PDF(Pubmed)
Abstract：
Background: Postoperative gastrointestinal dysfunction (POGD) remains a common morbidity after gastrointestinal surgery. POGD is associated with delayed hospital recovery, increased length of stay, poor patient satisfaction and experience, and increased economic hardship. The I-FEED scoring system was created by a group of experts to address the lack of a consistent objective definition of POGD. However, the I-FEED tool needs clinical validation before it can be adopted into clinical practice. The scope of this phase 1 Quality Improvement initiative involves the feasibility of implementing percussion into the nursing workflow without additional burden. Methods: All gastrointestinal/colorectal surgical unit registered nurses underwent comprehensive training in abdominal percussion. This involved understanding the technique, its application in postoperative gastrointestinal dysfunction assessment, and its integration into the existing nursing documentation in the Electronic Health Record (EHR). After six months of education and practice, a six-question survey was sent to all inpatient GI surgical unit nurses about incorporating the percussion assessment into their routine workflow and documentation. Results: Responses were received from 91% of day-shift nurses and 76% of night-shift registered nurses. Overall, 95% of the nurses were confident in completing the abdominal percussion during their daily assessment. Conclusion: Nurses\' effective use of the I-FEED tool may help improve patient outcomes after surgery. The tool could also be an effective instrument for the early identification of postoperative gastrointestinal dysfunction (POGD) in surgical patients.
摘要：
背景：术后胃肠功能障碍（POGD）仍然是胃肠道手术后的常见发病率。POGD与延迟的医院康复有关，停留时间增加，患者满意度和经验较差，增加了经济困难。I-FEED评分系统由一组专家创建，以解决POGD缺乏一致的客观定义的问题。然而,I-FEED工具需要进行临床验证,然后才能用于临床实践.第一阶段质量改进计划的范围涉及在护理工作流程中实施打击乐的可行性，而无需额外负担。方法：对所有胃肠/结直肠外科注册护士进行腹部敲击综合培训。这涉及到理解技术，其在术后胃肠功能障碍评估中的应用，并将其集成到电子健康记录（EHR）中的现有护理文档中。经过六个月的教育和实践，我们向所有住院胃肠外科病房护士发送了一项由六个问题组成的调查,内容是将敲击评估纳入他们的常规工作流程和文档.结果：91％的白班护士和76％的夜班注册护士收到了答复。总的来说,95％的护士在日常评估中对完成腹部撞击充满信心。结论：护士有效使用I-FEED工具可能有助于改善患者手术后的预后。该工具还可以是早期识别手术患者术后胃肠功能障碍（POGD）的有效工具。
