Enhanced Recovery After Surgery and Nursing Care After Bariatric Surgery

Öz

In recent years, with the medical developments, patient care is carried out according to evidence-based practices in the perioperative processes. Enhanced Recovery After Surgery (ERAS) protocol is among the evidence-based applications. These protocols are customized in each area. One of these areas is accelerated recovery protocols after bariatric surgery. The surgical nurse takes an active role in every point of the surgical process, especially the perioperative process. In this study, it is aimed that nurses will benefit from evidence-based practices in the care they will give to patients who apply to the hospital for bariatric surgery, and also bring a new and evidence-based perspective to the field of nursing.

Anahtar Kelimeler

• Bariatric Surgery
• Nursing
• Evidence-Based Care

Bariatrik Cerrahi Sonrası Hızlandırılmış İyileştirme Protokolleri ve Hemşirelik Bakımı

Öz

Son yıllarda tıbbi gelişmelerle birlikte ameliyat öncesi- sırası- sonrası süreçlerinde hasta bakımı kanıta dayalı uygulamalara göre yapılmaktadır. Cerrahi Sonrası Hızlandırılmış İyileşme (Enhanced Recovery After Surgery; ERAS) protokolü kanıta dayalı uygulamalar arasında yer almaktadır. Bu protokoller her alanda özelleştirilmiştir. Bu alanlardan biri ise bariatrik cerrahi sonrası hızlandırılmış iyileştirme protokolleridir. Cerrahi hemşiresi ameliyat öncesi- sırası- sonrası olmak üzere cerrahi sürecin her noktasında aktif rol almaktadır. Bu çalışmada, hemşirelerin bariatrik cerrahi için hastaneye başvuran hastalara verecekleri bakımda kanıta dayalı uygulamalardan yararlanması, ayrıca hemşirelik alanına yeni ve kanıta dayalı bir bakış açısı kazandırması hedeflenmektedir.

Anahtar Kelimeler

• Bariatrik Cerrahi
• Hemşirelik
• Kanıta Dayalı Bakım

Kaynakça

1. Abela, C., Stevens, T., Reddy, M., & Soldin, M. (2011). A multidisciplinary approach to post-bariatric plastic surgery. International journal of surgery (London, England), 9(1), 29–35. https://doi.org/10.1016/j.ijsu.2010.10.002
2. AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of the American College of Cardiology, 73(24), 3168–3209. https://doi.org/10.1016/j.jacc.2018.11.002
3. Almarshad, F. M., Almegren, M., Alshuaibi, T., Alobaodi, N., Almutawa, A., Basunbl, H., AlGahtani, F., & Al Rawahi, B. (2020). Thromboprophylaxis after bariatric surgery. Blood research, 55(1), 44–48. https://doi.org/10.5045/br.2020.55.1.44
4. Alshammari, S. A., Alassiri, M. A., Allami, H. A., Almousa, H. M., Alobaid, A. S., Ismail, D. H., & Bin Onayq, A. I. (2022). The Prevalence of Depression and Anxiety in Post-bariatric Surgery Patients at King Khalid University Hospital, Riyadh. Cureus, 14(12), e32500. https://doi.org/10.7759/cureus.32500
5. American Society of Anesthesiologists. (2017). Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology, 126(3), 376–393. https://doi.org/10.1097/ALN.0000000000001452
6. Basse, L., Raskov, H. H., Hjort Jakobsen, D., Sonne, E., Billesbølle, P., Hendel, H. W., Rosenberg, J., & Kehlet, H. (2002). Accelerated postoperative recovery programme after colonic resection improves physical performance, pulmonary function and body composition. The British journal of surgery, 89(4), 446–453. https://doi.org/10.1046/j.0007-1323.2001.02044.x
7. Beck, N. N., Mehlsen, M., & Støving, R. K. (2012). Psychological characteristics and associations with weight outcomes two years after gastric bypass surgery: Postoperative eating disorder symptoms are associated with weight loss outcomes. Eating behaviors, 13(4), 394–397. https://doi.org/10.1016/j.eatbeh.2012.06.001
8. Bellicha, A., Ciangura, C., Roda, C., Torcivia, A., Aron-Wisnewsky, J., Poitou, C., & Oppert, J. M. (2022). Effect of exercise training after bariatric surgery: A 5-year follow-up study of a randomized controlled trial. PloS one, 17(7), e0271561. https://doi.org/10.1371/journal.pone.0271561

9. Chotiyarnwong, P., Boonnasa, W., Chotiyarnwong, C., & Unnanuntana, A. (2021). Video-based learning versus traditional lecture-based learning for osteoporosis education: a randomized controlled trial. Aging clinical and experimental research, 33(1), 125–131. https://doi.org/10.1007/s40520-020-01514-2
10. Dahodwala, M., Geransar, R., Babion, J., de Grood, J., & Sargious, P. (2018). The impact of the use of video-based educational interventions on patient outcomes in hospital settings: A scoping review. Patient education and counseling, 101(12), 2116–2124. https://doi.org/10.1016/j.pec.2018.06.018
11. Dawes, A. J., Maggard-Gibbons, M., Maher, A. R., Booth, M. J., Miake-Lye, I., Beroes, J. M., & Shekelle, P. G. (2016). Mental Health Conditions Among Patients Seeking and Undergoing Bariatric Surgery: A Meta-analysis. JAMA, 315(2), 150–163. https://doi.org/10.1001/jama.2015.18118
12. Donadelli, S. P., Junqueira-Franco, M. V., de Mattos Donadelli, C. A., Salgado, W., Jr, Ceneviva, R., Marchini, J. S., Dos Santos, J. E., & Nonino, C. B. (2012). Daily vitamin supplementation and hypovitaminosis after obesity surgery. Nutrition (Burbank, Los Angeles County, Calif.), 28(4), 391–396. https://doi.org/10.1016/j.nut.2011.07.012
13. Driscoll, S., Gregory, fmajorD. M., Fardy, J. M., & Twells, L. K. (2016). Long-term health-related quality of life in bariatric surgery patients: A systematic review and meta-analysis. Obesity (Silver Spring, Md.), 24(1), 60–70. https://doi.org/10.1002/oby.21322
14. Dünya Sağlık Örgütü 2021 (World Health Organization). Obesity and overweight. [online] URL: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
15. Ewens, B., Kemp, V., Towell-Barnard, A., & Whitehead, L. (2022). The nursing care of people with class III obesity in an acute care setting: a scoping review. BMC nursing, 21(1), 33. https://doi.org/10.1186/s12912-021-00760-7
16. Fencl, J. L., Walsh, A., & Vocke, D. (2015). The bariatric patient: an overview of perioperative care. AORN journal, 102(2), 116–131. https://doi.org/10.1016/j.aorn.2015.05.007
17. Fried, M., Hainer, V., Basdevant, A., Buchwald, H., Deitel, M., Finer, N., Greve, J. W., Horber, F., Mathus-Vliegen, E., Scopinaro, N., Steffen, R., Tsigos, C., Weiner, R., Widhalm, K., & Bariatric Scientific Collaborative Group Expert Panel (2007). Interdisciplinary European guidelines for surgery for severe (morbid) obesity. Obesity surgery, 17(2), 260–270. https://doi.org/10.1007/s11695-007-9025-2
18. Gagnon, L. E., & Karwacki Sheff, E. J. (2012). Outcomes and complications after bariatric surgery. The American journal of nursing, 112(9), 26–37. https://doi.org/10.1097/01.NAJ.0000418920.45600.7a
19. Grundy, S. M., Stone, N. J., Bailey, A. L., Beam, C., Birtcher, K. K., Blumenthal, R. S., Braun, L. T., de Ferranti, S., Faiella-Tommasino, J., Forman, D. E., Goldberg, R., Heidenreich, P. A., Hlatky, M. A., Jones, D. W., Lloyd-Jones, D., Lopez-Pajares, N., Ndumele, C. E., Orringer, C. E., Peralta, C. A., Saseen, J .J., Yeboah, J. (2019). 2018
20. Gustafsson, U. O., Hausel, J., Thorell, A., Ljungqvist, O., Soop, M., Nygren, J., & Enhanced Recovery After Surgery Study Group (2011). Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery. Archives of surgery (Chicago, Ill. : 1960), 146(5), 571–577. https://doi.org/10.1001/archsurg.2010.309
21. Guyatt, G. H., Akl, E. A., Crowther, M., Gutterman, D. D., Schuünemann, H. J., & American College of Chest Physicians Antithrombotic Therapy and Prevention of Thrombosis Panel (2012). Executive summary: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest, 141(2 Suppl), 7S–47S. https://doi.org/10.1378/chest.1412S3
22. Heber, D., Greenway, F. L., Kaplan, L. M., Livingston, E., Salvador, J., Still, C., & Endocrine Society (2010). Endocrine and nutritional management of the post-bariatric surgery patient: an Endocrine Society Clinical Practice Guideline. The Journal of clinical endocrinology and metabolism, 95(11), 4823–4843. https://doi.org/10.1210/jc.2009-2128
23. Istfan, N. W., Lipartia, M., Anderson, W. A., Hess, D. T., & Apovian, C. M. (2021). Approach to the Patient: Management of the Post-Bariatric Surgery Patient With Weight Regain. The Journal of clinical endocrinology and metabolism, 106(1), 251–263. https://doi.org/10.1210/clinem/dgaa702
24. Jaklevic M. C. (2021). The Push for Earlier Bariatric Surgery for Adolescents With Severe Obesity. JAMA, 325(22), 2241–2242. https://doi.org/10.1001/jama.2021.7912
25. Kubik, J. F., Gill, R. S., Laffin, M., & Karmali, S. (2013). The impact of bariatric surgery on psychological health. Journal of obesity, 2013, 837989. https://doi.org/10.1155/2013/837989
26. Kushner R. (2000). Managing the obese patient after bariatric surgery: a case report of severe malnutrition and review of the literature. JPEN. Journal of parenteral and enteral nutrition, 24(2), 126–132. https://doi.org/10.1177/0148607100024002126
27. Lier, H. Ø., Biringer, E., Stubhaug, B., & Tangen, T. (2013). Prevalence of psychiatric disorders before and 1 year after bariatric surgery: the role of shame in maintenance of psychiatric disorders in patients undergoing bariatric surgery. Nordic journal of psychiatry, 67(2), 89–96. https://doi.org/10.3109/08039488.2012.684703
28. Livhits, M., Mercado, C., Yermilov, I., Parikh, J. A., Dutson, E., Mehran, A., Ko, C. Y., Shekelle, P. G., & Gibbons, M. M. (2011). Is social support associated with greater weight loss after bariatric surgery?: a systematic review. Obesity reviews : an official journal of the International Association for the Study of Obesity, 12(2), 142–148. https://doi.org/10.1111/j.1467-789X.2010.00720.x
29. Major, P., Stefura, T., Dziurowicz, B., Radwan, J., Wysocki, M., Małczak, P., & Pędziwiatr, M. (2020). Quality of Life 10 Years After Bariatric Surgery. Obesity surgery, 30(10), 3675–3684. https://doi.org/10.1007/s11695-020-04726-7
30. Marino, J. M., Ertelt, T. W., Lancaster, K., Steffen, K., Peterson, L., de Zwaan, M., & Mitchell, J. E. (2012). The emergence of eating pathology after bariatric surgery: a rare outcome with important clinical implications. The International journal of eating disorders, 45(2), 179–184. https://doi.org/10.1002/eat.20891
31. Mechanick, J. I., Youdim, A., Jones, D. B., Garvey, W. T., Hurley, D. L., McMahon, M. M., Heinberg, L. J., Kushner, R., Adams, T. D., Shikora, S., Dixon, J. B., Brethauer, S., American Association of Clinical Endocrinologists, Obesity Society, & American Society for Metabolic & Bariatric Surgery (2013). Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient--2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity (Silver Spring, Md.), 21 Suppl 1(0 1), S1–S27. https://doi.org/10.1002/oby.20461
32. Mills, E., Eyawo, O., Lockhart, I., Kelly, S., Wu, P., & Ebbert, J. O. (2011). Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. The American journal of medicine, 124(2), 144–154.e8. https://doi.org/10.1016/j.amjmed.2010.09.013
33. Müller, A., Mitchell, J. E., Sondag, C., & de Zwaan, M. (2013). Psychiatric aspects of bariatric surgery. Current psychiatry reports, 15(10), 397. https://doi.org/10.1007/s11920-013-0397-9
34. Nicholson, M., Chan, N., Bhagirath, V., & Ginsberg, J. (2020). Prevention of Venous Thromboembolism in 2020 and Beyond. Journal of clinical medicine, 9(8), 2467. https://doi.org/10.3390/jcm9082467
35. Overby, D. W., Kohn, G. P., Cahan, M. A., Galanko, J. A., Colton, K., Moll, S., & Farrell, T. M. (2009). Prevalence of thrombophilias in patients presenting for bariatric surgery. Obesity surgery, 19(9), 1278–1285. https://doi.org/10.1007/s11695-009-9906-7
36. Parretti, H. M., Hughes, C. A., & Jones, L. L. (2019). ‘The rollercoaster of follow-up care’ after bariatric surgery: a rapid review and qualitative synthesis. Obesity reviews : an official journal of the International Association for the Study of Obesity, 20(1), 88–107. https://doi.org/10.1111/obr.12764
37. Parrott, J., Frank, L., Rabena, R., Craggs-Dino, L., Isom, K. A., & Greiman, L. (2017). American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 13(5), 727–741. https://doi.org/10.1016/j.soard.2016.12.018
38. Puplampu T, Simpson S. Nursing care of the bariatric surgery patient. In: Agrawal S. (eds) obesity, bariatric and metabolic surgery. Springer, Cham. 2016.
39. Rösslein M. (2015). Erwachsene Patienten mit obstruktiver Schlafapnoe (OSA) - Perioperatives Management [Perioperative management of adult patients with obstructive sleep apnea]. Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS, 50(3), 174–184. https://doi.org/10.1055/s-0041-100965
40. Siyam, M., & Benhamou, D. (2007). Prise en charge anesthésique d’un adulte atteint d’un syndrome d’apnées obstructives du sommeil (SAOS) [Anaesthetic management of adult patients with obstructive sleep apnea syndrome]. Annales francaises d’anesthesie et de reanimation, 26(1), 39–52. https://doi.org/10.1016/j.annfar.2006.06.022
41. Smith, I., Kranke, P., Murat, I., Smith, A., O’Sullivan, G., Søreide, E., Spies, C., in’t Veld, B., & European Society of Anaesthesiology (2011). Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. European journal of anaesthesiology, 28(8), 556–569. https://doi.org/10.1097/EJA.0b013e3283495ba1.
42. Srinivasa, S., Kahokehr, A. A., Yu, T. C., & Hill, A. G. (2011). Preoperative glucocorticoid use in major abdominal surgery: systematic review and meta-analysis of randomized trials. Annals of surgery, 254(2), 183–191. https://doi.org/10.1097/SLA.0b013e3182261118
43. Thorell, A., MacCormick, A. D., Awad, S., Reynolds, N., Roulin, D., Demartines, N., Vignaud, M., Alvarez, A., Singh, P. M., & Lobo, D. N. (2016). Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations. World journal of surgery, 40(9), 2065–2083. https://doi.org/10.1007/s00268-016-3492-3
44. Topp, R., Swank, A. M., Quesada, P. M., Nyland, J., & Malkani, A. (2009). The effect of prehabilitation exercise on strength and functioning after total knee arthroplasty. PM & R : the journal of injury, function, and rehabilitation, 1(8), 729–735. https://doi.org/10.1016/j.pmrj.2009.06.003
45. Türkiye Cumhuriyeti Sağlık Bakanlığı ve Hacettepe Üniversitesi. Türkiye Beslenme ve Sağlık Araştırması 2010. 2014, [online] URL: https://www.saglik.gov.tr/TR,4736/turkiye-beslenme-ve-saglik-arastirmasi-2010-yayinlandi.html
46. Zee, A. A., van Lieshout, K., van der Heide, M., Janssen, L., & Janzing, H. M. (2017). Low molecular weight heparin for prevention of venous thromboembolism in patients with lower-limb immobilization. The Cochrane database of systematic reviews, 8(8), CD006681. https://doi.org/10.1002/14651858.CD006681.pub4