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Asian Oncol Nurs. 2014 Dec;14(4):249-253. English. Original Article. https://doi.org/10.5388/aon.2014.14.4.249
Kim B , Ryoo SB , Park KJ , Park SH .
Department of Nursing, Seoul National University Hospital, Seoul, Korea. goddess11@naver.com
Department of Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.
Department of Nursing, Kyungmin College, Uijeongbu, Korea.
Abstract

PURPOSE: To assess the effectiveness of a care map for a fast-track discharge program after colorectal cancer surgery. METHODS: Ninety-nine patients who underwent colorectal surgery were retrospectively analyzed: 45 patients who were placed in a conventional program (January 3 to March 13, 2013) and 44 patients who were placed in a fast-track program using the care map (July 26 to September 24, 2014). Patients in the fast-track program started eating on postoperative day 1, while those in the conventional program started eating on post-operative day 2. complications, and pain were compared between the two groups. RESULTS: A slight decrease in the average duration of hospitalization was observed for the fast-track group (5.31+/-0.98 days) compared to the conventional group (5.38+/-2.80 days), although this difference was not statistically significant. All other outcomes for the fast-track group were scored as 0. Furthermore, there was no statistically significant differences between pain, narcotics administration, and non-narcotic analgesics (aside from patient-controlled analgesia). CONCLUSION: The care map for the colorectal surgery fast-track program was effective and program validation and supplementation of the active standardization early recovery program should be performed using multi-disciplinary research.

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