PENGARUH INTERVENSI ENCHANCE RECOVERY AFTER SURGERY PADA POSTOPERATIVE TERHADAP LENGTH OF STAY: A SISTEMATIK REVIEW
Abstract
Latar Belakang: Masalah kesehatan yang timbul pasca operasi harus segera diatasi untuk mempercepat proses pemulihan dan meminimalkan komplikasi pembedahan sehingga dapat mengurangi lama rawat inap di rumah sakit. Intervensi Enhanced Recovery After Surgery (ERAS) telah diperkenalkan pada perioperatif untuk mengurangi hari rawat inap. Tujuan: Untuk mengetahui pengaruh intervensi ERAS pada postoperative terhadap Length Of Stay (LOS). Sumber Data: ulasan sistematik ini dilakukan dibeberapa data base internasional yang diterbitkan dari tahun 2010 sampai 2019 di Pubmed, Proquest, Google Scholar, dan Science Direct yang dimulai penelusuran pada tanggal 01 sampai 31 Juli 2019. Metode: tinjauan sistematis menggunakan daftar periksa PRISMA, kemudian pertanyaan penelitian disusun menggunakan PICO pada pencarian artikel sehingga diperoleh 11 artikel memenuhi kriteria inklusi lalu dianalisis menggunakan CASP. Hasil: Terdapat 7 dari 11 artikel yang telah diulas intervensi protokol ERAS pada fase postoperative mengurangi lama hari rawat setelah diberikan intervensi dan ada perbedaan antara kelompok perlakuan dan kelompok konvensional. Sementara 4 artikel diberikan intervensi mobilisasi dini yang merupakan bagian dari ERAS pada fase postoperative terdapat 2 artikel yang setelah diberikan intervensi juga mengurangi lama hari rawat dan sisanya 2 artikel tidak ada perbedaan lama hari rawat. Namun demikain, artikel yang telah diulas tidak diketahui item mana pada protokol ERAS fase postoperative yang menyebabkan berkurangnya lama hari rawat dan masih memerlukan penelitian lebih untuk melihat pengaruh tiap item pada protokol ERAS fase postoperative. Kesimpulan: intervensi ERAS pada fase postoperative mengurangi lama hari rawat.
Kata kunci: laparatomi, operasi abdominal, operasi kolorectal, ERAS, mobilisasi dini, length of stay.
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References
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Silva, Y. R., Li, S. K., & Rickard, M. J. F. X. (2012). Does the addition of deep breathing exercises to physiotherapy-directed early mobilisation alter patient outcomes following high-risk open upper abdominal surgery ? Physiotherapy, 1–7. https://doi.org/10.1016/j.physio.2012.09.006
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Teeuwen, P. H. E., Bleichrodt, R. P., Strik, C., & Groenewoud, J. J. M. (2010). Enhanced Recovery After Surgery ( ERAS ) Versus Conventional Postoperative Care in Colorectal Surgery. J Gastrointest Surg, 14, 88–95. https://doi.org/10.1007/s11605-009-1037-x
Tengberg, L. T., Cihoric, M., Foss, N. B., Bay-Nielsen, M., Gögenur, I., Henriksen, R., … Nielsen, L. B. J. (2017). Complications after emergency laparotomy beyond the immediate postoperative period – a retrospective, observational cohort study of 1139 patients. Anaesthesia, 72(3), 309–316. https://doi.org/10.1111/anae.13721
Thiele, R. H., Rea, K. M., Turrentine, F. E., Friel, C. M., Hassinger, T. E., Goudreau, B. J., … Mcmurry, T. L. (2015). Standardization of Care : Impact of an Enhanced Recovery Protocol on Length of Stay , Complications , and Direct Costs after Colorectal Surgery. Journal of the American College of Surgeons, 220(4), 430–443. https://doi.org/10.1016/j.jamcollsurg.2014.12.042
Wijk, L., Franzen, K., Ljungqvist, O., & Nilsson, K. (2014). Implementing a structured Enhanced Recovery After Surgery ( ERAS ) protocol reduces length of stay after abdominal hysterectomy. ACTA Obstetricia et Gynecologica, 93, 749–756. https://doi.org/10.1111/aogs.12423
Zeng, W. G., Liu, M. J., Zhou, Z. X., & Wang, Z. J. (2017). Enhanced recovery programme following laparoscopic colorectal resection for elderly patients. ANZJSurg.Com, (January 2010). https://doi.org/10.1111/ans.14074
Almeida, E. P. M. De, Almeida, J. P. De, Landoni, G., Galas, F. R. B. G., Fukushima, J. T., Fominskiy, E., … Hajjar, L. A. (2017). Early mobilization programme improves functional capacity after major abdominal cancer surgery : a randomized controlled trial. British Journal of Anaesthesia, 0(0), 1–8. https://doi.org/10.1093/bja/aex250
Barrow, E., Anderson, I. D., Varley, S., Pichel, A. C., Peden, C. J., Saunders, D. I., & Murray, D. (2013). Current UK practice in emergency laparotomy. General Surgery, 95, 599–603. https://doi.org/10.1308/003588413X13629960048433
Carmicahel, J. C., Keller, D. S., Baldini, G., Bordeianou, L., Weiss, M. D. E., Lee, M. D. L., … Steele, S. R. (2017). Clinical Practice Guidelines for Enhanced Recovery. Disease of the Colon & Rectum, 60(8), 761–784. https://doi.org/10.1097/DCR.0000000000000883
Carney, M. J., Weissler, J. M., Fox, J. P., Tecce, M. G., & John, P. (2017). Trends in open abdominal surgery in the United States—Observations from 9,950,759 discharges using the 2009–2013 national inpatient sample (NIS) datasets. The American Journal of Surgery. https://doi.org/10.1016/j.amjsurg.2017.01.001
CASP. (2018a). Critical Appraisal Skills Programme (CASP). CASP Checklist a Randomised Controlled Trial, (2018).
CASP. (2018b). Critical Appraisal Skills Programme (CASP). CASP Checklist Cohort Study, (2018).
CASP. (2018c). Critical Appraisal Skills Programme (CASP) Checklist Case Control Study, (2018).
Cohen, J. F., Korevaar, D. A., Altman, D. G., Bruns, D. E., Gatsonis, C. A., Hooft, L., … Bossuyt, P. M. M. (2016). STARD 2015 guidelines for reporting diagnostic accuracy studies : explanation and elaboration. BMJ Open, 6(11), 1–17. https://doi.org/10.1136/bmjopen-2016-012799
Darmawan, A. A., & Rihiantoro, T. (2017). PENGETAHUAN, SIKAP DAN PERILAKU MOBILISASI DINI PASIEN POST OPERASI LAPARATOMI. Jurnal Keperawatan, 8, 110–117.
Depkes, R. (2011). Riset kesehatan dasar. Jakarta: Departemen Kesehatan RI.
Depkes, R. (2013). Riset Kesehatan Dasar. Jakarta: Departemen Kesehatan RI.
Haines, K. J., Skinner, E. H., Berney, S., Austin, T., Post, H., & Investigators, S. (2013). Association of postoperative pulmonary complications with delayed mobilisation following major abdominal surgery : an observational cohort study. Chartered Society of Physiotherapy., 99, 119–125. https://doi.org/10.1016/j.physio.2012.05.013
Lee, T., Kang, M. D. S., Kim, M. D. D., Hong, S., Heo, M. D. S. C., & Park, M. D. K. J. (2011). Comparison of Early Mobilization and Diet Rehabilitation Program With Conventional Care After Laparoscopic Colon Surgery : A Prospective. DISEASES OF THE COLON &RECTUM, 54(1), 21–28. https://doi.org/10.1007/DCR.0b013e3181fcdb3e
Leeden, M. Van Der, Huijsmans, R., Geleijn, E., & Klerk, E. S. M. D. L. (2015). Early enforced mobilisation following surgery for gastrointestinal cancer : feasibility and outcomes. Physiotherapy, 1–8. https://doi.org/10.1016/j.physio.2015.03.3722
Miller, M. J., Weech-Maldonado, R., Outman, R. C., Ray, M. N., Gary, L. C., Chen, L., … Saag, K. G. (2016). Evaluating the effectiveness of a patient storytelling DVD intervention to encourage physician-patient communication about nonsteroidal anti-inflammatory drug (NSAID) use. Patient Education and Counseling, 99(11), 1837–1844. https://doi.org/10.1016/j.pec.2016.06.013
Miller, T. E., Thacker, J. K., White, W. D., Mantyh, C., Migaly, J., Jin, J., … Frcp, C. (2014). Reduced Length of Hospital Stay in Colorectal Surgery after Implementation of an Enhanced Recovery Protocol. International Anesthesia Research Society, 118(5), 1052–1061. https://doi.org/10.1213/ANE.0000000000000206
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., Altman, D., Antes, G., … Tugwell, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7). https://doi.org/10.1371/journal.pmed.1000097
Olle, L., Tonia, F. Y., & Demartines, N. (2017). The History of Enhanced Recovery After Surgery and the ERAS Society 1 2. Journal Of Lararoendoscopic & Advanced Surgical Techniques, 27(9), 860–862. https://doi.org/10.1089/lap.2017.0350
Sarin, A., Litonius, E. S., Naidu, R., Yost, C. S., Varma, M. G., & Chen, L. (2016). Successful implementation of an Enhanced Recovery After Surgery program shortens length of stay and improves postoperative pain , and bowel and bladder function after colorectal surgery. BMC Anesthesiology, 1–10. https://doi.org/10.1186/s12871-016-0223-0
Silva, Y. R., Li, S. K., & Rickard, M. J. F. X. (2012). Does the addition of deep breathing exercises to physiotherapy-directed early mobilisation alter patient outcomes following high-risk open upper abdominal surgery ? Physiotherapy, 1–7. https://doi.org/10.1016/j.physio.2012.09.006
Sjamsuhidarat, R., Karnadihardja, W., Prasetyono, T. O. H., & Rudiman, R. (2010). Buku Ajar Ilmu Bedah Edisi 3. Jakarta: EGC.
Teeuwen, P. H. E., Bleichrodt, R. P., Jong, P. J. M. de, Goor, H. van, & Bremers, A. J. A. (2011). Enchanced Recovery After Surgery Versus Conventional Perioperative Care in Rectal Surgery. DISEASES OF THE COLON & RECTUM, 54, 833–839. https://doi.org/10.1007/DCR.0b013e318216067d
Teeuwen, P. H. E., Bleichrodt, R. P., Strik, C., & Groenewoud, J. J. M. (2010). Enhanced Recovery After Surgery ( ERAS ) Versus Conventional Postoperative Care in Colorectal Surgery. J Gastrointest Surg, 14, 88–95. https://doi.org/10.1007/s11605-009-1037-x
Tengberg, L. T., Cihoric, M., Foss, N. B., Bay-Nielsen, M., Gögenur, I., Henriksen, R., … Nielsen, L. B. J. (2017). Complications after emergency laparotomy beyond the immediate postoperative period – a retrospective, observational cohort study of 1139 patients. Anaesthesia, 72(3), 309–316. https://doi.org/10.1111/anae.13721
Thiele, R. H., Rea, K. M., Turrentine, F. E., Friel, C. M., Hassinger, T. E., Goudreau, B. J., … Mcmurry, T. L. (2015). Standardization of Care : Impact of an Enhanced Recovery Protocol on Length of Stay , Complications , and Direct Costs after Colorectal Surgery. Journal of the American College of Surgeons, 220(4), 430–443. https://doi.org/10.1016/j.jamcollsurg.2014.12.042
Wijk, L., Franzen, K., Ljungqvist, O., & Nilsson, K. (2014). Implementing a structured Enhanced Recovery After Surgery ( ERAS ) protocol reduces length of stay after abdominal hysterectomy. ACTA Obstetricia et Gynecologica, 93, 749–756. https://doi.org/10.1111/aogs.12423
Zeng, W. G., Liu, M. J., Zhou, Z. X., & Wang, Z. J. (2017). Enhanced recovery programme following laparoscopic colorectal resection for elderly patients. ANZJSurg.Com, (January 2010). https://doi.org/10.1111/ans.14074
Published
2021-02-28
How to Cite
JAATA, Jikrun.
PENGARUH INTERVENSI ENCHANCE RECOVERY AFTER SURGERY PADA POSTOPERATIVE TERHADAP LENGTH OF STAY: A SISTEMATIK REVIEW.
Coping: Community of Publishing in Nursing, [S.l.], v. 9, n. 1, p. 107-118, feb. 2021.
ISSN 2715-1980.
Available at: <https://ojs.unud.ac.id/index.php/coping/article/view/71026>. Date accessed: 19 nov. 2024.
doi: https://doi.org/10.24843/coping.2021.v09.i01.p14.
Section
Articles
