Keywords
How to Cite
Abstract
Background: colorectal surgery remains associated with the risk of morbidity and mortality, relating to the emergence of complications. Functional Respiratory Reeducation (RFR) exercises performed by rehabilitation nurses, become essential to prevent/minimize postoperative complications. Objectives: to evaluate the impact of RFR in people with indication for colorectal surgery, in the values of vital capacity (VC) and peripheral O2 saturation (SpO2) and describe the skills acquired after the application of a preoperative RFR program. Methodology: descriptive observational study, with a convenience sample of people with colorectal pathology who underwent a preoperative RFR program in a Hospital and University Center in the central region of Portugal. Results: the sample consisted of 78 people. Respiratory parameters such as CV and SpO2 were evaluated, as well as the assessment of acquired skills. The average number of RFR sessions per user was 3.97, getting a positive variation of SpO2 in 46 and a positive variation of VC in 41. With the exception of 3 people, most acquired abilities recommended at different levels. Conclusion: the gains obtained in the preoperative preparation of people in respiratory function and capacities to deal with pain are visible. These results are important for the prevention of respiratory complications in the postoperative period.
References
Carrão, A., Ribeiro, D., Manso, M., Oliveira, J., Férias, L., Ghira, M. & Maio, R. (2020). ERAS® Program in a Portuguese Hospital: Results from Elective Colorectal Surgery after One Year of Implementation. Acta Médica Portuguesa, 33(9), 568-575. https://doi.org/10.20344/amp.11158
Chan, T. Y., Foo, C. C., Law, W. L., & Lo, O. (2019). Outcomes of colorectal cancer surgery in the nonagenarians: 20-year result from a tertiary center. BMC Surgery, 19: 155. https://doi.org/10.1186/s12893-019-0623-4
Ferreira, A. M. S. (2019). Reeducação Funcional Pré-operatória na pessoa submetida a cirurgia abdominal [Master’s thesis, Instituto Politécnico de Viana do Castelo] Repositório Institucional do Instituto Politécnico de Viana do Castelo. http://repositorio.ipvc.pt/bitstream/20.500.11960/2280/1/Alcinda_Ferreira.pdf
INE (2019). Causas de morte 2017. Instituto Nacional de Estatística, I.P., Lisboa. https://www.ine.pt/ngt_server/attachfileu.jsp?look_parentBoui=359917289&att_display=n&att_download=y
Keane, C., Savage, S., McFarlane, K., Seigne, R., Robertson, G., & Eglinton, T. (2012). Enhanced recovery after surgery versus conventional care in colonic and rectal surgery. ANZ Journal of Surgery, 82(10), 697-703. https//doi.org/10.1111/j.1445-2197.2012.06139.x
Krutsri, C., Sumpritpradit, P., Singhatas, P., Thampongsa, T., Phuwapraisirisan, S., Gesprasert, G., Jirasiritham, J., & Choikrua, P. (2021). Morbidity, mortality, and risk factors of emergency colorectal surgery among older patients in the Acute Care Surgery service: A retrospective study. Annals of Medicine and Surgery, 62, 485-489. https://doi.org/10.1016/j.amsu.2020.11.001
Jurt, J., Hübner, M., Pache, B., Hahnloser, D., Demartines, N., & Grass, F. (2018). Respiratory Complications After Colorectal Surgery: Avoidable or Fate? World Journal of Surgery, 42, 2708-2714. https://doi.org/10.1007/s00268-018-4699-2
Lutfi, M. F. (2017). The physiological basis and clinical significance of lung volume measurements. Multidisciplinary Respiratory Medicine, 12(3). https://doi.org/10.1186/s40248-017-0084-5Melnyk, M., Casey, R. G., Black, P., & Koupparis, A. J. (2011). Enhanced recovery after surgery (ERAS) protocols: Time to change practice? Canadian Urological Association Journal , 5(5), 342–348. https://doi.org/10.5489/cuaj.11002
Mendes, D., Ferrito, C., & Gonçalves, M.I. (2020). A informação transmitida na consulta de enfermagem pré-operatória: perceção do cliente. Cadernos de Saúde. 12(1), 47-53. https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/7683
Moore, V. C. (2012). Spirometry: step by step. Breathe, 8, 232-240. https://doi.org/10.1183/20734735.0021711Ordem dos Enfermeiros (2018). Guia orientador de boa prática: reabilitação respiratória. https://www.ordemenfermeiros.pt/media/5441/gobp_reabilita%C3%A7%C3%A3orespirat%C3%B3ria_mceer_final-para-divulga%C3%A7%C3%A3o-site.pdf
Pak, H., Maghsoudi, L. H., Soltanian, A., & Gholami, F. (2020). Surgical complications in colorectal cancer patients. Annals of Medicine and Surgery, 55, 13-18. https://doi.org/10.1016/j.amsu.2020.04.024
Ripollés-Melchor, J., Fuenmayor-Varela, M. L., Camargo, S. C., Fernández, P. J., Barrio, A. C., Martínez-Hurtado, E., Casans-Francés, R., Abad-Gurumeta, A., Ramírez-Rodríguez, J. M., & Calvo-Vecino, J. M. (2018). Aceleração da recuperação após protocolo cirúrgico versus cuidados perioperatórios convencionais em cirurgia colorretal. Um estudo de coorte em centro único. Revista Brasileira de Anestesiologia 64 (4), 358-368 https://doi.org/10.1016/j.bjan.2018.01.003
Rodrigues, M. A., Ferreira, L. M., de Carvalho Calvi, E. N., & Nahas, F. X. (2017). Preoperative Respiratory Physiotherapy in Abdominoplasty Patients. Aesthetic Surgery Journal, 38(3), 291–299. https://doi:10.1093/asj/sjx121
Rodrigues, S. F. G. B. (2015). Efeitos de um programa pré-operatório de reeducação funcional respiratória, no doente submetido a cirurgia abdominal programada. [Master’s thesis,]. Instituto Politécnico de Bragança. https://bibliotecadigital.ipb.pt/handle/10198/11999
Soares, E., & Soares, S. (2018). Reeducação Funcional Respiratória no cliente submetido a gastrectomia: programa de intervenção pré e pós-operatório. Revista Portuguesa De Enfermagem De Reabilitação, 1(2), 33–41. https://doi.org/10.33194/rper.2018.v1.n2.02.4424
Steenhagen E. (2015). Enhanced Recovery After Surgery: It's Time to Change Practice! Nutrition in Clinical Practice, 31(1), 18–29. https://doi.org/10.1177/0884533615622640
Stratton, S. J. (2019). Quasi-Experimental Design (Pre-Test and Post-Test Studies) in Prehospital and Distaster Research. Prehospital and Disaster Medicine, 34(6), 573-574. https://doi.org/10.1017/S1049023X19005053
Teixeira, C., Martins, C., Trabulo, D., Ribeiro, S, Cardoso, C., Mangualde, J., Freire, R., Gamito, E., Alves, A. L., Cremers, I., & Oliveira, A. P. (2017). Colorectal Cancer Screening: What Is the Population’s Opinion. Portuguese Journal of Gastroenterology, 25(2),62–67 https://doi: 10.1159/000480705
Tevis, S., & Kennedy, G. (2016). Postoperative Complications: Looking Forward to a Safer Future. Clinics in Colon and Rectal Surgery, 29(3),246-52. https://doi.org/10.1055/s-0036-1584501
Vagvolgyi, A., Rozgonyi, Z., Kerti, M., Vadasz, P. & Varga, J. (2017). Effectiveness of perioperative pulmonar rehabilitation in thoracic surgery. Journal of Thoracic Disease, 9(6),1584-1591 https://doi.org/10.21037/jtd.2017.05.49
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2022 Nuno Miguel Catela Correia Correia, Luís Craveiro Mendes, Sandra Cristina dos Santos Areias , Maria Cristina Queiroz Vaz Pereira, Rafael Alves Bernardes