Perforated Peptic Ulcer
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Gastrointestinal functional recovery(first flatus passage)
研究概览
简要总结
This study aimed to evaluate the effect of implementing post operative enhanced recovery on perforated peptic ulcer surgery outcome.
The current study anticipated better outcomes in the form of early functional recovery, reduced length of hospital stays, less thirty days post operative morbidity, and better gastrointestinal quality of life after implementing post operative enhanced recovery in patients with perforated peptic ulcer.
详细描述
This study aimed to evaluate the effect of implementing post operative enhanced recovery on perforated peptic ulcer surgery outcomes.
Methods: Quasi- experimental research design was utilized. The study was conducted at Assiut University Hospital.
A purposive sample of thirty patients (study group) who received postoperative enhanced recovery after open surgical repair of perforated peptic ulcer compared with thirty patients (control group) who exposed to routine care.
patient assessment sheet and gastrointestinal quality of life index were the tools used for data collection.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ranged from 18 to 65 years,
- •Diagnosed with perforated peptic ulcer,
- •Ulcer size less than 10 mm.
- •Underwent emergent surgical intervention
排除标准
- •Malignant ulcer.
- •Other GIT diseases (corn's disease & ulcerative colitis)
- •Pregnant women
- •Psychiatric or neurological illness.
- •Who refused to participate in the study
结局指标
主要结局
Gastrointestinal functional recovery(first flatus passage)
时间窗: Within the first 24 hours postoperative or more
Tool; Patient assessment sheet * It was developed by researchers based on literatures review to assess postoperative clinical data (part 2) as gastrointestinal functional recovery (first flatus passage) through physical examination. the mean score of time for two groups was compared
Gastrointestinal functional recovery (first bowel movement)
时间窗: Within the first 24 hours postoperative or more
Tool; Patient assessment sheet * It was developed by researchers based on literatures review to assess postoperative clinical data (part 2) as gastrointestinal functional recovery (first bowel movement) through physical examination. * The mean score of time for two groups was compared
Legnth of hospital stay
时间窗: seven days up to two weeks
Hospitalization duration from admission up to discharge Mean score of days for two groups will be compared.
postoperative complications
时间窗: Immediately post operative up to thirty days postoperative
post operative complications included complications that occured within 30- days post operative. Every patient had been assessed for developing pneumonia, admission to critical care, abdominal collection, intra-abdominal abscess, suture leakage, omental patch leakage, septic shock, prolonged ileus, surgical site infection, urinary tract infection, deep venous thrombosis (DVT), and reoperation
Gastrointestinal functional recovery(first stool passage)
时间窗: First stool passage within three days postoperative or more
Tool; Patient assessment sheet \- It was developed by researchers based on literatures review to assess postoperative clinical data (part 2) as gastrointestinal functional recovery (first stool passage) postoperative.through health history. The mean score of time for two groups was compared
次要结局
- gastrointestinal quality of life(Before hospital dicharge and after thirty days postoperative)
研究者
Amna A. Desouky, MD
Assisstant professor of Medical Surgical Nursing
Assiut University