THỰC TRẠNG TUÂN THỦ QUY TRÌNH CHĂM SÓC DINH DƯỠNG CHO NGƯỜI BỆNH PHẪU THUẬT THEO ERAS TẠI TRUNG TÂM PHẪU THUẬT ĐẠI TRỰC TRÀNG TẦNG SINH MÔN BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC NĂM 2024

Abstract

Patients undergoing surgery are at risk of malnutrition due to inadequate nutrition, surgical stress, and subsequent increased metabolic rate [1]. With the goal of not only minimizing the burden of malnutrition but also providing comprehensive care before, during, and after surgery, the Enhanced Recovery After Surgery (ERAS) Program was introduced. In 2022, with the aim of achieving early recovery for surgical patients, Viet Duc Friendship Hospital developed and implemented a nutritional care protocol for surgical patients based on ERAS guidelines. The protocol focuses on updated nutritional practices as recommended by ERAS for surgical patients. Our Our study investigated the current nutritional care practices for surgical patients at the Colorectal and Perineal Surgery Center in 2024, following the ERAS-based protocol established at the hospital. The results showed that 100% of healthcare workers adhered to nutritional status screening and assessment for patients. A high percentage of patients (87.6%) received preoperative carbohydrate loading, including 100% who consumed carbohydrates on the morning of surgery and 100% who drank a 12.5% maltodextrin solution preoperatively. Additionally, 97.3% of patients received early nutrition within the first 24 hours after surgery. The study also identified a correlation between adherence to the protocol and postoperative hospital stay duration. Patients who adhered to early gastrointestinal nutrition had shorter hospital stays compared to those who did not receive early nutrition (p<0.05).